- Fallon Health (Worcester, MA)
- …on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The primary role of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for ... the Risk Adjustment & Analytics Department. The RAAimplements...other **Experience:** + Strong claims processing skill, understanding of medical terminology, and familiarity with medical records… more
- The Cigna Group (Bloomfield, CT)
- …if do not live near a Cigna Office]** We have an immediate need to strengthen our Risk Adjustment and Stars Enablement team. The Risk Adjustment and ... is responsible for developing solution changes for the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The **Medicare Risk Adjustment… more
- VNS Health (Manhattan, NY)
- OverviewAs the Clinical Manager for Risk Adjustment , you will be at the forefront of our mission to optimize clinical coding practices and enhance the efficacy ... of our Risk Adjustment Program. Your role involves leading...quality standards and compliance requirements. This position can be remote . Compensation Range:$109,900.00 - $146,500.00 Annual What We Provide… more
- Martin's Point Health Care (Portland, ME)
- …a "Great Place to Work" since 2015. Position Summary The Vice President of Risk Adjustment works closely and collaboratively with Vice Presidents in the Health ... to oversee the design, development, implementation, and execution of compliant risk adjustment strategies, programs, and initiatives for Martin's Point… more
- Robert Half Accountemps (Nashville, TN)
- Description Immediate need for a CRC Risk Adjustment Medical Coder to join our dynamic healthcare team on a 100% REMOTE basis. The individual must ... certified coding competency and at least 2 years of relevant experience in risk adjustment medical coding. In this role, the talent will be responsible… more
- Fallon Health (Worcester, MA)
- …Responsibilities)** + Leads on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression ... analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them to the attention of higher-level staff members. Uses… more
- Robert Half Office Team (Tampa, FL)
- Description We are seeking a proficient and dynamic Risk Adjustment Coder to join our remote team. The chosen candidate will have an active CPC license, 3-5 ... coding and compliance accuracy. + Conducting thorough reviews of medical records to ascertain accurate assignment of ICD-10 CM...updates, and changes. + Quality checking coding and validating risk adjustment data to ensure integrity and… more
- Elevance Health (Norfolk, VA)
- ** Risk Adjustment Strategy Consultant** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Strategy Consultant** is responsible for serving as an… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp ... Michigan **Status:** Full time Remote **Position Purpose:** The primary purpose of this position...+ Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- Centene Corporation (Tallahassee, FL)
- …Reporting and has a complete understanding of these guidelines. + Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. ... a fresh perspective on workplace flexibility. **Full time Permanent Remote Position** CPC or CSS Certification and min (2)...the impact of ICD-10 codes on the CMS HCC risk adjustment model. + Ability to meet… more
- Elevance Health (Indianapolis, IN)
- …actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk ... background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred. Please be… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Senior Data Reporting Analyst** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Senior Data Reporting Analyst** is responsible for… more
- Elevance Health (Hanover, MD)
- ** Risk Adjustment Advanced Analyst Senior** **Location: This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 ... of our Elevance Health PulsePoint locations.** **Preferred Location:** Hanover, MD. The ** Risk Adjustment Advanced Analyst Senior** is responsible for creating… more
- Elevance Health (Indianapolis, IN)
- ** Risk Adjustment Data Reporting Analyst** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 ... our Elevance Health Pulse Point locations. **Preferred Location:** Indianapolis, IN. The ** Risk Adjustment Data Reporting Analyst** is responsible for analyzing,… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... Position Location: 100% Remote Qualifications The Medical Coder provides coding and coding auditing services directly to providers. This includes the analysis… more
- Centene Corporation (Charlotte, NC)
- …Complete Health Compliance team, you will work with Corporate Shared Services on Risk Adjustment related projects for Chart Retrieval, Research of member, ... Candidates must reside in North Carolina. This position is remote with some in-office attendance throughout the year for...diploma or equivalent. 2+ years of customer service or medical office experience. Experience with medical record… more
- Principal Service Solutions (De Soto, KS)
- …the high-tech workforce around the world. Principal Service Solutions is hiring Lead Adjustment Technicians who will be part of the Site Project Management Team ... for coordinating installation work between the Site Project Teams, Remote Management and the customer. Typically oversee assignments such...based out of De Soto, KS. Our benefits include medical , dental, vision, 401(k), PTO, and paid holidays. Pay… more
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics ... with research, development,and completion of special projects. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …position is eligible in the following personas: E-Worker, Mobile and Resident The Risk Adjustment Senior Coding Quality Auditor & Educator provides education and ... training for the Risk Adjustment Coding team to ensure coding...evaluate and administer a Quality Review Program by auditing medical records reviewed by the coding team and/or vendors… more
- BP Americas, Inc. (Houston, TX)
- …team? Join our Trading and Shipping Team and advance your career as a Commodity Risk Lead. **Role Synopsis** Trading & Shipping (T&S) is bp's face to the traded ... is to enhance bp Group value through distinctive supply, commodity trading, risk management and information technology skills underpinned by a world class finance,… more