• Product Manager , Risk…

    Datavant (Columbus, OH)
    …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own ... the data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,… more
    Datavant (08/20/25)
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  • Manager , Risk Adjustment…

    Evolent (Columbus, OH)
    …ensuring every team member contributes to providing better health outcomes for the population. The Risk Adjustment Coding Manager plays a crucial role in ... , Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk … more
    Evolent (09/23/25)
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  • Client Coding Project Manager - Full…

    Datavant (Columbus, OH)
    …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
    Datavant (09/25/25)
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  • Client Success Manager

    Datavant (Columbus, OH)
    …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... realize our bold vision for healthcare. The Client Success Manager is part of the Datavant organization and is...between internal resources and clients in support of custom risk adjustment projects and reports on project… more
    Datavant (08/02/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Cleveland, OH)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...(APC's), and other payment mechanisms. * Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
    Molina Healthcare (08/27/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Columbus, OH)
    …Capabilities and Experiences:** + Deep understanding of CMS-HCC and/or HHS-HCC risk adjustment methodologies strongly preferred. + Experience partnering with ... MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred. +… more
    Elevance Health (09/24/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Mason, OH)
    …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination… more
    Elevance Health (09/24/25)
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