- Evolent Health (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate ... score calculations. **What You Will Be Doing:** As a Risk Adjustment HCC Coding Support Specialist , you will perform a comprehensive review of progress… more
- The Cigna Group (Bloomfield, CT)
- …activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance ... excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working… more
- Highmark Health (Hartford, CT)
- …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist … more
- Zurich NA (Rocky Hill, CT)
- General Liability Claims Specialist I 112465 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... General Liability team. As a General Liability (GL) Claims Specialist , you will work with a diverse team of...a diverse team of claims professionals. This environment will support your development as you enhance your technical skills… more
- Sedgwick (Hartford, CT)
- …an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful… more
- Bristol Myers Squibb (Middletown, CT)
- …expertise on emerging data for approved indications. + Engages real-time medical support through Medical on Call to reactively answer unsolicited questions and ... the following: Medical, pharmacy, dental and vision care. Wellbeing support such as the BMS Living Life Better program...by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. \#LI Remote… more
- Travelers Insurance Company (Hartford, CT)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... resolution. + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. + Perform other duties as assigned. **What Will Our Ideal… more
- The Cigna Group (Bloomfield, CT)
- …inaccuracies in risk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA) programs, including the Risk ... **Job Summary:** The Risk Adjustment Quality & Review Analyst...Professional Coders (AAPC): Certified Professional Coder (CPC) Certified Coding Specialist for Providers (CCS-P) Certified Coding Specialist … more