- Elevance Health (Grand Prairie, TX)
- **Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... adaptable workplace. Alternate locations may be considered. The **Medicare Risk Adjustment Advanced Analyst Senior** is responsible for creating statistical models… more
- Molina Healthcare (Houston, TX)
- …This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting ... Databricks + Bachelor's Degree in Finance, Economics, Math, or Computer Science ** Preferred Experience** Preferred experience in Medical Economics and Strong… more
- Molina Healthcare (Houston, TX)
- …Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of CMS and internal audit ... required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and consistent data… more
- Evolent (Austin, TX)
- …systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience with ... outcomes + **5+ years of hands-on experience** implementing HL7 FHIR (R4 preferred ) in complex healthcare environments + **Expert knowledge** of healthcare standards… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …psychosocial challenges affecting employment, independent living, or personal adjustment . Responsibilities The Rehabilitation Counselor providing vocational and ... personal adjustment counseling, therapeutic rehabilitation interventions, and case coordination services....those who are returning to community and community based-work. Preferred Experience: 1. Experience in an official capacity, providing… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …physical, and/or psychosocial challenges affecting employment, independent living, or personal adjustment . This vacancy will remain open until filled. The first ... The incumbent serves as a Rehabilitation Counselor providing personal adjustment counseling, therapeutic rehabilitation interventions, and case coordination services.… more
- CVS Health (Austin, TX)
- … Adjustment Coder) required within the first six months. ** Preferred Qualifications** + Computer proficiency including experience with Microsoft Office products ... Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in...and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical… more
- Datavant (Austin, TX)
- …individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors +...table:** + Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with… more
- Molina Healthcare (Dallas, TX)
- …ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine activity, ... risk adjustment targeting and reporting systems * 2+ years of...verbal, written and presentation capabilities * Energetic and collaborative ** PREFERRED EDUCATION:** Graduate degree or equivalent combination of education… more
- Valor Health (Fort Worth, TX)
- …to mental health diagnoses (eg, sleep, pain, adherence to medical regimen, adjustment to illness), psychosocial stressors, grief or phase of life difficulties (eg, ... health psychology presentations (eg, sleep, pain, adherence to medical regimen, adjustment to illness), psychosocial stressors, grief or phase of life difficulties… more