• Risk Adjustment Program

    CVS Health (Hartford, CT)
    …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
    CVS Health (01/08/25)
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  • Informatics Manager

    CVS Health (Hartford, CT)
    …has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role you will provide complex analytics ... and reporting to support Medicaid Risk Adjustment to address business questions regarding...Lead meetings with internal technical teams on in office program solutions + Provide analysis and recommendations for process… more
    CVS Health (01/10/25)
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  • Health Actuary Consulting Manager

    Deloitte (Hartford, CT)
    …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital...& Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &… more
    Deloitte (11/07/24)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Hartford, CT)
    …Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) ... and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (12/25/24)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    …audit and education specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. ... disseminate audit requirements. 6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to the level of… more
    Hartford HealthCare (12/27/24)
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  • Lead Director; Actuarial -- IFP/SG

    CVS Health (Hartford, CT)
    …considering the changing landscape of the ACA and overall business objectives * Contribute to risk adjustment and risk score analysis to enhance pricing & ... forecasting expectations regarding risk adjustment , including collaborating with business partners in Product Performance & Revenue Integrity, as well as… more
    CVS Health (12/11/24)
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  • Regional Large Vessel Support Specialist (Remote)

    Brunswick (Old Lyme, CT)
    …in the areas of service management, customer relations/satisfaction, warranty adjustment , product performance, and installation for all Mercury and Brunswick ... integration and high horsepower applications. This role reports to a Regional Service Manager . Supporting the following territories: MA, RI, CT, NY, NJ, PA, DE, MD… more
    Brunswick (11/27/24)
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