- Highmark Health (Washington, DC)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and...- 5 years Leadership + 3 - 5 years Risk Revenue + 1 - 3 years Strategic… more
- PNC (Tysons Corner, VA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... to the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA or Tysons… more
- RELX INC (Washington, DC)
- …information on our cybersecurity policies and legal requirements, as well as develop strategic programs and processes to support the business legal teams on their ... sample language, fallback positions, and areas of potential significant corporate risk + Monitoring for and ensuring compliance with various regulations +… more
- Point32Health (Washington, DC)
- …health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . + Knowledge of Medicare and Medicaid reimbursement is ... and other members of the Network & Provider Analytics team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives… more
- Deloitte (Mclean, VA)
- …with 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
- Aston Carter (Chantilly, VA)
- Contracts Manager | 130k - 150k/yr | Remote with Restrictions to VA, MD and DC | 6-month Contract-to-hire Job Description Provide hybrid (in-person/work from home) ... etc. + Manage the contract day-to-day by advising on the strategic direction, contract interpretation, and consequences of action/inaction. + Proactively resolve… more
- The Cigna Group (Washington, DC)
- …not limited to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions for strategic business needs + May ... but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. +...and delivering presentations. + Collaborating with Provider Performance Senior Manager / Manager on strategic plans on… more