The Health Risk Adjustment Analysis Manager utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Manages an organization's risk adjustment processes to assess patient risk scores and ensure accurate reimbursement calculations. Being a Health Risk Adjustment Analysis Manager monitors risk adjustment performance and leads and executes strategies to optimize financial performance while maintaining regulatory compliance. Implements processes and standards to e... view job details
The Insurance Risk Adjustment Analysis Manager utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Manages an organization's risk adjustment processes to assess patient risk scores and ensure accurate reimbursement calculations. Being an Insurance Risk Adjustment Analysis Manager monitors risk adjustment performance and leads and executes strategies to optimize financial performance while maintaining regulatory compliance. Implements processes and standar... view job details
Manages an organization's risk adjustment processes to assess patient risk scores and ensure accurate reimbursement calculations. Utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Implements processes and standards to ensure accurate, timely, and compliant reporting to government agencies for determining risk adjustment payments. Monitors risk adjustment performance and leads and executes strategies to optimize financial performance while maintaining re... view job details
The Health Risk Adjustment Analyst II utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Being a Health Risk Adjustment Analyst II prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Reviews medical claims, encounter data, and electronic health records to en... view job details
The Insurance Risk Adjustment Analyst II utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Being an Insurance Risk Adjustment Analyst II prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Reviews medical claims, encounter data, and electronic health record... view job details
Lowers Risk Group is a provider of risk mitigation and data intelligence solutions. view company details
The only way to truly get the life you want is by taking positive risks and planning a strategy for doing so.'Unlike negative risks, which are typically impulsive and emotionally driven, positive risks are calculated,' says Gail McMeekin, a nationally recognized creativity and HR career coach (www.creativesuccess.com). 'You must think them through, and anticipate what could happen, before you jump.'Choosing to find a mentor to help accelerate your career is one way of taking a positive risk. Develop “a road map” by first deciding if you want the mentor to be someone inside the company... view article details
The only way to truly get the life you want is by taking positive risks and planning a strategy for doing so. "Unlike negative risks, which are typically impulsive and emotionally driven, positive risks are calculated," says Gail McMeekin, a nationally recognized creativity and HR career coach. "You must think them through, and anticipate what could happen, before you jump." Choosing to find a mentor to help accelerate your career is one way of taking a positive risk. Develop “a road map” by first deciding if you want the mentor to be someone inside the company or an outside coach. Know what s... view article details
Q: My facility just was closed. Approximately 80 hourly employees were eliminated, as well as 90 percent of the salaried workforce. I am one of the lucky 10 percent who are being offered postions at a different location. I currently live in a state that has a low cost of living and will most likely be asked to move to a state that has a much higher cost of living. Would it be out of place to ask for that increase in my salary?A: The first thing I would do is speak to my Human Resources Representative and find out what the company's compensation philosophy is. A company's compensation philosoph... view article details
Improving Businesses All of us practice project management in our lives, whether we know it or not. We are all involved in planning and organizing our everyday tasks, career, and work responsibilities. In the business world, project management is a high level skill, and a demanding career choice. Project managers are key employees in every industry and all types of companies, all over the world. Project Management itself is rapidly becoming one of the most important processes within a company. The number of PMs has risen considerably as companies have begun to realize the valuable benefits the... view article details
Should Managers be Facebook Friends with Employees? Signs Point to No. How often do you check out your own page? You might be surprised by how many applications have permission to create updates on your behalf. Your employees can see the high score you got in Bejeweled and all the crops you watered in Farmville during the last staff meeting. They also know all about celebrity gossip you read on Yahoo hours before your lunch break. The manager and employee relationship can be precarious. Keep your subordinates off of your Facebook page if you don’t know how to deactivate your notifications. Fac... view article details