• Medicare Advantage Risk Adjustment

    UCLA Health (Los Angeles, CA)
    Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant , you will be responsible for: + Serving as a Subject Matter Expert ... (SME) for risk adjustment with contracted IPAs + Collaborating...offered by the health plan + Act as a consultant and partner to the contracted IPAs + Traveling… more
    UCLA Health (10/25/24)
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  • Financial Analytics Consultant

    Zurich NA (Schaumburg, IL)
    Financial Analytics Consultant 117191 Zurich North America is currently seeking an intellectually curious Finance Analytics Consultant to join the Claims Finance ... located at our North American headquarters in Schaumburg, Illinois. The Financial Consultant is responsible for the creation of key financial presentations and… more
    Zurich NA (10/16/24)
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  • Senior STARS Improvement Consultant

    Humana (Montgomery, AL)
    …influencing execution of recommended strategy + Experience with Medicare Risk Adjustment and/or medical coding + Understanding of Consumer/Patient Experience ... community and help us put health first** The Senior Stars Improvement Consultant / Professional executes the overall Medicare Stars Improvement Program within the… more
    Humana (10/31/24)
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  • Government Health Actuary Consultant

    Deloitte (Fort Lauderdale, FL)
    …+ Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working ... Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will… more
    Deloitte (11/08/24)
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  • Government Health Actuary Consultant

    Deloitte (Minneapolis, MN)
    …+ Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working ... Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will… more
    Deloitte (10/16/24)
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  • Construction Project Advisor - PacNW

    BP Americas, Inc. (Sacramento, CA)
    …- Deliver on construction project key performance indicators, - Construction consultant to real estate, design, development and procurement departments, - Author ... the build out of BP's US Retail Asset growth strategy , including NTI (New to Industry), Raze and Rebuilds,...territory. Because the Construction Project Advisor role handles high risk activity, the individual must hold HSSE responsibility and… more
    BP Americas, Inc. (11/06/24)
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  • Senior Manager, ROI Data & Operations

    Bristol Myers Squibb (Princeton, NJ)
    …within Compliance and Ethics at will play a crucial role in shaping the data strategy and operational excellence of our Enterprise Risk and Compliance & Ethics ... and the development and execution of reports to address areas of risk ; develops recommendations and communicates recommendations to stakeholders to mitigate such… more
    Bristol Myers Squibb (10/29/24)
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  • Associate Director, TA Analysis Standards Leader

    Bristol Myers Squibb (Princeton, NJ)
    …Analysis Standards Leader is accountable for developing and promoting the strategy and infrastructure for creation, maintenance, and implementation of analysis ... evaluation and recruitment of potential employees and may have direct reports. ** Strategy :** Develops Analysis Standards strategy for assigned therapeutic area… more
    Bristol Myers Squibb (11/01/24)
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  • Therapist (MST-SA)

    Children's Aid (Brooklyn, NY)
    …families in the five boroughs where abuse and/or neglect has put the family at risk of having their children placed outside the home. The model is parent-focused and ... with clinical interventions designed to address abuse and neglect and reduce other risk factors. MST-SA works with families with children ranging in age from 11-17.… more
    Children's Aid (10/09/24)
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  • Therapist (MST-CAN)

    Children's Aid (Brooklyn, NY)
    …weekly Group Supervision and Consultation sessions with MST-CAN Supervisor and MST-CAN consultant . * Complete all MST-CAN documentation in a timely manner. * Conduct ... problem conceptualization, treatment planning, intervention implementation, outcome review and strategy revision procedure using the MST Analytic Process. * Maintain… more
    Children's Aid (09/27/24)
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  • Lead Product Owner - Claims (Remote)

    Commonwealth Care Alliance (Boston, MA)
    …and data, including payment integrity, pricing, editing, encounter submission, and risk adjustment **Cloud Computing Technologies** Knowledge of cloud computing ... Product Owner will be responsible for leading and driving the product strategy , which includes envisioning, building, executing, and maintaining the product roadmap.… more
    Commonwealth Care Alliance (09/15/24)
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