- Elevance Health (Grand Prairie, TX)
- ** Risk Adjustment Encounters Analyst - Medicare / Medicaid ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate ... more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Medicare Risk Adjustment Program Manager will be accountable for the ... more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager ... more
- Elevance Health (Atlanta, GA)
- …serving as a strategic partner for the Medicare business to Enterprise Risk Adjustment , Business Operations, Regulatory Compliance and Internal Audit business ... more
- Molina Healthcare (New York, NY)
- …Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures ... more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly ... more
- Elevance Health (Columbus, OH)
- …pertains to CMS guidelines. **How you will make an impact:** + Leads Risk Adjustment operations including provider education, data analysis, audits and ... more
- Elevance Health (Richmond, VA)
- …equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly ... more
- Deloitte (New York, NY)
- …Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... more
- Dignity Health (Bakersfield, CA)
- …Based Coding Team and managing the day to day operations to ensure the HCC risk adjustment model is being met for provider coding. Specifically through programs ... more
- Amazon (Seattle, WA)
- Description Amazon Pharmacy is seeking a customer-obsessed Learning Specialist Program Manager who enjoys working in and thrives in an innovative, dynamic ... more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Case Manager II or Therapist (.6) PSYCH STABILIZATION ... more
- Tufts Medicine (Boston, MA)
- …aligned with the Hospital Quality and Equity Incentive Program of the Massachusetts Medicaid 1115 Waiver. This work will spread across the Tufts Medicine Health ... more
- Hartford HealthCare (Farmington, CT)
- …and education specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting ... more
- Amazon (Austin, TX)
- …most customer centric pharmacy option. The Payer Operations team is seeking an L4 Risk Manager to develop and execute foundational reporting, risk analysis, ... more
- CareOregon (Portland, OR)
- …Auditor Requisition # 24856 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Director Risk Adjustment Department Finance Pay and ... more
- Molina Healthcare (Columbus, OH)
- …with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/ Risk , Director of ... more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... more
- Novant Health (NC)
- …Quality, Total Cost of Care, Network Integrity, Social Determinants of Health, Risk Adjustment , and Attribution. + Build compelling visualizations, innovative ... more
- Elevance Health (Nashville, TN)
- …and engages appropriate resources for solution. + Collaborates with Care Consulting, Pharmacy, and Risk Adjustment teams to drive Cost of care and HEDIS Star ... more