- The Cigna Group (Philadelphia, PA)
- …other day of choosing)** **Summary:** This position will focus on Stars and Risk Adjustment (RA) performance and solution enablement activities, with an ... objectives. This position reports to the Managing Director of Stars , Risk Adjustment , and Interoperability....creation and execution. + Support other internal and external Stars and RA performance and solution management… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 6 years of experience in HEDIS, quality improvement, risk adjustment analytics, research, or related work within a healthcare ... Manager, Clinical Quality Analytics ( STARS , SQL) Job Category: Clinical Department: Quality Improvement...as RAF scores, open care gaps and quality improvement performance to enable a targeted and tailored outreach for… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary The Vice President of Risk Adjustment works closely and collaboratively with Vice Presidents in the Health ... to oversee the design, development, implementation, and execution of compliant risk adjustment strategies, programs, and initiatives for Martin's Point… more
- The Cigna Group (Atlanta, GA)
- …organization (which includes Market Provider Performance , Sales, Clinical Operations, Stars & Risk Adjustment , Finance , Cross-Segment Contracting, ... and financial and/or operational issues with providers. + Leading Stars & Risk Adjustment outcomes...+ Leading Stars & Risk Adjustment outcomes through local Provider Performance initiatives.… more
- Healthfirst (NY)
- …collaboratively across lines of businesses, including finance, clinical, medical economics, risk adjustment , and population health strategy implement Medicare ... financial reports with aP&L mindset to identify areas of performance improvement opportunity and to make informed business decisions....strategy for profitable performance and ensure seamless partnership and alignment across the… more
- The Cigna Group (Maitland, FL)
- …(which includes Market Provider Performance , Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance, Marketing, Cross-Segment Contracting, ... partner relationships in order to drive optimal performance on Stars , risk adjustment , utilization management, and overall financial performance .… more
- Highmark Health (Pittsburgh, PA)
- …utilizing cross-functional, matrixed relationships. Oversees the integration and alignment of risk adjustment , STARS /HEDIS and care management strategies, ... with VP of Revenue Program Management in support of governmental products where Risk Adjustment methodologies apply. Functions as the business owner of the… more
- The Cigna Group (St. Louis, MO)
- …office at least 3 days: Tuesday, Wednesday and other day of choosing)** **Summary:** The Stars and Risk Adjustment Operations Senior Advisor will report to ... the Stars and Risk Adjustment Managing Director and will be...highlight/enable enterprise engagement efforts for leadership. + Regularly monitor performance to goals though collecting data to report status… more
- The Cigna Group (Denver, CO)
- …internal departments, including but not limited to Health Services, Medical Economics, Sales, and Stars & Risk Adjustment in order to develop solutions for ... on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and… more
- Health First (Rockledge, FL)
- …ratings. * Ensure financial impact to organization as well as data submitted for Risk adjustment and HEDIS measures is complete, accurate and thorough to ... risk of regulatory agency audits. * Gain a thorough understanding of the Risk Adjustment payment methodology, submission requirements and their impact to the… more
- Humana (Frankfort, KY)
- …a $75B business! In this role, you will support the value story for Humana's risk adjustment and Stars activities overall, as well as end-to-end evaluation ... customers + Proven experience collaborating across enterprises **Desired Qualifications** + Medicare risk adjustment or stars or experience **Additional… more
- Henry Ford Health System (Troy, MI)
- … improvement including HEDIS, Medicaid and Medicare Star rating program, risk adjustment data collection, high performing provider referral management ... bonuses, TCOC budgets that recognize member medical demand through appropriate risk score recognition, general performance improvement initiatives (eg leakage… more
- Parsons Corporation (Centreville, VA)
- …You'll Be Doing:** + Responsible for the cost, schedule and technical performance of the sectors subcontractors and suppliers throughout program performance ... programs; tracking proposed costs versus executed costs/quotes meticulously against performance . + Bridges coordination and alignment between Business Development,… more
- Parsons Corporation (Centreville, VA)
- …recommended source lists of qualified subcontractors, drawing upon their past performance experience. Coordinates the list with project management and client ... work, and offer training in subcontracting procedures. May give input toward performance evaluations and salary increase recommendations. + Serves as liaison between… more
- Parsons Corporation (Boise, ID)
- …procedures** **Ensuring readiness for and coordinating maintenance, repair, and adjustment of equipment and systems during startup testing, and commissioning** ... functional testing of the facility** **Coordinate and oversee Emissions and Performance testing of the facility** **Promptly reports Safety, Health, or Environmental… more
- Parsons Corporation (Centreville, VA)
- …recommended source lists of qualified subcontractors, drawing upon their past performance experience. + Coordinates the list with project management and client ... Experience in all aspects of procurement + Knowledge in identifying prime contract risk to flow down to subcontractors + Experience working in a Contractor… more