- 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
- RELX INC (Philadelphia, PA)
- Project Manager II Are you a technical Project Manager looking to work with an industry leading organization? Are you wanting to expand your knowledge within the ... Government vertical? About Our Team LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions… more
- Deloitte (Philadelphia, PA)
- …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
- RELX INC (Philadelphia, PA)
- Account Manager , Clinical Solutions Do you enjoy building successful customer relationships? Would you like to deliver a sales strategy that creates growth? About ... the patient experience, and financial outcomes. About the Role As an Account Manager , you will partner with your accounts, calling on key stakeholders to measure… 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
- CVS Health (Blue Bell, PA)
- …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
- AIG (Philadelphia, PA)
- …career progression and may report to a Team Leader, or to a Team Manager , Underwriting Support. This role assists the underwriters by screening risk offerings ... sensitive business for national accounts + Support regional UA Manager in overseeing all daily business activities and act...Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages… more
- AIG (Philadelphia, PA)
- In addition to the traditional UA duties, this role will: + Support regional UA Manager in overseeing all daily business activities and act as the first point of ... Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages...underwriter. + Possess an in-depth understanding of coverages and program structures, as well as internal policy coding systems… more
- Amazon (West Deptford, NJ)
- …team. In this position, you will work closely with the WHS Site Manager , WHS Specialist, and occasionally the Injury Prevention Specialist (IPS). This includes ... will refer care to outside medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a part of the larger team… more
- Amazon (Norristown, PA)
- …our team. In this position, you will work closely with the WHS site manager , WHS specialist, and Injury Prevention Specialist (IPS). You will be required to ... outside medical providers as needed, and learn about OSHA regulations, risk , and analysis. Practical ergonomics experience is advantageous. However, ergonomics… 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