- Datavant (Olympia, WA)
- …and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of ... the Risk Adjustment business domain and is skilled at data modeling...aggregate data from multiple data sources for supporting risk adjustment medical record coding and quality processes + Design,… more
- Molina Healthcare (Everett, WA)
- …Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not… more
- Wolters Kluwer (Olympia, WA)
- …Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** **Risk Adjustment Software | Health Language | Wolters ... the Eastern or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer, Provider, and Vendor, and… more
- Datavant (Olympia, WA)
- …serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, ... process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise day-to-day team… more
- Datavant (Olympia, WA)
- …a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in ... translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for… more
- Datavant (Olympia, WA)
- …skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$30 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- Highmark Health (Olympia, WA)
- …Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, ... to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk... coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by… more
- Datavant (Olympia, WA)
- …ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem (risk-bearing providers, ACOs, IPAs, etc). ... Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account management… more
- Amazon (Bellevue, WA)
- …customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview ... customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview… more
- Humana (Olympia, WA)
- …in root cause analysis, inner working of provider office and systems, or risk adjustment . + Proven ability to compare, read, and report on claims data. + Proven ... field. + Python, SQL, Databricks, or Power BI experience. + Risk adjustment background or knowledge. + Experience in provider office environments and familiarity… more