- Highmark Health (Hartford, CT)
- …requires the incumbent to: + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and support to team members, ... accurate and timely data flow across systems. + **Oversee risk adjustment processes and ensure compliance with...procedures. + **Analyze data and identify trends:** Utilize data analytics to identify patterns, trends, and potential areas for… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...Adjustment chart retrieval & coding programs and related analytics and reporting. Your will be responsible for provider/vendor/network… more
- CVS Health (Hartford, CT)
- …MSSP, ACO REACH).** **What will you do?** + Evaluate the impact of Medicare quality and risk adjustment program has on our MA risk contracts and ACOs (MSSP ... and ACO REACH), including but not limited to risk adjustment opportunities, HCC gaps, and benchmarking... opportunities, HCC gaps, and benchmarking analysis. + Develop analytics strategies to drive performance for our partners and… more