- CVS Health (Atlanta, GA)
- …Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional ... Risk Adjustment Coder (CRC) Prior experience in Risk Adjustment field/ Medicaid **Education** Bachelor's Degree required from an accredited four… more
- CVS Health (Atlanta, GA)
- …team! In this role you will provide complex analytics and reporting to support Medicaid Risk Adjustment to address business questions regarding population ... CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk ...CMS standards, and modeling financial impacts of changes in risk adjustment data and methodologies. Collaborate regularly… more
- Elevance Health (Atlanta, GA)
- **Title: Manager Government Business other revenue programs ( Manager Risk Adjustment Quality Control)** **Location: Chicago IL, Indianapolis IN, Grand ... for ensuring the overall success of our Medicare and Medicaid 'Other' Revenue programs with the intent of enhancing...management experience in a managed care setting with extensive risk adjustment experience with a focus on… more
- MarketSource (Alpharetta, GA)
- 121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... Summary Responsible for leading a team and driving regulatory compliance and risk mitigation efforts through the organization, by identifying risk areas… more
- Deloitte (Atlanta, GA)
- …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
- Deloitte (Atlanta, GA)
- …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