- Cambia Health Solutions, Inc (Portland, OR)
- RISK ADJUSTMENT PROVIDER EDUCATORWork from home within Oregon, Washington, Idaho or Utah (WA PREFERRED)Build a career with purpose. Join our Cause to create a ... Are Looking For: Every day, Cambia's dedicated team of Risk Adjustment Operations is living our mission...Microsoft Office tools and proven ability to display analytical data and research findings for effective presentations and improved… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …collaborative efforts to design and create content-specific internal and external risk adjustment training curriculum and programsShall set priorities for ... to enhance understanding of clinical documentation improvement goals to achieve risk adjustment strategic goals and objectivesCoordinate and deliver programs… more
- Careers Integrated Resources Inc (Atlanta, GA)
- … Risk Adjustment , Commercial IVA (Initial Validation Audit), and Medicare RADV ( Risk Adjustment Data Validation). HCC Risk Adjustment ... with all state regulations, federal regulations, internal policies, and internal procedures. HCC Risk Adjustment Coders will be involved with activities of code… more
- The University of Vermont Health Network (Burlington, VT)
- …(eg care management and care coordination, data and analytics, provider reporting , Quality, Risk Adjustment , and Value-based Contract Performance, etc.), ... performance initiatives and centrally supported clinical workflows. These initiatives are data -driven and will be assigned by the Network, AVP Population Health… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Data Reporting Analyst** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Data Reporting Analyst** is responsible for… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Senior Data Reporting Analyst** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst** is responsible for translating most… more
- CVS Health (New Albany, OH)
- …of business. You will also perform statistical analyses to generate risk adjustment reporting and provide data -driven insights. Join this exciting ... . Your will be responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for… more
- The Cigna Group (Bloomfield, CT)
- …compliance and audit projects. **Principal Duties:** + Perform required tracking and reporting for all Risk Adjustment overpayments including: ... to support overpayment reporting and managing reconciliation reporting of all requested risk adjustment...on any phase of the team Risk Adjustment analysis project activities. + Leverage data … more
- CareFirst (Baltimore, MD)
- …suite of analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment performance. Provide ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active...innovative approaches to create or improve automation and optimize data and analytic processes as well as reporting… more
- Fallon Health (Worcester, MA)
- …(RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, as well as analyzes ... Analytics Manager and will be a SME for the risk adjustment model(s) and related data...resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting… more
- The Cigna Group (Denver, CO)
- …technology capabilities, and enable analytics. You will work closely with colleagues across the Risk Adjustment business, data science, and data ... **Summary** The Medicare Risk Adjustment Advanced Analytics team is...reporting in collaboration with analytics partners to monitor data quality + Work effectively and efficiently on multiple… more
- The Cigna Group (Nashville, TN)
- **Summary** The Risk Adjustment Reporting & Analytics Manager is an opportunity to lead complex analytics projects and initiatives for Cigna's Medicare ... professionals. Reporting to the Senior Manager of Risk Adjustment Analytics, this position will manage...through the application of analytics approaches + Experience with risk adjustment , healthcare analytics, clinical data… more
- Martin's Point Health Care (Portland, ME)
- …departments including IT and Finance for all Risk Adjustment reporting needs + Troubleshoots errors and data inconsistencies and coordinates resolutions ... since 2015. Position Summary **NEW REMOTE POSITION** The Senior Risk Adjustment Analyst analyzes data ,...conceptual analyses for all departments within Risk Adjustment Operations + Develops systematic reporting processes… more
- Elevance Health (Norfolk, VA)
- ** Risk Adjustment Strategy Consultant** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Strategy Consultant** is responsible for serving as an… more
- The Cigna Group (Houston, TX)
- …inform and empower business leaders. Additionally, this person will become a subject matter expert in Risk Adjustment data in order to advise on data ... and influence decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering teams… more
- Centene Corporation (Charlotte, NC)
- …Complete Health Compliance team, you will work with Corporate Shared Services on Risk Adjustment related projects for Chart Retrieval, Research of member, ... a timely manner. + Assist with resolving technical issues related to data reporting issues. + Assist with ad hoc requests. **Education/Experience:** High school… 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 ... with System Engineers and Project Managers on equipment installation reporting back shipping issues, design issues and other changes...for company equipment in the customer's facility. + Input data to various computer programs. + Data … more
- Insight Global (Scotts Valley, CA)
- …management, member experience, DSNP model of care and benefit coordination, risk adjustment , and reporting and data analytics. These products will ... ensures successful launch, including training and user adoption, and for reporting and compliance, particularly in relation to Medicare/DSNP services in California.… more
- Insight Global (Scotts Valley, CA)
- …management, member experience, DSNP model of care and benefit coordination, risk adjustment , and reporting and data analytics. These products will ... meet targets for quality and UAT, training and user adoption, and for reporting and compliance, particularly in relation to Medicare/DSNP services in California. We… more
- Citigroup (Getzville, NY)
- …and internationally. The Risk Reporting Officer will be part of the Risk Control & Data Analytics team supporting Credit Valuation Adjustment (CVA) ... The Market Risk Data Lead Analyst is a...+ Bachelor's/University degree, Master's degree preferred **Job Family Group:** Risk Management **Job Family:** Risk Reporting… more
