- Elevance Health (Columbus, OH)
- …pertains to CMS guidelines. **How you will make an impact:** + Leads Risk Adjustment operations including provider education, data analysis, audits and ... business and minimum of 2 years' experience in healthcare industry and expertise in Risk Adjustment ; or any combination of education and experience, which would… more
- Molina Healthcare (Columbus, OH)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more