• Northeast Georgia Health System, Inc (Gainesville, GA)
    …of 5+ years experience with increasing responsibilities in developing and executing risk coding programs.Knowledge of, and experience with, utilizing EPIC ... Excel, PowerPoint and Word). Essential Tasks and ResponsibilitiesShall develop a comprehensive risk coding accuracy program and curriculum in dyad with matrix… more
    JobGet (05/18/24)
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  • Cambia Health Solutions, Inc (Renton, WA)
    …for driving improvement in healthcare? Do you have experience in provider engagement and performance management? We're searching for a talented Government Programs ... a Government Programs Provider Performance Director, you'll develop provider engagement strategies to drive performance improvements in critical objectives such… more
    JobGet (04/30/24)
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  • Provider Engagement Manager, Medicaid…

    CVS Health (Northbrook, IL)
    …including some combination of: - Experience in risk adjustment, medical coding , and documentation - Experience in provider engagement strategies Preferred ... enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna...of the team. + Partner with segment product, sales, network , clinical teams to implement processes aimed at strengthening… more
    CVS Health (04/06/24)
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  • Director, Medicare Risk Adjustment (MRA)

    Somatus (Mclean, VA)
    …establish risk adjustment analytics such as predictive modeling for coding improvement opportunities, provider coding improvement opportunities, provider ... for risk adjustment optimization, particularly for provider and member engagement activities. + Manage processes needed to conduct at home wellness visits.… more
    Somatus (03/19/24)
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  • Senior Provider Engagement Professional-…

    Humana (Columbus, OH)
    …responsible for driving provider performance programs, goals and improvement metrics for network providers and partnerships. The Engagement Professional is an ... Network Optimization, Clinical Services, Value-Based contracting, HEDIS and Risk Adjustment. Reporting to the Associate Director and/or Market Development… more
    Humana (05/10/24)
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  • Manager, Medicaid Risk Adjustment

    CVS Health (Hartford, CT)
    …- 2+ years of experience in the health care industry, Medicaid operations, risk adjustment, or medical coding and documentation preferred- Knowledge of insurance ... for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting… more
    CVS Health (05/01/24)
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  • Principal Associate Cyber Risk & Analysis,…

    Capital One (Mclean, VA)
    …security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination + At least 1 ... Center 1 (19052), United States of America, McLean, Virginia Principal Associate Cyber Risk & Analysis, Technology Audit (Hybrid) Capital One's Audit function is a… more
    Capital One (04/21/24)
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  • Manager, Cyber Risk & Analysis- Technology…

    Capital One (Mclean, VA)
    Center 1 (19052), United States of America, McLean, Virginia Manager, Cyber Risk & Analysis- Technology Audit (Hybrid) **Capital One's Audit function is a dedicated ... including critical technology functions, cloud-based infrastructure, emerging technology, cybersecurity, risk management, application, and third-party management, as well as… more
    Capital One (03/07/24)
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  • Site Administrator, Geisinger St Luke's…

    St. Luke's University Health Network (Orwigsburg, PA)
    …and back-office processes, including staff, physician, and patient scheduling, billing/ coding and medical records. Ensures appropriate office policy and procedures ... best practices. + Carry out directives of St. Luke's Network to ensure compliance with all federal and local...and physician education as required to maintain optimal procedure coding . + Within guidelines established, approve invoices and major… more
    St. Luke's University Health Network (04/11/24)
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  • Provider Engagement Administrator I

    Centene Corporation (Tallahassee, FL)
    …education, including writing and updating orientation materials + Manages Network performance for assigned territory through a consultative/account management ... performance + Drives provider performance improvement in the following areas: Risk /P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. +… more
    Centene Corporation (05/17/24)
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