- CVS Health (Hartford, CT)
- …and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and… more
- Humana (Hartford, CT)
- …practices in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance ... gained from actual experience of chronic condition documentation and coding audits, risk adjustment program implementation and provider education delivery.… more
- CVS Health (Hartford, CT)
- …Informatics Developer within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Travelers Insurance Company (Hartford, CT)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Sedgwick (Hartford, CT)
- …written communication. + Develops contacts with company managers to introduce program ; represents client. + Contacts employers to determine specific information ... trends. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and… more