- Baylor Scott & White Health (Sacramento, CA)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS)....claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps,… more
- Evolent Health (Sacramento, CA)
- …Be Doing:** The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We ... have a unique mix of health care domain and data expertise enabling analytics offerings relevant to our stakeholders' needs. We are advocates for creating patient… more
- Sutter Health (Sacramento, CA)
- …other internal and external regulatory requirements (eg Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), etc.). **Job ... and Management coding guidelines and thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical… more