- Atrius Health (Newton, MA)
- …and welfare benefit package. **Job:** **Professional Non-Clinical* **Organization:** **Administration* **Title:** * Sr Risk Adjustment Specialist * ... before missing diagnoses are added. Acts as a mentor and role model to Risk Adjustment Specialist RNs assuring that they are practicing in accordance with… more
- Mitsubishi Chemical Group (Memphis, TN)
- ** Sr . Specialist , Environmental & Product Safety (1617)** + Title: Sr . Specialist , Environmental & Product Safety + Group Company: Mitsubishi Chemical ... of the global Dow Jones Sustainability World Index as recognition of our beliefs, focus, and effort. **Our Culture**...Chemical Methacrylates Division is seeking a, is seeking a Sr . Specialist , Environmental & Product Safety to… more
- Zurich NA (Atlanta, GA)
- Sr . Claims Specialist , General Liability 112572 Zurich...NY; or Schaumburg, IL As a General Liability (GL) Senior Claims Specialist , you will work with a ... ability to collaborate across work groups + Familiarity with claims adjustment process and vendor utilization + Understanding of financial and actuarial/reserving… more
- Molina Healthcare (San Diego, CA)
- …Responsible for improving quality of care of Molina members and increasing HEDIS & Risk Adjustment scores. Acts as the subject matter expert on Value Based ... programs. + Implements key quality and population health strategies and risk adjustment , alongside providers and with direction from the Mgr, Provider Quality… more
- Bristol Myers Squibb (Summit, NJ)
- …there's no better place than here at BMS with our Cell Therapy team. The Sr Specialist , QA Operations Deviation role will be responsible for providing quality ... investigations, interpret results and generate technical conclusions consistent with Quality risk management principles. + Must be able to note technical/scientific… more
- Bristol Myers Squibb (Columbus, OH)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Position:** Senior Therapeutic Area Specialist (TAS) **Therapeutic Area (TA): ... by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. **Why You...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Buffalo, NY)
- …in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. **\#LI-Hybrid** The starting compensation for this ... care resources. Other perks like tuition reimbursement and a recognition program. If you come across a role that...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Travelers Insurance Company (Melville, NY)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... resolution. + Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. + Perform other duties as assigned. **What Will Our Ideal… more
- Travelers Insurance Company (Morristown, NJ)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... Effectively and efficiently manages both allocated and unallocated loss adjustment expenses. + Attends depositions, mediations, arbitrations, pre-trials, trials and… more
- The Cigna Group (Bloomfield, CT)
- …of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered ... Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational market.… more
- UPMC (Pittsburgh, PA)
- …and manages staff that performs audit activities. + Assist with the National Risk Adjustment reviews and audits + Analyzes, evaluates, and presents information ... **UPMC Health Plan is looking for a Senior Manager, Clinical and Coding Review to join...claims and/or coding related audit support. Communicate effectively with Risk Adjustment Staff, nurse reviewers and physicians… more
- Citigroup (New York, NY)
- …operates globally with dedicated teams located in New York, Tampa, and London. The Basel Market risk and CCR RWA Senior Specialist will report to the Head of ... by Citigroup firm-wide. + Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and...Risk , Finance and Business partners. The Basel RWA Senior Specialist will be directly involved in… more
- The Cigna Group (Chattanooga, TN)
- …of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + Registered ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market.… more
- HCA Healthcare (Campbell, CA)
- …. Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled ... care like family! Jump-start your career as a(an) HCC Risk Management Specialist today with HCA Healthcare....Apply Today! **Job Summary and Qualifications** Reporting to the Sr . Manager, Quality Improvement & Risk Management,… more
- Corewell Health (Grand Rapids, MI)
- …Location SITE - Priority Health - 1239 E Beltline - Grand Rapids Department Name Risk Adjustment Employment Type Full time Shift Day (United States of America) ... Weekly Scheduled Hours 40 Hours of Work 8 am to 5 pm Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health… more
- Bloomberg (New York, NY)
- Risk & Valuations Sales Specialist (BVAL),...with insight into the market data inputs used. And senior executives will obtain a greater sense of control ... with the same information, the entire enterprise benefits. Bloomberg's Enterprise Risk & Valuation services deliver that consistency! From our high-quality evaluated… more
- AdventHealth (Altamonte Springs, FL)
- …documentation specialist . **Preferred experience:** + Regulatory background and risk adjustment /HCC knowledge (Preferred) This facility is an equal ... strong clinical knowledge and understanding of coding/Hierarchical Condition Categories (HCC)/ Risk Adjustment Factor (RAF) requirements and Clinical Care… more
- Bristol Myers Squibb (New Brunswick, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Title:** Senior Specialist , EOHSS **Location:** New Brunswick, NJ **Position ... is to support Bristol Myers Squibb (BMS) as the Senior Specialist of EOHSS for the New...to the fire and building code + Conduct regular risk assessments and inspections to identify potential hazards and… more
- Actalent (Raymond, OH)
- Senior Clean Energy Specialist Job Description The Senior Clean Energy Specialist is an energy professional responsible for leading the development of ... clean energy strategy and project procurement consistent with risk tolerance and energy needs. The specialist ...self-reflection + Building a culture of care, engagement, and recognition with clear outcomes + Ensuring growth opportunities for… more
- Bristol Myers Squibb (Devens, MA)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Specialist , Investigations provides investigation leadership and compliance ... Therapy Manufacturing Facility is a new facility, and the Senior Specialist will perform root cause analysis,...+ Presentation of investigation findings to key stakeholders and senior management + Use of Quality Risk … more