RISK ADJUSTMENT CONSULTANT jobs in USA, United Kingdom

and coordinate operations across multiple providers and health insurer areas. The Chart Retrieval, Risk Adjustment Consultant...Your Role The Blue Shield’s Risk Adjustment (RA) team plays a crucial role in bringing healthcare into the digital...

Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations... for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve...

Job Description: Your Role The Blue Shield's Risk Adjustment (RA) team plays a crucial role in bringing healthcare... ability to understand and coordinate operations across multiple providers and health insurer areas. The Chart Retrieval, Risk Adjustment...

and operated at the highest levels of performance. The Risk Adjustment Consultant will also work closely with our Network... of Provider Consulting & Operations, this individual will support the operations and analysis of all risk adjustment programs...

meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position... and provide analyses and recommendations to improve overall provider documentation as it pertains to coding and risk adjustment...

analytical consultant to internal stakeholders focusing on our Medicare Advantage risk adjustment activity and supplemental.... Job Description EMPLOYER: Village Practice Management Company, LLC DBA VillageMD JOB POSITION: Senior Analyst, Risk Adjustment LOCATION: 1...

company’s success. As a Quantitative Analytics/Modeling Consultant within PNC's Model Risk Management organization, you can... be based in Pittsburgh, PA or Tyson's Corner, VA. We are seeking a Validator to be a part of our Model Risk Management team...

company’s success. As a Quantitative Analytics/Modeling Consultant Sr. within PNC's Model Risk Management organization..., you can be based in Pittsburgh, PA or Tyson's Corner, VA. We are seeking a Senior Validator to be a part of our Model Risk...

Risk Management Advisor, FSRM (Traded Products Risk & Capital) - Financial Services Office (Senior): This position..., asset management firms and insurance companies look to us to assist them with their risk and capital management challenges...

(Series) Supervisory status No Security clearance Drug test No Position sensitivity and risk Trust determination... as a non-clinical consultant and facilitator on a wide variety of work and family life issues and concerns. Provides...

Title: IT PMO Consultant Location: Remote Key Responsibilities: Create, Track and Monitor the progress... of all project activities and report on status, risks, and issues. Recommend adjustment to ensure the successful completion...

: Knowledge of CMS Star Rating measures, clinical standards of care, preventive health, and risk adjustment. Knowledge of CMS... Medicare Stars & Risk Adjustment team to support the development of Medicare Advantage network strategies that support Star...

and clinical definitions for infectious syndromes; identify outcome data and exposure data;perform risk adjustment...Public Health Physician Consultant-Intermediate Pay Rate: $110 / hour "Working Title Public Health Physician...

Advantage experience, risk adjustment, HEDIS, and working closely with providers in these areas Proven excellent communication... Network Program Consultant is responsible for the successful program design, compliance with network requirements, network...

, Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for leading the...

at this time. Preferred Skills Any one payer functions - Product, Member, Provider, Contracting, Claims, Quality, Risk... Adjustment, HEDIS Experience in legacy and web-based systems interfaces, Application Programmable Interfaces (APIs) Working...

Description FULL-TIME/ PERMANENT INVESTIGATOR HUMAN RESOURCE CONSULTANT 4 This recruitment is open until July 21... once selections have been made. Human Resource Division - High Risk Program Olympia, Washington - Thurston County...