• HCC Risk Adjustment Coder - Full Time…

    Datavant (Boston, MA)
    …educational and life experiences to realize our bold vision for healthcare. As an HCC ( Hierarchical Condition Category ) coder you will review ... credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge of ICD-10, medical… more
    Datavant (08/26/25)
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  • Database Developer (Healthcare / Risk Adjustment)

    Commonwealth Care Alliance (Boston, MA)
    …data systems and tools that support Commonwealth Care Alliance's (CCA) risk adjustment and Hierarchical Condition Category ( HCC ) revenue programs. This ... + Develop and support risk adjustment financial models that align with HCC revenue projections and CMS methodologies. + Maintain and enhance reporting infrastructure… more
    Commonwealth Care Alliance (09/24/25)
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  • Vice President, Risk Adjustment Solutions

    Fallon Health (Worcester, MA)
    …Massachusetts Medicaid, and New York State MLTC. + Design and oversight of Hierarchical Condition Category ( HCC )/clinical documentation operations, ... quality oversight, education, and analytics. + Provide feedback on revenue projections and forecasting for all risk adjustment lines of business. + Comprehensive program integration to align with corporate initiatives to drive quality improvement and medical… more
    Fallon Health (09/19/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …gaps in clinical practice and in collaboration with patient's external providers. + Evaluate Hierarchical Condition Categories ( HCC ) and work to recapture + ... religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws. more
    Commonwealth Care Alliance (07/09/25)
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