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...
. 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...
and eligibility regulations with proven capability to execute compliance operationally Must understand Risk Adjustment & CMS Special...General Purpose/Scope: The Director, Medicare Enrollment will be responsible for accurate and timely processing...
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...
’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...