- Merck & Co. (Durham, NC)
- …guided by policies, procedures and business plan; receives guidance from manager Manage multiple priorities and advance several tasks in parallel, troubleshooting ... chromatography columns, washers, autoclaves and CIP skids. Installation, testing, adjustment , maintenance, repair, calibration and troubleshooting of complex automated… more
- CVS Health (New Albany, OH)
- …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, ... In this role you will serve as a hybrid project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs and related analytics and… 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
- Baylor Scott & White Health (Columbus, OH)
- …the Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on ... and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position...and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code… 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
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for retrospective risk adjustment programs involving department or cross-functional teams of subject matter experts, ... supporting IT systems. **Job Duties** + Oversee all retrospective risk adjustment programming and provide insightful reporting on trends, opportunities, and progress… more
- Sutter Health (Sacramento, CA)
- …management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. + Knowledge of health plan regulatory and accreditation surveys ... (eg, Provider Satisfaction, After-Hours, Enrollee Experience, CAHPS). + Lean, Process Improvement and/or Project Management experience. + Advanced proficiency in MS Excel (Pivot Tables, Advanced Formulas). + Development experience in Data Visualization… more
- The Cigna Group (Chattanooga, TN)
- …Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction with market ... to meet established goals. **Core Responsibilities:** + In partnership with Risk Adjustment Manager , support the training and development of Senior Analysts… more
- CareOregon (Portland, OR)
- …Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a ... EDI experience Preferred + Experience with Medicare Advantage risk adjustment and payment methodologies Knowledge, Skills and Abilities Required Knowledge… more
- Justice, Bureau of Prisons/Federal Prison System (Houston, TX)
- …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
- Justice, Bureau of Prisons/Federal Prison System (Waseca, MN)
- …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
- The Cigna Group (Bluffton, SC)
- …the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance colleagues and business ... a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working with a… more
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: Full - Time + ... None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff on a routine… more
- Fallon Health (Worcester, MA)
- …and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet or exceed daily chart ... on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details and documentation… 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
- 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
- Principal Service Solutions (Chandler, 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)
- …the high-tech workforce around the world. Principal Service Solutions is hiring Lead Adjustment Technicians who will be part of the Site Project Management Team ... manipulation, retrieval, and report creation and submission to System Engineer, Project Manager and Service/ Installation Manager . + Monitor, guide and train… more
- Principal Service Solutions (Sherman, TX)
- …workforce around the world. Principal Service Solutions is hiring an Adjustment Technician who will be trained in the modification, installation, servicing, ... to QA / QC check sheet and report creation and submission to Installation Site Manager . + Attend daily field meetings. + Work with minimum supervision, as needed. +… more
