- CVS Health (Hartford, CT)
- …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
- The Cigna Group (Bloomfield, CT)
- …activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance ... excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working… more
- CVS Health (Hartford, CT)
- …information from data. + Working with Informatics to explain the connection between market risk adjustment updates and risk adjustment updates to ... and affordable. **Position Summary** Aetna is recruiting a Sr. Manager on the Medicaid Actuarial Growth and Strategy team....with Finance teams to support sizing the impact of risk score and revenue related SAIs. + Continuing to… more
- CVS Health (Hartford, CT)
- …Informatics Developer within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- CenterWell (Hartford, CT)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... other clinical education projects and programs as needed, as program or project manager . + As a...experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Sedgwick (Hartford, CT)
- …written communication. + Develops contacts with company managers to introduce program ; represents client. + Contacts employers to determine specific information ... trends. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and… more