- CVS Health (Boston, MA)
- …Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional ... Risk Adjustment Coder (CRC) Prior experience in Risk Adjustment field/ Medicaid **Education** Bachelor's Degree required from an accredited four… more
- Deloitte (Boston, MA)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …+ Maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common ... + Contribute towards the maintenance and enhancement of an effective Compliance Risk Assessment Program + Project manage regulator and other external reviews as… more
- Commonwealth Care Alliance (Boston, MA)
- …and/or maintain current industry knowledge of highly impactful external audits such as Risk Adjustment Data Validation Audit, CMS Program Audit protocols, common ... performance indicators. **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging from source… more
- Boston Public Schools (Boston, MA)
- …COSE at COSE PD and onboarding. Perform all related duties requested by the Manager of Compliance. .04 Compliance COSE Maintain a caseload proportionate to status as ... an array of services for students with disabilities and students placed at risk . Engage families as partners in planning, problem-solving, and assisting with school… more