- Tufts Medicine (Burlington, MA)
- …coding meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position has extensive knowledge of overall ... improve overall provider documentation as it pertains to coding and risk adjustment guidelines. Reviews medical records to determine if diagnostic codes… more
- Deloitte (Boston, MA)
- …+ 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
- East Boston Neighborhood Health Center (East Boston, MA)
- …activities for patients who do not follow through, especially for those with known risk factors. Serves as an expert consultant and/or supervisor to PACE ... for referred patients. Screens for domestic violence, substance use and risk behaviors with every patient, applying protocols for intervention with positive… more
- Bristol Myers Squibb (Devens, MA)
- …system. + Promote innovative and efficient approaches to validation incorporating risk -based elements and considerations unique to cell therapy production. + Lead, ... collaboration with the validation and technical SME network. + Serve as global consultant for update and revision of exiting site validation master plans. + Develop… more
- Commonwealth Care Alliance (Boston, MA)
- …and data, including payment integrity, pricing, editing, encounter submission, and risk adjustment **Cloud Computing Technologies** Knowledge of cloud computing ... such as product owner, configuration lead, product management, and/or business consultant . + Experience in coaching agile best practices and driving operational… more