join us on this mission! Job Description A bit about this role: The Director of Medicare Advantage Risk Adjustment Compliance... compliance professional with a deep understanding of Medicare Advantage programs, risk adjustment processes, and regulatory...
do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk... with the compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the...
Job Description: Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk.... Accountable for end-to-end Risk Adjustment for Medicare Advantage. Directs and oversees Risk Adjustment strategy, internal...
. Salary: $170,000 to $210,000 annually WHAT YOU WILL DO: Oversee risk adjustment activities for Medicare Advantage...Reporting to our CFO, the Director of Risk Adjustment coordinates and monitors all aspects of San Francisco Health Plan...
development and submission of Medicare Advantage bids while ensuring compliance with CMS requirements and driving strategic growth..., and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage...
for various contracted payers including Medicare, Medicare Advantage, commercial, and other payers. The Quality & Risk Director... management and billing & coding experience Required Responsibilities: Job Summary The Quality & Risk Director will lead...
for various contracted payers including Medicare, Medicare Advantage, commercial, and other payers. The Quality & Risk Director... of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Quality & Risk Director will lead...
’s Mission, Value Based Care, Medicare Advantage, Quality Metrics, membership growth strategies, Risk Adjustment, as well...Colonial Healthcare, part of the Optum family of businesses, is seeking a Medical Director to join our team in Sumter...
requirements. The ideal candidate will bring extensive healthcare actuarial expertise, including Medicaid, Medicare Advantage... member risk scores to support risk adjustment analysis. Conduct ongoing analysis and monitoring of utilization trends...
of how CMS payment models and risk adjustment program parameters impact our strategic, financial, and operational approach...Job Summary: The ED, Medicare Duals/SNP Programs will develop and execute the Duals and DSNP (Dual Special Needs...
, and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage... positioning, and historical experience. Monitor and project risk adjustment transfer payments. Partner with Product and Network...