analytics platforms, and enterprise technology goals. Guiding the technical implementation of risk adjustment solutions...’s technical solutions address quality, accuracy, and completeness of data used for risk adjustment, often involving monitoring...
but saving them. Together. The Technical Product Manager role for Clinical solutions merges product management, healthcare... solutions. The Technical Product Manager will ensure the platform delivers scalable, compliant, and efficient Clinical...
launch. Stay ahead of regulatory and payer trends (CMS rules, MA and risk adjustment, value-based care, interoperability... or high-stakes contexts. Strategic fluency in payer/provider economics (Medicare Advantage, value-based care, risk-sharing...
company that powers performance/quality measurement and risk adjustment solutions in healthcare. Specifically, Reveleer... or vendor management role, managing Risk Adjustment projects specific to Medicare, Medicaid, and Commercial lines of business...
company that powers performance/quality measurement and risk adjustment solutions in healthcare. Specifically, Reveleer... or vendor management role, managing Risk Adjustment projects specific to Medicare, Medicaid, and Commercial lines of business...
capacity collaboratively with Medical Economics, Risk Adjustment, Quality, Actuarial or Finance functions within an insurer... with development of the monthly data loads for our various analytics vendors, such as HEDIS and risk adjustment, in-home assessments...
required. Demonstrated effective project management skills necessary. Knowledge of Medicare, CMS, Risk Adjustment, Part D and Stars... Knowledge of Medicare programs and CMS Risk Adjustment Processes Knowledge of Medical and Pharmaceutical Claims processes...
apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage... monthly trend reports (Held Item, Adjustment Analysis) to identify additional research and/or updates required to Contract...
care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort..., policies and procedures, provider manuals, billing rules and guidelines Analyzes monthly trend reports (Held Item, Adjustment...