- Elevance Health (Atlanta, GA)
- …pertains to CMS guidelines. **How you will make an impact:** + Leads Risk Adjustment operations including provider education, data analysis, audits and ... business and minimum of 2 years' experience in healthcare industry and expertise in Risk Adjustment ; or any combination of education and experience, which would… more
- Elevance Health (Atlanta, GA)
- …equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly ... you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Deloitte (Atlanta, GA)
- …Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... March 31, 2025. 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
- Molina Healthcare (Atlanta, GA)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...strategy, and compliance + Knowledge of value based programs, risk adjustment models, quality metrics such as… more