... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help ...
Finance Tutor
Valparaiso, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Valparaiso, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Bloomington, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Bloomington, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
West Lafayette, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
West Lafayette, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Nurse Practitioner
Merrillville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Merrillville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Merrillville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Merrillville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Indianapolis, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Indianapolis, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Evansville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Evansville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Finance Tutor
Indianapolis, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Indianapolis, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Fort Wayne, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Finance Tutor
Fort Wayne, IN · Remote
$18 - $40/hr
... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...
Nurse Practitioner
Indianapolis, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Indianapolis, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Schererville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Schererville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Schererville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Schererville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Preconstruction Manager
Indianapolis, IN · On-site
$105K - $135K/yr
Manage estimates, budget development, risk analysis, and client communication throughout all ... Accurately present job costs, schedule updates, and budget adjustments at defined intervals.
Quick apply
Preconstruction Manager
Indianapolis, IN · On-site
$105K - $135K/yr
Manage estimates, budget development, risk analysis, and client communication throughout all ... Accurately present job costs, schedule updates, and budget adjustments at defined intervals.
Nurse Practitioner
Evansville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Nurse Practitioner
Evansville, IN · On-site
Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates ... Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ...
Regional Medical Director-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health S
Indianapolis, IN · Remote
Support accurate and timely clinical documentation and coding practices. Value-Based Care ... risk adjustment, care coordination, and utilization management. Health System & Community ...
Regional Medical Director-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health S
Indianapolis, IN · Remote
Support accurate and timely clinical documentation and coding practices. Value-Based Care ... risk adjustment, care coordination, and utilization management. Health System & Community ...
Chief Medical Officer-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health Syste
Indianapolis, IN · Remote
Support accurate and timely clinical documentation and coding practices. Value-Based Care ... risk adjustment, care coordination, and utilization management. Health System & Community ...
Chief Medical Officer-Indiana | Lead Clinical Performance, Value-Based Care & Strategic Health Syste
Indianapolis, IN · Remote
Support accurate and timely clinical documentation and coding practices. Value-Based Care ... risk adjustment, care coordination, and utilization management. Health System & Community ...
... day" dress code: You choose the appropriate work attire based on what your day looks like ... As a member of Enterprise Risk Management (ERM), the Analyst will work under the Senior Manager ...
... day" dress code: You choose the appropriate work attire based on what your day looks like ... As a member of Enterprise Risk Management (ERM), the Analyst will work under the Senior Manager ...
... day" dress code: You choose the appropriate work attire based on what your day looks like ... As a member of Enterprise Risk Management (ERM), the Analyst will work under the Senior Manager ...
... day" dress code: You choose the appropriate work attire based on what your day looks like ... As a member of Enterprise Risk Management (ERM), the Analyst will work under the Senior Manager ...
Senior Medical Coding Professional, Inpatient
Indianapolis, IN · On-site
$18 - $22.75/hr
You will report to the Manager, Payment Integrity. Key Responsibilities * Review inpatient records ... Recommend adjustments, recoveries, or provider education * Collaborate with clinical reviewers and ...
Senior Medical Coding Professional, Inpatient
Indianapolis, IN · On-site
$18 - $22.75/hr
You will report to the Manager, Payment Integrity. Key Responsibilities * Review inpatient records ... Recommend adjustments, recoveries, or provider education * Collaborate with clinical reviewers and ...
Risk Adjustment Coding Manager information
What are some common challenges faced by risk adjustment coding managers, and how can they effectively address them?
What are the key skills and qualifications needed to thrive as a risk adjustment coding manager?
What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?
| Aspect | Risk Adjustment Coding Manager | Risk Adjustment Coder |
|---|---|---|
| Certifications | AHIMA or AAPC credentials, management experience | AHIMA or AAPC credentials, coding certification |
| Work Environment | Supervisory role, overseeing coding teams | Performing coding tasks directly on patient records |
| Employer & Industry | Health plans, healthcare providers, insurance companies | Hospitals, clinics, health plans |
The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.
What is a risk adjustment coding manager?
Deloitte rating
8.2
Based on 92 frontline employees who took The Breakroom Quiz
45th of 150 rated financial services
Job description
- Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients
- Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements
- Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to mentor and provide clear guidance to others
- Bachelor's degree
- 6+ years of health actuarial experience
- Passage of 5 actuarial exams
- Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
- Limited immigration sponsorship may be available.
- 6+ years of consulting, health plan, or insurance company experience
- 4+ years of experience leading teams
- Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation
- 4+ years of experience with product design or product strategy
- 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling
- 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets
- Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients
- Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements
- Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to mentor and provide clear guidance to others
- Bachelor's degree
- 6+ years of health actuarial experience
- Passage of 5 actuarial exams
- Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
- Limited immigration sponsorship may be available.
- 6+ years of consulting, health plan, or insurance company experience
- 4+ years of experience leading teams
- Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation
- 4+ years of experience with product design or product strategy
- 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling
- 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets