- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk ... adjustment performance metrics through coordination of analytical processes, investigation...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and develops ... software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide and… more
- Somatus (Mclean, VA)
- …Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the ... organization's Risk Adjustment Programs to optimize the programs' clinical benefit, financial...(eg prospective, retrospective, concurrent approaches). + Lead the risk adjustment operational programs and strategy aimed at monitoring, oversight,… more
- Banner Health (Phoenix, AZ)
- …clinical strategies and educational initiatives around the impact that accurate risk adjustment has on the performance of our MA, MSSP, Medicaid, and commercial ... the clinical DYAD to the Executive Director of Risk Adjustment , co-leading a robust team that will support the...of care for members. 9. Lead and develop risk adjustment strategies in parts of the Banner Health delivery… more
- Health First (Rockledge, FL)
- …planning of the health plan's position to effectively communicate updates to Risk Adjustment leadership. 3. Work closely with Senior Analysts and Value Capture ... *POSITION SUMMARY * Contribute to Health First Health Plans Risk Adjustment activities that support compliance with regulatory and contractual requirements specific… more
- The Cigna Group (Philadelphia, PA)
- …join the IFP Analytics team responsible for identifying and sizing new risk adjustment opportunities that not only create better health outcomes for patients but ... Healthcare to remain compliant and competitive in the dynamic federally regulated Risk Adjustment space. There's no shortage of deep dives and insights to be… more
- Carle (Urbana, IL)
- …adjustment education. Develops media outreach in collaboration with senior coding consultant and manager. Qualifications: EDUCATIONAL REQUIREMENTS Bachelor's ... Risk Adjustment Education Specialist - HYBRID + Department: FCC...application to technical coding. Essential Functions: + Collaborates with Senior Coding Consultant, Coding Analysts, Coding Supervisor and Manager… more
- CenterWell (Carson City, NV)
- …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
- Centene Corporation (Olympia, WA)
- …flexibility. **Position Purpose:** Manage the business processes related to risk adjustment and quality improvement across Centene's for assigned products and plans. ... landscapes, and local market dynamics + Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products + Identify… more
- HSBC (New York, NY)
- …areas eg credit risk, counterparty credit risk, securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a presence in key locations across ... with a focus on providing policy guidance on the new Credit Valuation Adjustment ('CVA') capital requirements within the US Agencies' proposed adoption of the 'Basel… more
- Intermountain Health (Las Vegas, NV)
- …Located in Nevada. Selected candidate must live in Nevada** Scope The Senior II Professional Coding Consultant is responsible for providing general expertise in ... an instrumental role in the training and development of new consultants. The Senior II Consultant has a strong understanding of clinical processes and assigned… more
- Hensel Phelps (Bellevue, WA)
- …( Seattle Only )** + **Salary: $69,000 - $72,500** + **Cost of Living Adjustment (COLA): $16,800** + **Total direct compensation: $85,800 - $89,300 Base + COLA** ... on four pillars: People, Process, Partnership and Technology. **Position Description** The Senior Marketing Coordinator is a key member of the Project Development… more
- Bloomberg (New York, NY)
- Senior Editor, Service Journalism (US) Smarter, Faster, and as always - First. That's our philosophy. Bloomberg Media empowers global business leaders with breaking ... else. It's up to you to make it happen. Bloomberg Digital is looking for a senior editor to help build a new suite of content for Bloomberg.com. In this role, you… more
- Bloomberg (New York, NY)
- Senior Product Manager - Search and Personalization Smarter, Faster, and as always - First. That's our philosophy. Bloomberg Media empowers global business leaders ... up to you to make it happen. Bloomberg Media is looking for a Senior Product Manager - Search and Personalization to drive innovative user experiences on… more
- MyFlorida (Alachua, FL)
- …of five (5) years (total), the incumbent will receive an additional $2,500/yr pay adjustment and will be promoted to the Senior Trial Court Staff Attorney ... SENIOR TRIAL COURT STAFF ATTORNEY - 22009023 Date:...Requisition No: 838458 Agency: State Courts System Working Title: SENIOR TRIAL COURT STAFF ATTORNEY - 22009023 Pay Plan:… more
- New York State Civil Service (Thiells, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Physical Therapist (NY HELPS) Occupational Category Health Care, Human/Social ... Minimum Qualifications MINIMUM QUALIFICATIONS:* Currently permanent in the title of Senior Physical Therapist.OR* Active and reachable on the appropriate Civil… more
- University of Maryland, Baltimore (Baltimore, MD)
- …dedicated, caring, and team-oriented*Social Worker*(licensed LMSW at minimum) or* Senior **Social Worker*(one-year post-licensure LCSW or LCSW-C experience). The ... health, poverty, unemployment, substance abuse, physical abuse, rehabilitation, social adjustment , childcare, and/or medical care in accordance with licensure. *… more
- University of Maryland, Baltimore (Baltimore, MD)
- …of Community Engagement*has an opening for a*Case Manager (Social Worker or Senior Social Worker)*. The Community Engagement Case Manager will assist with advancing ... health, poverty, unemployment, substance abuse, physical abuse, rehabilitation, social adjustment , child care, and/or medical care in accordance with licensure.… more
- American Water (Camden, NJ)
- …potential MSG business opportunities. * Lead the end-to-end preparation of price adjustment proposals for existing MSG contracts by the scheduled deadlines (Price ... etc.). * Prepare the responses to Government negotiation messages for price adjustment proposals. * Assist MSG management in maximizing the business and operational… more
- SAM LLC (San Antonio, TX)
- …assets are developed and managed throughout their lifecycles. Your Impact at SAM Senior Project Engineer may serve as or support Project Manager and may serve ... projects per DOT contract documents, procedures, specifications and manuals. The Senior Project Engineer provides oversight and review of SiteManager activities to… more