• Manager, Risk Adjustment Coding Support

    Evolent (Annapolis, MD)
    …+ Hires and oversees the initial orientation and development of Risk Adjustment coding team members, including coding support specialists. + Provides ... and updates. + Oversee and manage day-to-day risk adjustment coding team and operations, ensuring accurate and...supervisory role with strong leadership to manage, motivate and lead a team of coders to ensure… more
    Evolent (09/23/25)
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  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Associate's ... work experience. **Experience:** 3 years risk adjustment/hierarchical condition category ( HCC ) coding experience. **Knowledge, Skills and Abilities (KSAs)**… more
    CareFirst (09/26/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Annapolis, MD)
    …between revenue, compliance, and user experience arise. **Leadership & Culture:** + Build, lead , and coach a team of Product Managers working across different ... healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, CMS- HCC , HHS- HCC… more
    Datavant (08/08/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Baltimore, MD)
    …Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a ... Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs),… more
    J&J Family of Companies (09/26/25)
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  • Senior Risk Adjustment Analyst- ACA Encounters…

    CareFirst (Baltimore, MD)
    …is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's ... and determining the impact of any changes to the HCC model and supporting actuarial in the calculation risk...tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that key risk… more
    CareFirst (09/26/25)
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