- Datavant (Madison, WI)
- …life experiences to realize our bold vision for healthcare. **What We're Looking For:** The Manager , Risk Adjustment Operations is responsible for the ... of supervisors and staff to business values and coding operations KPI's + Reporting to coding leadership on business...+ A minimum of 5 years of experience in risk adjustment coding and/or auditing experience. +… more
- Datavant (Madison, WI)
- …Commercial meetings. **What Helps You Stand Out:** + Background in healthcare, healthcare operations , or risk adjustment . + Experience partnering with Sales, ... **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team....cross-functionally in a fast-paced environment. Experience in healthcare and risk adjustment is a plus. **What You… more
- Molina Healthcare (Madison, WI)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **Job Summary** The Manager , Medical Economics provides support and consultation to...specified information from data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims… more
- Travelers Insurance Company (Madison, WI)
- …for specific activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. ... + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle… more