- CVS Health (Blue Bell, PA)
- …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 (Philadelphia, PA)
- **Summary** The Risk Adjustment Reporting & Analytics Manager is an opportunity to lead complex analytics projects and initiatives for Cigna's Medicare ... Advantage Risk Adjustment business. The Manager ...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… more
- RELX INC (Philadelphia, PA)
- Manager Incident Response Are you a skilled Cyber Security Strategist? Are looking for an innovative Cyber Security Leadership Role? About our TeamThis team secures ... Leadership role you will help growand execute our digital forensics program . You will be entrusted with running multiple investigations simultaneously.… more
- Deloitte (Philadelphia, PA)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program… more
- RELX INC (Philadelphia, PA)
- …to show value and insights while communicating with customers? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely and… more
- Travelers Insurance Company (Blue Bell, PA)
- …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
- Travelers Insurance Company (Blue Bell, PA)
- …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
- RELX INC (Philadelphia, PA)
- …AI based clinical decision support product? About the role: Principal Product Manager will lead product strategy, planning, and execution for our award-winning ... opportunities early + Be capable of driving an organizational culture of risk taking with "just enough" hypothesis-testing and data-driven decision making Work in… more