- CVS Health (Scottsdale, AZ)
- …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
- CVS Health (Phoenix, AZ)
- …skills using Excel, Access, Word and/or PowerPoint. Expert knowledge of Medicare risk adjustment , multivariate analyses, or health economics research methods. ... in Healthcare **Preferred Qualifications** Masters degree Experience in Medicare, Risk Adjustment Experience in Health plan/Provider Settings **Education**… more
- Deloitte (Tempe, AZ)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program… more
- CVS Health (Phoenix, AZ)
- …Informatics Developer within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- RELX INC (Chandler, AZ)
- …to show value and insights while communicating with customers? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely and… more
- CenterWell (Phoenix, AZ)
- …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... other clinical education projects and programs as needed, as program or project manager . + As a...experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive… more
- Aerotek (Tempe, AZ)
- …to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager , the Claims Review Specialist will assist in the monitoring and ... administering of Aerotek's workers compensation program to ensure the maximum cost containment. Seek to...+ Participates in communicating claims trends to Regional Safety Manager + Working with Compliance Supervisor to develop and… more
- Diversified (Phoenix, AZ)
- …managed, it is your responsibility to communicate that with the Regional Supervisor/Project Manager / Program Manager so that management can understand why the ... (or not required) and communicate that with your Project Manager and the Design Engineering team. . Keep job...UILs, Job Hazard Analysis (JHAs), Task Hazard Analysis (THAs), Risk Hazard Analysis (RHAs), RFIs, Redlines + Must be… more
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an opening for a Contracts Negotiator / Manager at the corporate office in Tempe, AZ.** **Job Summary:** The Contracts Manager is ... by providing Contractual guidance towards successful negotiations while minimizing Company risk . He/she will work closely with all departments within the… more
- Travelers Insurance Company (Phoenix, AZ)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Sedgwick (Phoenix, AZ)
- …written communication. + Develops contacts with company managers to introduce program ; represents client. + Contacts employers to determine specific information ... trends. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and… more