- The Cigna Group (Bloomfield, CT)
- …needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment Analytics Advisor** would be a member of the ... if do not live near a Cigna Office]** We have an immediate need to strengthen our Risk Adjustment and Stars Enablement team. The Risk Adjustment and… more
- Elevance Health (Wallingford, CT)
- …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience… more
- The Cigna Group (Bloomfield, CT)
- …join the IFP Analytics team responsible for identifying and sizing new risk adjustment opportunities that not only create better health outcomes for patients ... and you will be viewed as a data and analytics expert with an eye for applying statistical techniques...medical claims data + Experience with HHS ACA (or Medicare ) risk adjustment model +… more
- CVS Health (Hartford, CT)
- …has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare , MMP and DSNP lines of business! In ... provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare , MMP and DSNP lines… more
- The Cigna Group (Bloomfield, CT)
- …role will work with a series of stakeholders on setting our risk adjustment strategy. Reporting to the Medicare Advantage Revenue Finance lead, this position ... Medicare finance and operation teams to ensure appropriate risk adjustment goals are developed, set, and...progress, priorities, and key risks and opportunities. + Supports analytics partners in evaluating risk adjustment… more
- Humana (Hartford, CT)
- …Agile, dedicated Partnership Leaders, and collective Product Ownership to deliver integrated risk adjustment (RA) and quality (Stars) solutions that leverage ... outcomes, provider partnerships and the financing of benefits for Medicare Advantage beneficiaries. The Senior Software Engineer on the...experience with and knowledge around the CMS Stars and/or Risk Adjustment programs with a focus in… more