- Locations: New York, California, Pennsylvania, Connecticut, Texas
- Related Keywords: Adjustment, Medical Risk Adjustment, Medicare Advantage Risk Adjustment, Medicare Risk Adjustment, Medicare Risk Adjustment Manager, Risk, Risk Adjustment Audit, Risk Adjustment Coder, Risk Adjustment Management, Risk Adjustment Physician
- Senior Management in Risk Adjustment Products
- MedAssurant, Inc. (Bowie, MD)
- Senior Management in Risk Adjustment Products Join the organization that is transforming the face of healthcare informatics solutions. As a leading medical informatics solutions provider, MedAssurant is transforming the healthcare industry. Through our unique multidisciplinary...
- Provider Outreach Manager / Risk Adjustment
- Care First Health Plan (Alhambra, CA)
- Provider Outreach Manager / Risk Adjustment (exempt) Full time position - Days M-F - Responsible for maximizing risk scores for both the Medicare and Medi-Cal lines of business for Care1st Health Plan. Candidate must have minimum 3 yrs experience working directly with providers in...
- Risk Adjustment Financial Manager
- Aetna (Hartford, CT)
- ...Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans and government-sponsored plans.Visit our Website Risk Adjustment Financial Manager Report It job description ABOUT OUR COMPANY We are a company built on excellence. We have...
- Risk Adjustment Financial Manager
- Aetna (Hartford, CT)
- ...best practices within functions of responsibility. Individual will manage a matrix team of different levels of skills. The Revenue Risk adjustment Manager is accountable for the effective development of leadership that supports the business units' operational plans. Participates in...
- Director, Medicare/Medicaid Risk Adjustment
- UnitedHealthGroup (Santa Ana, CA)
- ...health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group. The Director of Medicare/Medicaid Risk Adjustment will be responsible for all aspects surrounding modeling and forecasting of Medicare Risk Adjusted Revenues. Serve...
- Director, Medicare/Medicaid Risk Adjustment
- UnitedHealth Group (Orange County, CA)
- ...health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group. The Director of Medicare/Medicaid Risk Adjustment will be responsible for all aspects surrounding modeling and forecasting of Medicare Risk Adjusted Revenues. Serve...
- Senior Management in Risk Adjustment Products
- MedAssurant, Inc. (Bowie, MD)
- Senior Management in Risk Adjustment Products Join the organization that is transforming the face of healthcare informatics solutions. As a leading medical informatics solutions provider, MedAssurant is transforming the healthcare industry. Through our unique multidisciplinary...
- Senior Management in Risk Adjustment Products
- MedAssurant, Inc. (Bowie, MD)
- Senior Management in Risk Adjustment Products Join the organization that is transforming the face of healthcare informatics solutions. As a leading medical informatics solutions provider, MedAssurant is transforming the healthcare industry. Through our unique multidisciplinary...
- Medicare Risk Adjustment Manager
- Catholic Health Care System (CHCS) (HQTRS) (New York, NY)
- Medicare Risk Adjustment ManagerResponsibilities:Responsible for the overall administration and supervision of the Hierarchical Condition Categories (HCC) conditions program that are applicable to Medicare Risk Adjustment reimbursement..Provides technical guidance to physician,...
- Medicare Risk Adjustment Manager
- Catholic Health Care System (CHCS) (HQTRS) (New York, NY)
- Medicare Risk Adjustment Manager Responsibilities : Responsible for the overall administration and supervision of the Hierarchical Condition Categories (HCC) conditions program that are applicable to Medicare Risk Adjustment reimbursement.. Provides technical guidance to...
- Analyst, Medicare Risk Adjustment
- Humana (Doral, FL)
- ...customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience. Role: Analyst Assignment: Medicare Risk Adjustment Location: Doral, FL Are you a fit? Do you enjoy working with clinical data? Do you have a desire to be in a...
- Risk Adjustment Quality Review Nurse (LPN)
- Keystone Mercy (Philadelphia, PA)
- Under the supervision of the Director of Financial Oversight and in support of maximizing risk adjustment revenue from DPW, the Risk Adjustment Quality Review Nurse is responsible for review of provider claim data to detect coding deficiencies; abstraction of medical records in...
- AmeriChoice Market CFO
- UnitedHealth Group (Honolulu, HI)
- ...establish analysis and visibility to medical cost drivers (such as service utilization) and revenue results (such as achieving appropriate risk adjustment factor results). Assess results against plans and collaborate with others on initiatives to improve results. Network: work with...
- Coding Director
- North American Medical Management - Illinois, Inc. (Hillside, IL)
- ...a background in coding and a commitment to become a certified Coder within 6 - 12 months. Knowledge and experience with Risk Adjustment Factor coding is desired. A broad clinical background is desired. Case management or utilization management background is useful but not mandatory....