- 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)
- …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 (Blue Bell, PA)
- …MSSP, ACO REACH).** **What will you do?** + Evaluate the impact of Medicare quality and risk adjustment program has on our MA risk contracts and ... (MSSP and ACO REACH), including but not limited to risk adjustment opportunities, HCC gaps, and benchmarking...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- RELX INC (Philadelphia, PA)
- Product Manager IIAre you keen to develop your Product Management career?Join us in shaping the world. About the Business LexisNexis Risk Solutions is the ... essential partner in the assessment of risk . Within our Government vertical, our solutions assist government agencies and law enforcement to drive insights from… more
- Deloitte (Philadelphia, PA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital...& Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &… more
- Genesis Healthcare (Kennett Square, PA)
- …topics driving outcomes including, but not limited to: financial performance, risk adjustment , utilization management, quality performance, clinical performance, ... to optimize their success in LTC ACO's Medicare Shared Saving Program . The Partner Engagement Manager 's top priorities are to serve as LTC ACO's primary point… more
- Catalent Pharma Solutions (Philadelphia, PA)
- ** Manager , Financial Planning and Analysis** **Position Summary:** Catalent is a global, high-growth, private company and a leading partner for the pharmaceutical ... Catalent Pharma Solutions in Philadelphia, PA is hiring a Manager , Financial Planning and Analysis. The Manager ,...and guidance to the business unit to anticipate the risk and opportunities to take decisions upon the delivery… 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
- Walmart (Philadelphia, PA)
- …equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes ... mindset; fosters an environment that supports learning, innovation, and intelligent risk -taking; and exhibits resilience in the face of setbacks. Digital… more
- Subaru of America (Camden, NJ)
- …analysis and reporting of parts sales, customer handling, and warranty claim/Policy Adjustment Request (PAR) activity. Performs ad hoc analysis as requested by the ... Regional Parts and Service Manager (RPSM) or field staff to ensure that warranty...and field staff. + Executes and communicates analytics of program incentives, training initiatives, product launches, and workshops through… more
- TD Bank (Cherry Hill, NJ)
- …effective relationships with US regulators + Central team accountability for asset cap provision Program + Works closely with Risk & Control partners to ensure ... opportunities to rationalize RWA / capital and optimize ROE. Collaborates across Risk , TBSM, Corp Dev, Business leaders, Chief Accountants, and other critical areas… more
- The Cigna Group (Philadelphia, PA)
- …strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & ... recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytics team seeks to provide...for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These… 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)
- …patient. About the Role The Implementation Specialist (IS) will work with Program Solution accounts outlining plans for implementing Nursing & Health Education ... and transition the implementation plan to the Enterprise Customer Success Manager and into steady state for post Implementation. Responsibilities + Developing… more