- Molina Healthcare (Bellevue, WA)
- …Analysis and forecasting of program value and underlying population trends in risk adjustment to provide analytic support for finance, pricing and actuarial ... will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex… more
- Datavant (Olympia, WA)
- …CMS-HCC, HHS-HCC). Well-versed in the key underlying healthcare data sources that support risk adjustment measurement and analysis. + **Analytical & Strategic:** ... our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of… more
- Molina Healthcare (Everett, WA)
- …and present findings to leadership + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting + Identify ... Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate… more
- Molina Healthcare (Vancouver, WA)
- …and maintain risk score models. + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract ... **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting.… more
- Molina Healthcare (Spokane, WA)
- …tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, ... in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited...and Medicaid Services (CMS) regulations and guidelines of risk adjustment data * Understand and oversee RAPS and EDPS… more
- Datavant (Olympia, WA)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution for the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage… more
- Molina Healthcare (Spokane, WA)
- …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 (Vancouver, WA)
- …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
- Datavant (Olympia, WA)
- …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
- Datavant (Olympia, WA)
- …feedback. Assists with auditing when the coder has not received recent feedback. + Support new hires released to the production team by being their coder-buddy. + ... + Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development + Compensation for AAPC/AHIMA dues + Company-provided… more