- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Senior Risk Adjustment Administration Professional will work closely with providers to identify ... improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk … more
- The Cigna Group (Philadelphia, PA)
- …our Stars and RA goals and objectives. This position reports to the Managing Director of Stars, Risk Adjustment , and Interoperability. The successful ... other day of choosing)** **Summary:** This position will focus on Stars and Risk Adjustment (RA) performance and solution enablement activities, with an emphasis… more
- St. Luke's University Health Network (Bethlehem, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all treatment team members. + Manages ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. + Issues applicable state/federal regulatory notices as applicable… more
- St. Luke's University Health Network (Bethlehem, PA)
- …to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among all treatment team members. + Manages ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. + Issues applicable state/federal regulatory notices as applicable… more