- Evolent Health (Trenton, NJ)
- …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 (Philadelphia, PA)
- …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
- The Cigna Group (Philadelphia, PA)
- …one of the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified ... **Coding Education Specialist (AHIMA or AAPC certified) -** **Philadelphia, PA...outpatient or medical office coding experience, preferably two years risk adjustment coding experience. + Extensive knowledge… more
- Highmark Health (Trenton, NJ)
- …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
- RELX INC (Trenton, NJ)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- Bristol Myers Squibb (Philadelphia, PA)
- …personal lives. Read more: careers.bms.com/working-with-us **Position:** Therapeutic Area Specialist (TAS) **Therapeutic Area (TA): Cardiovascular** **Location** : ... emerging data for approved indications. - Engages real-time medical support through Medical on Call to reactively answer unsolicited...by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. **Why You… more
- Veterans Benefits Administration (Philadelphia, PA)
- Summary This position is located in the Support Services Division at a VA Regional Office. The Division provides accounting and financial reporting on behalf of the ... adjusts Veteran benefit payments, provides employee payroll and travel support , and performs budget analysis and development. Responsibilities Examines, certifies… more
- Aston Carter (Malvern, PA)
- Job Title: Sourcing Specialist Job Description - 2-5 years experience in buying/procurement/purchasing - IT/Telecom or Professional Services sourcing strongly ... - Understanding of contractual terms My client is seeking procurement professionals to support the deal life cycle for its Banking and Investments Categories. … more
- Travelers Insurance Company (Blue Bell, PA)
- …partners. Travelers offers a hybrid work location model that is designed to support flexibility. **What Will You Do?** + Directly handles assigned claims. + Provides ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other… more
- Actalent (Philadelphia, PA)
- …training on quality concepts/tools. In addition, the Quality Assurance Engineering Specialist will support audit and submission activities for regulatory ... Description The QA Validation Associate will provide Quality Engineering oversight and support for the development and operations of a commercial scale cGMP cell… more