- HSBC (New York, NY)
- …outside of the New York City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will: + Track new policy developments and ... areas eg credit risk, counterparty credit risk, securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a presence in key locations across… more
- Highmark Health (Columbus, OH)
- …incumbent to: + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and support to team members, fostering a ... ensuring accurate and timely data flow across systems. + **Oversee risk adjustment processes and ensure compliance with regulations:** Stay abreast of evolving… more
- The Cigna Group (Houston, TX)
- …to support business needs. The role will work under the direction of Risk Adjustment & Stars Provider Education Regional Manager in conjunction with matrix ... coding principles and guidelines. **Core Responsibilities:** + In partnership with Risk Adjustment & Stars Provider Education Regional Manager , support the… more
- Justice, Bureau of Prisons/Federal Prison System (Estill, SC)
- …live within the complex family circumstances and assist him in developing new adjustment techniques. The Case Manager helps the offender view problems ... of a varying nature. This counseling deals with institutional adjustment , US Parole commission, release planning, and interpersonal communications, individual… more
- Elevance Health (Richmond, VA)
- **Title: Manager Government Business other revenue programs ( Manager Risk Adjustment Quality Control)** **Location: Chicago IL, Indianapolis IN, Grand ... experience in a managed care setting with extensive risk adjustment experience with a focus on CMS audit experience;...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Justice, Bureau of Prisons/Federal Prison System (Coleman, FL)
- …live within the complex family circumstances and assist him in developing new adjustment techniques. The Case Manager helps the offender view problems ... of a varying nature. This counseling deals with institutional adjustment , US Parole commission, release planning, and interpersonal communications, individual… more
- Point32Health (Canton, MA)
- …(https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support the operations ... and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk … more
- Elevance Health (Atlanta, GA)
- **Business Change Director-Risk Adjustment Data Quality** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within ... a PulsePoint location. The **Business Change Director for Risk Adjustment Data Quality** will serve as a strategic partner...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (NM)
- …and comfortable working in a fast-paced environment + -Knowledge of Risk Adjustment , Quality, and Provider Engagement Strategies + -Experience with Healthcare data ... (Member, Provider, Claims, etc.) + -Vendor Management + -Experience with IT projects (onboarding vendors, file layouts, translating data requirements, QA/validation checks, report design) + -Technical skills (SQL, Excel, Power BI, Tableau) **JOB… more
- CenterWell (Tallahassee, FL)
- …caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & HCPCS ... and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate Director, Risk… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Premera Medical Directors and Provider Network Executives, the **Quality and Risk Adjustment - Provider Clinical Consultant (PCC)** works directly with providers to ... training is available for documentation and coding best practices for HEDIS and risk adjustment . This role will have a positive impact on our clinical quality and… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain… more
- Elevance Health (Atlanta, GA)
- …objectives. + Collaborates with management to set strategic vision; oversees manager (s)/director(s) with direct reports. + Hires, trains, coaches, counsels, and ... to: claims, grievances and appeals, Part D and risk adjustment . + Knowledge of Risk Adjustment Payment...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (St. Louis, MO)
- …**How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk contracts including conducting ... skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please be advised that Elevance… more
- Principal Service Solutions (Phoenix, AZ)
- …high-tech workforce around the world. Principal Service Solutions is hiring Adjustment Technicians who will be trained in the modification, installation, servicing, ... that offers unlimited opportunities for growth and career progression. SUMMARY: Installation Adjustment Technician is part of the Site Project Team which is… more
- Principal Service Solutions (AZ)
- Principal Service Solutions is hiring Adjustment Technicians who will be trained in the modification, installation, servicing, and maintaining semiconductor ... Military Backgrounds and Mechanical Backgrounds Encouraged to Apply SUMMARY: Installation Adjustment Technician is part of the Site Project Team which is… more
- Principal Service Solutions (De Soto, KS)
- …manipulation, retrieval, and report creation and submission to System Engineer, Project Manager and Service/ Installation Manager . + Monitor, guide and train ... contractor's resources and vendors required for the efficient operation of company interests. + Work with installation subcontractors to compile and complete a checklist to formally complete a Project. + Coordinate material movement, electrical and mechanical… more
- RTX Corporation (North Charleston, SC)
- …technical issues and customer concerns to the Field Support Leads and Manager . + Component Adjustment : Adjust, repair, or replace malfunctioning components ... clear communication with third-party product support staff and the Field Support Manager to resolve technical issues and bring attention to design-related problems.… more
- Robert Half Accountemps (Rensselaer, NY)
- …Initiate purchase order documents for contracts as requested by the contract manager . * Prepare adjustment /rejection claim letters when insufficient backup ... financial documentation is provided. * Conduct other tasks as assigned in accordance with job function and industry standards. Requirements * Proficiency in bookkeeping functions including managing accounts payable and receivable, processing invoices, and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Analytics Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 Position Type: Full ... to support the safety net required to achieve that purpose. Job Summary The Manager , Analytics is responsible for planning and managing the activities of a team of… more