- Highmark Health (Atlanta, GA)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and...- 5 years Leadership + 3 - 5 years Risk Revenue + 1 - 3 years Strategic… more
- Elevance Health (Atlanta, GA)
- …50 miles of a PulsePoint location. The **Business Change Director for Risk Adjustment Data Quality** will serve as a strategic partner for the Enterprise ... **Business Change Director- Risk Adjustment Data Quality** **Location:** This...models and methodology, project management and change management experience ( strategic and execution) strongly preferred. * Master's degree preferred.… more
- Elevance Health (Atlanta, GA)
- …program areas including but not limited to: claims, grievances and appeals, Part D and risk adjustment . + Knowledge of Risk Adjustment Payment ... with numerous stakeholders and objectives. + Collaborates with management to set strategic vision; oversees manager (s)/director(s) with direct reports. + Hires,… more
- RELX INC (Atlanta, GA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services division, we help our customers ... Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. We are a...a meaningful impact. About the Role: As a Pricing Manager , you will be a part of a team… more
- Mitsubishi Chemical Group (Atlanta, GA)
- …(MDM), are integrated into regional business processes to support the organization's strategic goals. The Digital Data Governance Program Manager will work ... **Data Governance Program Manager (1834)** + Title:Data Governance Program Manager...governance initiatives, ensuring that data is managed as a strategic asset across the region. This role provides a… more
- Deloitte (Atlanta, GA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist… more
- Highmark Health (Atlanta, GA)
- …+ 2-3 years experience in Healthcare industry + 1-2 years experience in risk adjustment **LICENSES/CERTIFICATIONS** **Required** + None **Preferred** + PMP or ... time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors… more
- Deloitte (Atlanta, GA)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... October 31, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will… more
- The Cigna Group (Atlanta, GA)
- …(which includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk Adjustment , Finance , Cross-Segment Contracting, Provider Relations, and ... and financial and/or operational issues with providers. + Leading Stars & Risk Adjustment outcomes through local Provider Performance initiatives. Developing and… more