- The Cigna Group (Bloomfield, CT)
- …compliance and audit projects. **Principal Duties:** + Perform required tracking and reporting for all Risk Adjustment overpayments including: ... to support overpayment reporting and managing reconciliation reporting of all requested risk adjustment...on any phase of the team Risk Adjustment analysis project activities. + Leverage data … more
- CareFirst (Baltimore, MD)
- …suite of analytic capabilities and actionable reports to solve problems, provide data -driven guidance, and monitor risk adjustment performance. Provide ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active...innovative approaches to create or improve automation and optimize data and analytic processes as well as reporting… more
- Highmark Health (Harrisburg, PA)
- …ensuring accurate and timely data flow across systems. + **Oversee risk adjustment processes and ensure compliance with regulations:** Stay abreast of ... evolving regulatory requirements and implement best practices to ensure accurate risk adjustment calculations and reporting . + **Drive continuous improvement… more
- Point32Health (MA)
- …here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Risk Adjustment Supervisor/Manager, performs accurate and timely review and ... Medicare Advantage, Commercial and Medicaid HCCs through medical record reviews. The Risk Adjustment Coding Specialist II reviews provider documentation of… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* This role contributes to Health First Health Plans' (HFHP) Risk Adjustment data collection, supporting compliance with regulatory and ... business. This individual will ensure the integrity of HFHP risk adjustment data by critically...updates. 7. Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.… more
- Principal Service Solutions (De Soto, KS)
- …+ Work closely with System Engineers and Project Managers on equipment installation reporting back shipping issues, design issues and other changes that may have ... for company equipment in the customer's facility. + Input data to various computer programs. + Data ...is occasionally exposed to toxic or caustic chemicals and risk of electrical shock. + The noise level in… more
- Molina Healthcare (NY)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 6+ years of data analysis experience utilizing technical ... Risk and Quality leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including but not limited to: … more
- Citigroup (New York, NY)
- …platforms and results. This is a leadership role within the CSCO Controllers Adjustment Reduction, EUC and Data Initiatives organization responsible for managing ... direction of the enterprise, combined with a solid conceptual/practical grounding in Data Quality and Reporting and related subject areas. Excellent… more
- Molina Healthcare (UT)
- …experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems * 2+ years of data analysis experience utilizing technical ... leaders to improve outcomes by managing Risk /Quality data collection strategy, analytics, and reporting , including...2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years… more
- PNC (Raleigh, NC)
- …Models, Risk Appetite **Competencies** Bank Quantitative Analysis, Consulting, Data Gathering and Reporting , Effective Communications, Predictive Analytics, ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more