Adjustment Clerk Jobs
By Culligan International At Rosemont, IL, United States
SAP / ERP data management experience strongly preferred
We offer competitive compensation & benefits including:
Associates Degree, Bachelor’s preferred but not essential, or equivalent additional work experience
3-7+ years of relevant experience in Accounting / Bookkeeping / Accounts Customer Service required
Intermediate Microsoft Excel skills, with ability to create pivot tables
Own the creation of customer billing that flows through the Culligan NA Customer Service Team
Business Analyst - Utility Industry
By Zillion Technologies, Inc. At United States
Strong knowledge of project management principles, such as scope, deliverables, timeline and cost/benefits.
Appropriately documents knowledge and integrates cross-project knowledge, experience and value to make more accurate decisions.
Strong analytical skills. Strong understanding of how to interpret customer's business needs and translate them into application and operational requirements.
In-depth knowledge in job discipline and basic knowledge in related disciplines.
Works independently to solve complex problems. Leads and has accountability for projects and provides informal leadership to less experienced colleagues.
Works with stakeholders to identify and clarify moderate to complex business requirements.
Program Coordinator, Risk Adjustment
By Oscar Health At United States
Support your manager by guiding decisions on an ongoing basis
3+ years of experience in Healthcare Operations
2+ years of experience with being held to and accomplishing goals
Experience / background in a fast-paced operations environment
Experience managing several critical, deliverables simultaneously
Maintain a strong grasp of our inventory and deliverables to ensure we are keeping/exceed pace against goal
Program Manager, Risk Adjustment
By Cotiviti At , Remote $100,000 - $121,000 a year
Deep knowledge of Project Management
A minimum of 3 years of successful client/program management.
Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives and follow up.
Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
Completes all responsibilities as outlined on annual Performance Plan.
A minimum of 2 years of experience in Risk Adjustment space.
Utility Analyst Trainee* Or Utility Analyst 1
By Public Service, Department of At , Plainview, 11803, Ny $49,555 - $80,938 a year
Successful completion of the two-year traineeship leads to appointment as a Utility Analyst 1, Grade 18.
Assisting DPS staff with overseeing PSEG-LI’s performance, related primarily to the Annual Incentive Compensation Performance Metrics.
Interacting with PSEG-LI, LIPA, and other entities.
Scheduling periodic meetings with internal and external parties.
Assisting in collecting documentation to support staff’s analysis of PSEG-LI’s performance, including accessing outside websites and other resources.
Assisting in developing timelines, trackers, templates for current metrics, and recommendations for future metrics.
Utility Analyst Jobs
By Booz Allen Hamilton At , Arlington, 22202, Va $49,800 - $102,000 a year
Experience working with utilities, public utility commissions, and large Government or DoD customers
Ability to provide analysis of current and projected utility tariff schedules and Army installation load requirements
Experience with energy project development
If this position is listed as remote or hybrid, you’ll periodically work from a Booz Allen or client site facility.
Ability to develop strategies for alternate tariff schedules based on peak shaving or load-altering projects supported by detailed financial modeling
Ability to ensure incorporation of proper macro-economic assumptions in analysis of project viability
Data Analyst (Utility Benchmarking)
By PSEG At Newark, NJ, United States
Demonstrated analytical abilities showing results in support of decision-making.
Demonstrated strong planning and organizing skills with results-orientation.
Data visualization software experience with Tableau and Power BI.
Strong oral, written communication and presentation skills.
Bachelor's degree and at least 3 years of related experience.
Without a bachelor's degree, must have at least 7 years of related experience.
Risk Adjustment Program Coordinator
By Common Ground Healthcare Cooperative At Brookfield, WI, United States
Assist with communicating status of risk adjustment program to management and identify risks that require escalation
3 or more years of experience in health insurance
Strong interpersonal skills and high level of professionalism
Effective listening and critical thinking skills
Knowledge of ACA Marketplace and Risk Adjustment principles
Effective written and verbal communication skills
Risk Adjustment Auditor Jobs
By Privia Health At United States
Five-plus years of provider education experience
Monitor provider documentation after education; re-educate as needed
Prepare formalized reports from audit and education results
Provide monthly HCC education for the Audit and Education teams based on audit findings and risk
Communicate and problem-solve with senior department managers about specific HCC documentation and coding issues, and training needs
Bachelor's degree and/or relevant work experience preferred
Business Analyst, Risk Adjustment
By Oscar Health At United States
Support your manager by guiding decisions and implementation on an ongoing basis
3+ years of experience in Business Strategy or Healthcare Analytics
2+ years of related work experience in healthcare
SQL (or related) data experience
Experience with ROI, sizing, and valuation analysis
2+ years of experience with implementing strategic initiatives
Risk Adjustment Data Analyst
By Honest Medical Group At United States
Work closely with performance management and reporting teams to provide data and reporting necessary for practice and provider scorecards.
Advanced data manipulation skills, with 3+ years of SQL experience
Advanced MS Excel skills, with 3+ years experience
Medicare and/or Risk Adjustment experience/knowledge preferred
Work closely with internal teams (Actuarial, Health Economics, and Finance) to provide data and insights necessary for financial forecasts and projections.
Perform other related responsibilities as assigned.
Program Manager - Risk Adjustment
By Molina Healthcare At United States
Required Experience/Knowledge, Skills & Abilities
3-5 years of Program and/or Project management experience.
5-7 years of Program and/or Project management experience.
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Focuses on process improvement, organizational change management, program management and other processes relative to the business.
Leads and manages team in planning and executing business programs.
Qa - Risk Adjustment Rn
By The Judge Group At United States
Bachelor’s Degree or equivalent combination of education and experience
Continues education to maintain high level of proficiency in Risk Adjustment field.
Maintains RN and CRC certifications.
Executes other responsibilities per business needs.
Must have minimum of 3 years of clinical experience as a Registered Nurse (RN)
Must have Certified Risk Adjustment Coder (CRC)Certification
Coder 1-Risk Adjustment Jobs
By Loma Linda University Health At , , Ca

- Managed Care (Remote/Hybrid, Full-Time, Day Shift) -

Utility Invoice Analyst Jobs
By TEOCO At United States
JOB DESCRIPTION, DUTIES & RESPONSIBILITIES
Superior software PC skills in MS Excel, Access, Business Objects, and Word.
Previous experience with Utility invoices is helpful..
TEOCO’s Audit team is seeking a smart, self-motivated, and collaborative candidate.
All processes related to the position will be documented in an Operations Guide.
Utility Billing Analyst Jobs
By Resource Energy At , Remote
Strong attention to detail with excellent time management, project management and follow through skills
Previous related work experience with knowledge of accounting concepts, energy calculations, or commercial real estate experience preferred.
Ensure the satisfaction of all clients and their tenants by providing a superior level of service.
Responds timely to tenant/client inquiries in accordance with established Resource Energy procedures.
Prepares client utility budgets and reforecasts and performs related variance analysis.
Monthly maintenance of utility tariff data, and property information within our database to ensure consistency and accuracy of reporting.
Supervisor, Risk Adjustment & Quality
By Wellvana At , Remote
Experience in physician documentation/coding education. Experience in educating/training coders. ICD-10-CM Coding knowledge.
4+ years of experience in provider education
Knowledge of Medicare Advantage and other HCC entity program coding requirements.
Perform audits, coding, and provider education as per business needs
Experience working with ACO/ Health Plan
Minimum of 5 years’ experience in HCC-specific coding/auditing.
Project Manager Risk Adjustment- Remote U.s.
By CVS Health At , , Ct $60,300 - $130,000 a year

This position is responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare, MMP and DSNP lines of ...

Risk Adjustment Analyst Sr (Remote; Medicaid Encounters)
By Baylor Scott & White Health At , Remote $36.26 an hour
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
Monitors and oversees the end-to-end claims encounter management workflow.
Immediate eligibility for health and welfare benefits
EXPERIENCE - 3 Years of Experience
EXPERIENCE- Medicaid Encounters experience preferred; certified coder preferred
Our competitive benefits package includes the following
Manager, Medical Risk Adjustment Analytics
By CareSource At , Remote $87,000 - $152,300 a year
Minimum of three (3) years of professional level experience performing a broad range of data analysis and management required
Managed care or healthcare experience is preferred
Ability to interact with executive levels of management as well as external stakeholders
Leads triage and overall prioritization of Finance Information Technology needs using both direct reports and dedicated IT staff.
Identify and develop strategies for the application of emerging technology to Finance related problems.
Manage key vendor relationships in support of the work being completed