- 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 ... of our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Strategy Consultant ** 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 within ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst** is responsible for… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...important component of our organization's success is our product strategy is to EDUCATE the insurance industry about our… more
- Deloitte (New York, NY)
- …+ Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with health care reform and working ... Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will… more
- CVS Health (Sacramento, CA)
- …members and clients.** **Ownership of local market specific MER, P-model, SAI, VBC strategy , risk adjustment , contract deviation and unit cost management.** ... the team that is accountable for leading and implementing the Network strategy focused on optimizing local market network performance (Commercial and Medicare) and… more
- Bristol Myers Squibb (Princeton, NJ)
- …Analysis Standards Leader is accountable for developing and promoting the strategy and infrastructure for creation, maintenance, and implementation of analysis ... evaluation and recruitment of potential employees and may have direct reports. ** Strategy :** Develops Analysis Standards strategy for assigned therapeutic area… more
- Insight Global (Scotts Valley, CA)
- …provider management, member experience, DSNP model of care and benefit coordination, risk adjustment , and reporting and data analytics. These products will ... Job Description The Medicare/DSNP ITS Implementation Analyst Consultant will ensure that partner vendors, implementation teams, UAT end-users, and quality management… more
- Insight Global (Scotts Valley, CA)
- …provider management, member experience, DSNP model of care and benefit coordination, risk adjustment , and reporting and data analytics. These products will ... Job Description The Medicare/DSNP ITS Technical Program Manager (TPM) Consultant will oversee integration and change management for multiple new Medicare/DSNP… more
- Children's Aid (Manhattan, NY)
- …families in the five boroughs where abuse and/or neglect has put the family at risk of having their children placed outside the home. The model is parent-focused and ... with clinical interventions designed to address abuse and neglect and reduce other risk factors. MST-SA works with families with children ranging in age from 11-17.… more
- Travelers Insurance Company (Overland Park, KS)
- …internal and external quality standards and state specific regulations. May be a consultant and training resource, and serves as a contact and technical resource to ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other… more
- Commonwealth Care Alliance (Boston, MA)
- …and data, including payment integrity, pricing, editing, encounter submission, and risk adjustment **Cloud Computing Technologies** Knowledge of cloud computing ... Product Owner will be responsible for leading and driving the product strategy , which includes envisioning, building, executing, and maintaining the product roadmap.… more
- Children's Aid (Manhattan, NY)
- …weekly Group Supervision and Consultation sessions with MST-CAN Supervisor and MST-CAN consultant . * Complete all MST-CAN documentation in a timely manner. * Conduct ... problem conceptualization, treatment planning, intervention implementation, outcome review and strategy revision procedure using the MST Analytic Process. * Maintain… more