- Elevance Health (Columbus, GA)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid ... of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
- Molina Healthcare (GA)
- …+ Coordinates accountabilities between segment and markets to drive performance in network, risk adjustment , and stars; single point of contact for escalations ... to mitigate risk and develop/implement improvements across areas that impact Medicare performance. + Collaborates across Medicare segment, with health plans,… more
- Evolent (Atlanta, GA)
- …including plans related to medical expense management, quality improvement, appropriate risk adjustment , and patient and provider engagement. Members of ... Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care /...and Network teams. Additionally, the MD will oversee ECP's Risk Adjustment program, with responsibility for developing… more
- Molina Healthcare (Columbus, GA)
- …HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance..., and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews… more