- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The ** Risk Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder** to support our mission of delivering ... per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\. If not currently… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …coding within medical records. This position is essential for maintaining the integrity of Risk Adjustment and HCC coding. By leveraging a deep understanding of ... standards (eg, Coding Clinic) that impact financial and operational aspects of risk adjustment coding. + Collaborate and communicate effectively with internal… more
- Basin Electric Power Cooperative (Bismarck, ND)
- …to speak. **KEY SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with personal computers and Microsoft ... Job Title: DIRECTOR/MANAGER, RISK & INSURANCE (DOE) Posting Start Date: 10/3/25...position is responsible to design, establish, and manage the Risk Management (pure risk ) program of Basin… more
- Stanford Health Care (Palo Alto, CA)
- …education, preferred. + Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred. **Required Knowledge, Skills and ... and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and detected compliance deficiencies, as well as… more
- Universal Health Services, Inc. (Edinburg, TX)
- …Care Resources. Collaborate with our physicians to educate on proper coding, risk adjustment metrics, capture documentation, and follow quality protocols. ... Interview patients to ensure proper documentation and that all preventative screenings have been completed. Join our collaborative team delivering patient-centered primary care across the lifespan in the vibrant Rio Grande Valley. Send CV to ###@uhsinc.com more
- Sanitas Medical Center (Fort Lauderdale, FL)
- …and physician assistants. Ensure completion of HEDIS and quality metrics, appropriate risk adjustment coding , and care coordination. Oversee performance ... improvement initiatives and participate in peer review processes. Support recruitment, onboarding, and professional development of medical providers. Maintain compliance with OSHA, ACHA, infection control , and emergency preparedness standards. Handle complex… more
- Monogram Health (Fort Myers, FL)
- …NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment Current state medical license without restrictions to ... practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states. MD (Medical Doctor) or DO degree from an accredited medical school BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- BCBST is seeking a detail\-oriented Actuarial Consultant to support our risk adjustment and value\-based team\. In this role, you will produce routine and ... ad\-hoc reports, as well as project financial accruals and assist with annual pricing responsibilities\. You'll be a great match for this role if you have at least two years of actuarial experience, preferably in the healthcare field\. Ideal candidates will… more
- Emanate Health (Covina, CA)
- …MSO personnel on HCC and STAR measures related tasks. Responsible to ensure the IPA risk adjustment factor maintains or exceeds 1.0 and achieves or improves upon ... 4.0 STAR rating. The coding specialist is responsible for education to external physician offices and works closely with physicians and billers to ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding… more
- Progress Rail Services Corp. (La Grange, IL)
- …Project Controls, encompassing not just scheduling but also cost tracking, risk management, and incremental work documentation. As the scheduling function continues ... to defining project controls processes, including scheduling, cost, and risk elements. Executing - Act as a tactical partner...Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus… more
- Progress Rail Services Corp. (Albertville, AL)
- …email or phone, releasing customer orders based on credit history and risk management policies, determine escalation of collection concerns, and investigate and ... - Release customer orders based on credit history and risk management policies; - Investigate and assist with resolving...Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus… more
- Advanced Technology Services (Greenville, SC)
- …access to and remove defective parts; examining parts to detect imperfections; adjustment of functional parts of devices and control instruments; repair and/or ... color vision. The employee is occasionally exposed to outside weather conditions and risk of electrical shock. Work is typically performed in a factory environment… more
- Advanced Technology Services (Dallas, TX)
- …problem; dismantling devices to gain access to and remove defective parts; adjustment of functional parts of devices and control instruments; repair and/or ... color vision. The employee is occasionally exposed to outside weather conditions and risk of electrical shock. Work is typically performed in a factory environment… more
- Micron Technology, Inc. (Boise, ID)
- …+ Drive product quality, yield improvements, cost reduction, productivity, and risk management as well as resolve manufacturing line problems + Coordinate ... audit, and collaborate with equipment suppliers to achieve quality, cost, and risk mitigation objectives + Supervise the health of your assigned modules ensuring… more
- Micron Technology, Inc. (Manassas, VA)
- …working on process yield improvement, cost reduction, productivity improvement and risk management as well as resolving manufacturing line problems. This position ... managing, auditing and liaising with material suppliers to achieve quality, cost and risk management objectives. This role maximizes yield by working on tools, the… more
- Advanced Technology Services (Greenwood, SC)
- …access to and remove defective parts; examining parts to detect imperfections; adjustment of functional parts of devices and control instruments; repair and/or ... color vision. The employee is occasionally exposed to outside weather conditions and risk of electrical shock. Work is typically performed in a factory environment… more
- Progress Rail Services Corp. (La Grange, IL)
- …and evolving technology to proactively identify supply base issues to minimize risk , protect continuity of supply, and utilize emerging opportunities; - Maintain and ... and Incentive Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus Programs _*Benefits eligibility… more
- Progress Rail Services Corp. (Albertville, AL)
- …in projects supporting organizational initiatives, operational efficiency, remediation planning, risk mitigation, etc.; - Manage control retention requirements and ... and Incentive Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus Programs _*Benefits eligibility… more
- Progress Rail Services Corp. (Independence, MO)
- …trials, validation in real-world environments, and customer escalations. Compliance & Risk Management - Ensure testing aligns with regulatory, safety, and ... and Incentive Plans + Site specific Step and Skill Level Wage Adjustment Plans + Site Specific Relocation and Sign-on Bonus Programs _*Benefits eligibility… more
- Advanced Technology Services (Plymouth, IN)
- …problem; dismantling devices to gain access to and remove defective parts; adjustment of functional parts of devices and control instruments; repair and/or ... color vision. The employee is occasionally exposed to outside weather conditions and risk of electrical shock. Work is typically performed in a factory environment… more
Related Job Searches:
ACA Medicare Risk Adjustment,
Auditor HCC Risk Adjustment,
HCC Risk Adjustment Coder,
Manager Risk Adjustment Analytics,
Manager Strategic Risk Adjustment,
Product Manager Risk Adjustment,
Risk,
Risk Adjustment Actuarial Analyst,
Supervisor HCC Risk Adjustment,
Supervisor Risk Adjustment Auditing