- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Highmark Health (St. Paul, MN)
- …Quality , Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote ... other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and… more
- Humana (St. Paul, MN)
- …in the areas of Provider Contracting, Provider Engagement and Quality , Risk Adjustment , Clinical, and Financial Operations. + Leadership development, ... arrangements between health plans and providers + Knowledge of risk arrangements and ability to influence these arrangements. +...Master's or JD degree + Record of success leading provider contracting and provider engagement activities for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career ... Minnesota is hiring a Principal Healthcare Analyst on our Risk Adjustment team in Eagan, MN.The Principal...with leadership to understand and interpret the impactstocost and quality of proposals using relevant data sources and analytic… more
- Datavant (St. Paul, MN)
- …to realize our bold vision for healthcare. **What We're Looking For:** The Manager, Risk Adjustment Operations is responsible for the oversight and management of ... role is responsible for ensuring adherence to departmental goals, quality standards, metrics, policies, etc. They will provide...+ A minimum of 5 years of experience in risk adjustment coding and/or auditing experience. +… more
- Datavant (St. Paul, MN)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... and time off requests. + Receive, merge and track quality , productivity, and feedback for all team members. +...Provide coaching and feedback on achieving production and quality standards of the role. + Report trends for… more
- Bluestone Physician Services (Stillwater, MN)
- …and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes. + Provide ongoing training and support to ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
- CVS Health (St. Paul, MN)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Humana (St. Paul, MN)
- …exceeds outcomes related but not limited to trend, pharmacy, UM, clinical performance, risk adjustment , and stars. This CMO frequently interacts with the senior ... with enterprise-wide initiatives - most commonly working with National Medical, Pharmacy, Risk Adjustment , Stars, Product Design, Trend Bender, and Network… more
- Actalent (St. Paul, MN)
- …to suppliers of finished goods, intermediates, and raw materials. Responsibilities + Provide direct quality engineering support and strategic solutions to the ... Senior Supplier Quality Engineer Job Description The Senior Supplier ...Action Requests (SCARs). + Participate in product and process risk management activities. + Participate in Corrective and Preventive… more
- Actalent (Maple Grove, MN)
- …and safe and efficient equipment operation. Responsibilities + Develop and manage supplier quality plans through appropriate risk analysis. + Support ISO 9000 ... executed at assigned suppliers. + Evaluate the need for quality data/reports and provide required quality...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …analysts, actuaries and other cross-functional teams to deliver accurate reports, resolve risk adjustment challenges and provide data-driven solutions. This ... will support the Submissions Team by performing data analysis, quality assurance, and regulatory submissions with a focus on...and provider information-along with hands-on experience in risk adjustment models, HCC analysis, RAF score… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with a focus onaccurateandcompleteandMedicare Advantage (MA) data.You'llcollaborate withdataanalysts, actuaries, risk adjustment subject matter experts, other ... in healthcare data, regulatory reporting skills, and a solid grasp of risk adjustment methodologies. Essential qualifications include hands-on experience with… more
- Amentum (St. Paul, MN)
- …for the purpose of verifying and assessing the home situation and the offender's adjustment while under supervision. + Provide information on the analysis and ... enhancing human rights in developing countries. Amentum is the contract service provider to the DOJ ICITAP and Overseas Prosecutorial Development, Assistance and… more
- Fairview Health Services (Minneapolis, MN)
- …to patients coping with cancer-related stress, anxiety, depression, grief and adjustment issues + Complete diagnostic assessments and provide recommendations ... **Position Description:** In 2015, the Agency for Healthcare Research and Quality named MHealth Fairview Clinics as one of eight "exemplar" integrated… more
- Travelers Insurance Company (St. Paul, MN)
- …and/or complex claims, in multiple jurisdictions, in accordance with Best Practices. Provide quality claim handling and superior customer service on assigned ... and file exposure is greater than $2 million. + Provide quality customer service and ensure file...activities required to effectively evaluate claims, such as Subro, Risk Control, nurse consultants and fire or fraud investigators… more
- Actalent (Minneapolis, MN)
- …Strategy: Track equipment submittals, FAT/witness testing, factory slots, and logistics; de‑ risk energization and commissioning windows. + Quality & ... maintain commissioning logs and closeout deliverables. + Stakeholder Communication: Provide concise, executive‑ready reporting (S‑curves, variance analyses, risk … more
- Deloitte (Minneapolis, MN)
- …managing timelines, resources and budgets. + Co-lead project planning, resource allocation, and risk and issue management. + Ensure quality control and adherence ... data. + Proactively identify and mitigate project risks related to data quality , security, and delivery. Team Management and Development + Manage, mentor, and… more
- Fresenius Medical Center (Chaska, MN)
- …ease patients into dialysis. The first weeks of dialysis involve a great deal of adjustment , along with increased risk of hospitalization and mortality. As a TCU ... nurse, you will provide patients with a solid foundation to start their...this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and… more