• Risk Adjustment Provider Educator…

    The Cigna Group (Houston, TX)
    …(CCS-P) + Registered Health Information Management Technician (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding more
    The Cigna Group (11/07/24)
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  • HFHP Associate Risk Adjustment

    Health First (Rockledge, FL)
    …Plan Customer Service* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Associate Risk Adjustment Analyst * **Location:** *Florida - Brevard ... include coding of ICD-10-CM codes to validate Risk Adjustment data for the MA and/or...coding education updates. 7. Remain current on diagnosis coding guidelines and risk adjustment more
    Health First (10/25/24)
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  • Senior Risk Adjustment

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk ... milestones and key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that… more
    CareFirst (08/31/24)
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  • Senior Risk Adjustment

    Martin's Point Health Care (Portland, ME)
    …Position Summary **NEW REMOTE POSITION** **Health Plan Operations** **APPLY TODAY!** The Senior Risk Adjustment Analyst analyzes data, reviews findings, and ... used in complex conceptual analyses for all departments within Risk Adjustment Operations + Develops systematic reporting...of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding +… more
    Martin's Point Health Care (09/06/24)
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  • HCC Coding Analyst Supervisor

    Intermountain Health (Columbus, OH)
    …This role will have the responsibility of advising and mentoring caregivers on the Risk Adjustment coding team and ensuring efficient workflow and quality ... results. They provide expert-level proficiency in the areas of Risk Adjustment Coding for highly...creates and provides education and training to the HCC Coding Analyst team as well as other… more
    Intermountain Health (11/06/24)
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  • Associate Coding Analyst *Remote

    Providence (Beaverton, OR)
    …an Associate Coding Analyst who will:** + Be responsible for detailed diagnostic coding associated with Risk Adjustment and HCC Coding + Impact ... + Serve in an advisory role in development of Health Plan Payment Rules to risk adjustment **Providence Health Plan welcomes 100% remote work for applicants who… more
    Providence (09/24/24)
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  • Quality Review and Audit Analyst (Remote)

    The Cigna Group (Bloomfield, CT)
    **Job Summary:** The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, ... members and matrix partners to facilitate various aspects of coding and Risk Adjustment education...needed. **Education & Experience:** The Quality Review & Audit Analyst will have a high school diploma and at… more
    The Cigna Group (11/02/24)
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  • Medicare Provider Performance Enablement Lead…

    The Cigna Group (Seattle, WA)
    …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary:** The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
    The Cigna Group (10/26/24)
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  • Intermediate Clinical Auditor/ Analyst , QA…

    UPMC (Pittsburgh, PA)
    …+ Experience with DRG Assignment and clinical validation of diagnoses. + Experience with HCC/ Risk Adjustment coding preferred. + Proficiency using Epic, One ... UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday -… more
    UPMC (11/01/24)
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  • Medicare Provider Performance Enablement Lead…

    The Cigna Group (Sunrise, FL)
    …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
    The Cigna Group (10/03/24)
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  • Senior Medical Economics Analyst - Hybrid

    AdventHealth (Maitland, FL)
    …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
    AdventHealth (09/12/24)
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  • Inpatient Coder IV - Remote

    AdventHealth (Altamonte Springs, FL)
    …multiple priorities at once with little supervision. * Possesses knowledge about risk adjustment and hospital publicly reported data. * Possesses knowledge ... goals. Employee will assist in training other team members on inpatient coding . The Coder Analyst IV may participate in our quality, safety review process, which… more
    AdventHealth (08/13/24)
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  • Finance Manager

    reveleer (Los Angeles, CA)
    …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust data… more
    reveleer (10/24/24)
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