- CVS Health (Columbus, OH)
- …Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional leadership ... revenue integrity excellence. This position will require a comprehensive understanding of risk adjustment , with the ability to speak to and present on all activities… more
- 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
- UCLA Health (Los Angeles, CA)
- …and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our performance ... UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk ...Adjustment leadership team, the Assistant Director of Risk Adjustment is instrumental in participating in the planning with… more
- Highmark Health (Pittsburgh, PA)
- …job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its ... and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to build/strengthen patient care… more
- Penn State Health (Hershey, PA)
- …with contracted payors, tracking and trending of KPIs, and ensuring accurate risk adjustment . The Program Manager will need to provide monthly and quarterly ... Based Care - Operations. We are seeking an experienced and detail-oriented Program Manager for Disease Burden Capture. The Program Manager will lead initiatives… more
- Justice, Bureau of Prisons/Federal Prison System (Oklahoma City, OK)
- …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 (Mason, OH)
- **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
- 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 (Norfolk, VA)
- **Business Change Director - Risk Adjustment Data Quality** **Alternate locations may be considered:** This position will work in a hybrid model (remote and office). ... of our Elevance Health PulsePoint locations. The **Business Change Director for Risk Adjustment Data Quality** will serve as a strategic partner for the Enterprise… more
- Medical Mutual of Ohio (OH)
- …approach and assist in the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office ... and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, and other corporate… more
- ChenMed (Miami, FL)
- …expanding and we need great people to join our team. The Risk Adjustment Auditor works in a collaborative effort directly with physicians, their office staff, ... ensure that medical documentation and supportive evidence complies with risk adjustment initiatives, improving revenue cycle and denial of payments. **ESSENTIAL JOB… more
- Commonwealth of Pennsylvania (PA)
- …through the Payroll Office and reporting any discrepancies to the Facility Financial Manager for adjustment . As a Fiscal Assistant, you will play a ... crucial role in supporting the Facility Financial Manager and ensuring the smooth operation of financial tasks. Interested in learning more? Additional details… more
- CenterLight Health System (Stilwell, OK)
- …(CPC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Practice Manager (CPPM) + Certified Risk Adjustment Coder (CRC) Additional ... Requirements: + Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function. + Be medically cleared for communicable diseases and have… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** The Program Manager , Provider Engagement Programs is part of our innovative WA Quality & Risk Adjustment department to assist ... our diverse team of data leaders, quality & risk adjustment experts, and developers in the development and implementation of business strategies, operations and… more
- Hensel Phelps (Pleasanton, CA)
- …Bay Area)** + Base Salary: $81,600 - $93,000 + COLA (Cost of Living Adjustment ): $7,200 - $36,600 (depending on project location ) + Total Direct Annual ... Compensation: COLA ( Cost of Living Adjustment + Base Salary) $88,800- $129,600 (depending on project...the life of the property. **Position Description:** The Safety Manager is responsible for supporting the senior safety … more
- Bank of America (Charlotte, NC)
- Enterprise Financial Risk Manager Charlotte, North Carolina;Jersey City, New Jersey; New York, New York; Chicago, Illinois **Job Description:** At Bank of America, ... documents and Committee materials + Wholesale/Retail spot RWA and manual adjustment testing, interpretations, rule compliance and calculator change control reviews +… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Information Technology Services, Office of Title Project Manager 1 (NY HELPs) - 8594 Occupational Category IT Engineering, Sciences Salary Grade ... this critical service at any time.Under the direction of the Project Manager 5, SG-29, within the Information Technology Services Dedicated Support Division, Office… more
- AdventHealth (La Grange, IL)
- …La Grange, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... nurses, and other members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager nurses, nurses, physicians… more
- AdventHealth (Shawnee, KS)
- **Inpatient Social Worker OR RN-Case Manager Weekend Worker Program Days** **All the benefits and perks you need for you and your family:** + Vision, Medical & ... Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
- SAM LLC (Fargo, ND)
- …project in Fargo, North Dakota.** Reports to the Developer's Project Quality Manager and is responsible for implementing and overseeing the Developer's quality ... processes during the Construction Work. The D&C Contractor's Construction Quality Manager is responsible for preparing the Construction Quality Management Plan and… more