- Highmark Health (Trenton, NJ)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and...- 5 years Leadership + 3 - 5 years Risk Revenue + 1 - 3 years Strategic… more
- RELX INC (Trenton, NJ)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...including influential individual and high-level decision makers. + Developing strategic sales plan using business analysis tools to identify… more
- Mitsubishi Chemical Group (Trenton, NJ)
- …(MDM), are integrated into regional business processes to support the organization's strategic goals. The Digital Data Governance Program Manager will work ... **Data Governance Program Manager (1834)** + Title:Data Governance Program Manager...governance initiatives, ensuring that data is managed as a strategic asset across the region. This role provides a… more
- Deloitte (Philadelphia, PA)
- …product strategy + Reimbursement models - including value-based care/ACO modeling + Risk adjustment mechanisms + Familiarity with group insurance products ... role ends on 2/5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human Capital group, you will assist… more
- Highmark Health (Trenton, NJ)
- …+ 2-3 years experience in Healthcare industry + 1-2 years experience in risk adjustment **LICENSES/CERTIFICATIONS** **Required** + None **Preferred** + PMP or ... time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors… more
- Deloitte (Philadelphia, PA)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... October 31, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you will… more
- Walmart (Philadelphia, PA)
- …equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes ... mindset; fosters an environment that supports learning, innovation, and intelligent risk -taking; and exhibits resilience in the face of setbacks. Digital… more
- The Cigna Group (Philadelphia, PA)
- …strategy, performing research and analysis within the Clinical, STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & ... to make recommendations based on relevant findings. The Clinical, STARS, and Risk Adjustment Analytics team seeks to provide operational and analytical… more