- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Highmark Health (St. Paul, MN)
- …Quality , Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote ... other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and… more
- Humana (St. Paul, MN)
- …in the areas of Provider Contracting, Provider Engagement and Quality , Risk Adjustment , Clinical, and Financial Operations. + Leadership development, ... arrangements between health plans and providers + Knowledge of risk arrangements and ability to influence these arrangements. +...Master's or JD degree + Record of success leading provider contracting and provider engagement activities for… more
- Datavant (St. Paul, MN)
- …to realize our bold vision for healthcare. **What We're Looking For:** The Manager, Risk Adjustment Operations is responsible for the oversight and management of ... role is responsible for ensuring adherence to departmental goals, quality standards, metrics, policies, etc. They will provide...+ A minimum of 5 years of experience in risk adjustment coding and/or auditing experience. +… more
- Datavant (St. Paul, MN)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... and time off requests. + Receive, merge and track quality , productivity, and feedback for all team members. +...Provide coaching and feedback on achieving production and quality standards of the role. + Report trends for… more
- Bluestone Physician Services (Stillwater, MN)
- …custom queries, dashboards, and reports related to program intelligence and operations, HCC risk adjustment , quality measure gaps, claims analysis. + The ... to their unique needs. Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate… more
- Humana (St. Paul, MN)
- …Interoperability, Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + ... and operational experience. + Strong performance orientation for delivering high quality technology products. + SAFe PO/PM certification. + Data Governance and/or… more
- Bluestone Physician Services (Stillwater, MN)
- …and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes. + Provide ongoing training and support to ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- CVS Health (St. Paul, MN)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Actalent (St. Paul, MN)
- …to suppliers of finished goods, intermediates, and raw materials. Responsibilities + Provide direct quality engineering support and strategic solutions to the ... Senior Supplier Quality Engineer Job Description The Senior Supplier ...Action Requests (SCARs). + Participate in product and process risk management activities. + Participate in Corrective and Preventive… more
- Amentum (St. Paul, MN)
- …for the purpose of verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the analysis and ... enhancing human rights in developing countries. Amentum is the contract service provider to the DOJ ICITAP and Overseas Prosecutorial Development, Assistance and… more
- Fairview Health Services (Minneapolis, MN)
- …to patients coping with cancer-related stress, anxiety, depression, grief and adjustment issues + Complete diagnostic assessments and provide recommendations ... **Position Description:** In 2015, the Agency for Healthcare Research and Quality named MHealth Fairview Clinics as one of eight "exemplar" integrated… more
- Actalent (Minneapolis, MN)
- …Strategy: Track equipment submittals, FAT/witness testing, factory slots, and logistics; de‑ risk energization and commissioning windows. + Quality & ... maintain commissioning logs and closeout deliverables. + Stakeholder Communication: Provide concise, executive‑ready reporting (S‑curves, variance analyses, risk … more
- Travelers Insurance Company (St. Paul, MN)
- …and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned ... and file exposure is greater than $2 million. + Provide quality customer service and ensure file...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- Deloitte (Minneapolis, MN)
- …managing timelines, resources and budgets. + Co-lead project planning, resource allocation, and risk and issue management. + Ensure quality control and adherence ... data. + Proactively identify and mitigate project risks related to data quality , security, and delivery. Team Management and Development + Manage, mentor, and… more
- Actalent (Minneapolis, MN)
- … quality system requirements. + Participate in Design Assurance activities, including risk assessment and FMEA. + Provide technical support for product ... leverage intellectual property for new therapy and/or clinical use. + Provide technical supervision and mentorship to lower-level electrical engineers and guidance… more
- Bristol Myers Squibb (St. Paul, MN)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... customer relationships and discussing comprehensive scientific, health economic, epidemiology, and quality of life information. + Work closely with the commercial… more