- Deloitte (Hartford, CT)
- …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
- CVS Health (Hartford, CT)
- …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) ... and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Hartford HealthCare (Farmington, CT)
- …audit and education specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. ... disseminate audit requirements. 6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to the level of… 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
- CVS Health (Hartford, CT)
- …considering the changing landscape of the ACA and overall business objectives * Contribute to risk adjustment and risk score analysis to enhance pricing & ... forecasting expectations regarding risk adjustment , including collaborating with business partners in Product Performance & Revenue Integrity, as well as… more
- Amazon (Windsor, CT)
- …team. In this position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist (IPS). This includes ... will refer care to outside medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a part of the larger team… more
- Baystate Health (Springfield, MA)
- …so much more! **QUALIFICATIONS:** + MSW degree from an accredited Social Work program + Licensed LICSW for State of Massachusetts (required) + Experience in Renal ... Recruiter ###@Baystatehealth.org **Summary:** The transplant social worker participates in a program that offers the option of transplantation as a treatment… more