- Elevance Health (Atlanta, GA)
- …serving as a strategic partner for the Medicare business to Enterprise Risk Adjustment , Business Operations, Regulatory Compliance and Internal Audit business ... Assists management by overseeing day to day operations for risk adjustment programs including both prospective and...programs are in compliance with Center for Medicare and Medicaid Services (CMS) program requirements + Serves as a… more
- Elevance Health (Atlanta, GA)
- …pertains to CMS guidelines. **How you will make an impact:** + Leads Risk Adjustment operations including provider education, data analysis, audits and ... business and minimum of 2 years' experience in healthcare industry and expertise in Risk Adjustment ; or any combination of education and experience, which would… more
- Elevance Health (Atlanta, GA)
- …equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly ... you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Deloitte (Atlanta, GA)
- …Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... March 31, 2025. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will… more
- Molina Healthcare (Atlanta, GA)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more