- CVS Health (Scottsdale, AZ)
- …more personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... as a hybrid project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs and related analytics and reporting. Your will… more
- Centene Corporation (Olympia, WA)
- …on workplace flexibility. **Position Purpose:** Manage the business processes related to risk adjustment and quality improvement across Centene's for assigned ... competitive landscapes, and local market dynamics + Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products +… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for retrospective risk adjustment programs involving department or cross-functional teams of subject matter ... Owners of supporting IT systems. **Job Duties** + Oversee all retrospective risk adjustment programming and provide insightful reporting on trends,… more
- Sutter Health (Sacramento, CA)
- …with program management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. + Knowledge of health plan regulatory and ... accreditation surveys (eg, Provider Satisfaction, After-Hours, Enrollee Experience, CAHPS). + Lean, Process Improvement and/or Project Management experience. + Advanced proficiency in MS Excel (Pivot Tables, Advanced Formulas). + Development experience in Data… more
- Fallon Health (Worcester, MA)
- …feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet or ... and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details… more
- Baylor Scott & White Health (Columbus, OH)
- …AMA and the Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the ... White Health strategies and processes for lines of business subject to risk adjustment . **SALARY RANGE** The pay range for this position is $26.27/hr… more
- CareOregon (Portland, OR)
- …Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a Requisition # 24286 ... claims, data management, EDI experience Preferred + Experience with Medicare Advantage risk adjustment and payment methodologies Knowledge, Skills and Abilities… more
- The Cigna Group (Chattanooga, TN)
- … Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction ... to meet established goals. **Core Responsibilities:** + In partnership with Risk Adjustment Manager , support the training and development of Senior… more
- The Cigna Group (Bluffton, SC)
- …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
- Carle (Urbana, IL)
- Risk Adjustment Education Specialist - HYBRID + Department: FCC - Case Mgmt + Entity: FirstCarolinaCare + Job Category: Professional + Employment Type: Full - ... Requirements: None Email a Friend Save Save Apply Now Position Summary: The Risk Adjustment Education Specialist consults with providers and their office staff… more
- CenterWell (Carson City, NV)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...+ Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- HSBC (New York, NY)
- …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other...City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:… more
- Principal Service Solutions (De Soto, KS)
- …the high-tech workforce around the world. Principal Service Solutions is hiring Lead Adjustment Technicians who will be part of the Site Project Management Team ... and report creation and submission to System Engineer, Project Manager and Service/ Installation Manager . + Monitor,...is occasionally exposed to toxic or caustic chemicals and risk of electrical shock. + The noise level in… more
- Capital One (Mclean, VA)
- Center 3 (19075), United States of America, McLean, Virginia Sr. Manager , Technology Change Risk Oversight Capital One is one of the fastest growing ... advice and to deliver high-impact results. As the Senior Manager , Technology Change Risk Oversight you will...risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies +… more
- County of El Dorado (Placerville, CA)
- Risk Manager Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4661038) Apply Risk Manager Salary $118,019.20 - $143,457.60 Annually ... The County of El Dorado is recruiting applicants for Risk Manager , located in Placerville, CA CLICK...experience supervising and managing staff in the areas of risk analysis, safety operations, claims adjustment , liability,… more
- Healthfirst (NY)
- …across lines of businesses, such as finance, clinical, medical economics, operations, risk adjustment , and population health strategy to implement Medicare ... related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations, Provider Performance, Medical… more
- Citigroup (Tampa, FL)
- …exposure, settlement risk , financial derivatives, counterparty credit risk ;** Project Manager experience (project lifecycle, writing requirements, ... and problem solving. The candidate will be the lead person across multiple Risk process with high exposition to senior management across the organization.** Conduct… more
- Truist (Charlotte, NC)
- …Qualifications: 1. Industry certification such as Chartered Financial Analyst (CFA) or Financial Risk Manager (FRM). 2. Seven years of experience with large, ... description:** As a member of the Market and Liquidity Risk Management (MLRM) team within the Risk ...focus on multiple tasks simultaneously. This position requires regular adjustment due to the environment, company strategy, and management's… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Financial Crimes Blockchain Analytics Risk Associate (Financial Services Specialist 4 (Financial Crime Risk ), ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .o CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… more