- Centene Corporation (Jefferson City, MO)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... , Legal or related field; or equivalent experience required + 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding… more
- Centene Corporation (Jefferson City, MO)
- …recommendations; design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- Commerce Bank (Kansas City, MO)
- …design, strategy, and the smooth operation of these programs, ensuring accuracy, compliance , and timely updates. This role also oversees the successful completion of ... changes are implemented effectively. This role will have frequent interactions with senior and executive management within the Commercial Line of Business, as well… more
- Deloitte (Kansas City, MO)
- …ends on 1/30/2026. Work you'll do As a Workforce Data & Analytics Senior Manager,you willmanage a team of analytics professionals, engaging with clients to advance ... timelines, resources and budgets. + Co-lead project planning, resource allocation, and risk and issue management. + Ensure quality control and adherence to best… more
- Humana (Jefferson City, MO)
- …exceeds outcomes related but not limited to trend, pharmacy, UM, clinical performance, risk adjustment , and stars. This CMO frequently interacts with the ... senior management team when representing Group MA with the...initiatives - most commonly working with National Medical, Pharmacy, Risk Adjustment , Stars, Product Design, Trend Bender,… more
- Deloitte (Kansas City, MO)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk ...for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions… more
- Amentum (Jefferson City, MO)
- …purpose of verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the analysis and interpretation ... to: a) identify additional information needs; b) assess offender risk ; c) create and update a case plan; d)...experience; e) implements supervision plans and strategies to insure compliance with conditions of supervision and/or to maintain the… more
- SSM Health (St. Louis, MO)
- …bedside studies including: f/vt, shunt studies, ventilator mechanics dead space, compliance , O2 content, and metabolic cart studies. G. Perform bedside pulmonary ... noise to a minimum. 3. Adheres to dress code. C. Reports risk management concerns. D. Assumes responsibility for completing all annual mandatory requirements:… more
- Humana (Jefferson City, MO)
- …focused in the areas of Provider Contracting, Provider Engagement and Quality, Risk Adjustment , Clinical, and Financial Operations. + Leadership development, ... Market President for the Central Region. Reporting to the West Division Senior Vice President, the Regional Market President manages the development, operations, and… more