- CVS Health (Blue Bell, PA)
- …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
- The Cigna Group (Philadelphia, PA)
- …activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance ... excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working… more
- Saint-Gobain (Malvern, PA)
- …best practices and documents maintained in the PMO repository. The PMO Manager provides strategic planning, leadership, and oversight of multiple and or large ... budget. Focus on the macro level progress of each project, identifying bottlenecks and risk . + Ensures all projects meet the Saint Gobain and Roofing Standards in… more
- RELX INC (Philadelphia, PA)
- …sample language, fallback positions, and areas of potential significant corporate risk + Monitoring for and ensuring compliance with various regulations + ... manage multiple, complex programs, projects, and teams while identifying trends in large risk -related data sets + Be highly flexible and able to work independently… 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 ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program… 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
- Travelers Insurance Company (Blue Bell, PA)
- …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
- RELX INC (Philadelphia, PA)
- …AI based clinical decision support product? About the role: Principal Product Manager will lead product strategy, planning, and execution for our award-winning ... opportunities early + Be capable of driving an organizational culture of risk taking with "just enough" hypothesis-testing and data-driven decision making Work in… more