- 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
- 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …on key findings. * Direct research, analyses, and interpretation of risk adjustment and quality data and provide technical assistance to other ... Job Duties * Develop, lead, and provide strategic direction for a high performing team...for maintaining, executing, and evaluating initiative impacts using the risk adjustment and quality analytics… more
- Humana (St. Paul, MN)
- …corporate and market teams, including IT, Quality Operations and Compliance, and Risk Adjustment , as well as vended partners. The Senior HEDIS Operations & ... community and help us put health first** Humana's Health Quality and Stars organization is seeking a Senior Data...audit requirements to partner on data/process updates; and to provide insights, impacts and guidance to the enterprise +… more
- Datavant (St. Paul, MN)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Humana (St. Paul, MN)
- …Interoperability, Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + ... and operational experience. + Strong performance orientation for delivering high quality technology products. + SAFe PO/PM certification. + Data Governance and/or… 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
- 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)
- …industry audit standards and in-depth understanding of statistical sampling methods and risk adjustment methodology HEDIS or Stars experience. * Proficient ... thinking skills to coding policy interpretation and implementation. * Experience with risk adjustment coding and methodology. Strong experience with ICD-9 and/or… 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
- Amazon (Maple Grove, MN)
- …Cluster Manager (SLP Cluster Manager) leads the effort to efficiently and effectively provide risk mitigation as well as security oversight and asset (People, ... concepts Preferred Qualifications - 3+ years of operational experience in risk management, audit, data analytics, inventory control, quality assurance,… 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
- Actalent (Minneapolis, MN)
- …and warranty periods. This role involves managing project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, ... ensure successful execution of single or multiple projects simultaneously. + Provide direction and participate in project planning, scheduling, estimating, cost… 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
- Actalent (Minneapolis, MN)
- … quality system requirements. + Participate in Design Assurance activities, including risk assessment and FMEA. + Provide technical support for product ... leverage intellectual property for new therapy and/or clinical use. + Provide technical supervision and mentorship to lower-level electrical engineers and guidance… more