- Molina Healthcare (San Antonio, TX)
- …Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and execution of ... be expected to investigate and connect disparate data sources, with the support of experienced team members and cross-functional partners. This is a collaborative… more
- Molina Healthcare (Fort Worth, TX)
- …and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and other state specific audit ... SDS and EMR implementation as well as other project and staffing support management. **Job Duties** + Plans and/or implements operational processes for HEDIS… 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 ... + Assist with the identification and validation of data sources needed to support RADV audit cycles. + Support the generation of chart retrieval… more
- 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 ... connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of… more
- Datavant (Austin, TX)
- …between clients and internal teams (eg, Product Development, Sales, Technical Support , etc.) + **_Operational Excellence_** + Proactively engage clients and provide ... fostering a high-performance culture that encourages innovation and continuous improvement. + Support and develop a team of Client Success Managers to provide… more
- US Foods (Austin, TX)
- …retention, computer updates and requisition preparation. Deliver timely and accurate inventory and adjustment records to support an order and shipping index that ... reason codes. Perform related clerical tasks and audits to support warehouse logistics. Move and stage pallet loads with...skills; Serve as resource to others and provide inter-department support . + Ability to operate and become certified on… more
- The City of Houston (Houston, TX)
- …Reconciling daily Revenue reports, payment reports, post pay reports. Reconciling various adjustment balances, pulling support backup for audit purposes. Prepare ... http://agency.governmentjobs.com/houston/default.cfm or call (###). If you need login assistance/technical support call ###. If you need special services or… more
- CVS Health (Austin, TX)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part ... for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in… more
- Datavant (Austin, TX)
- …client projects. The team coordinates efforts between internal resources and clients in support of custom risk adjustment projects and reports on project status ... client ensuring that they receive the best possible result delivery, service and support . + Manage coordination, tracking and reporting of all things related to… 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