- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Centene Corporation (Tallahassee, FL)
- … risk adjustment and/or compliance. required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated ... a team responsible for supporting key elements of the Risk Adjustment Compliance program with a focus...adjustment regulatory landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare … more
- Molina Healthcare (Miami, FL)
- …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones… more
- CenterWell (Tallahassee, FL)
- …clinical documentation. + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, ... provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions.… more
- Datavant (Tallahassee, FL)
- …make strategic recommendations to help clients understand the shifts and trends happening in the risk adjustment coding space. **What you will bring to the ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS...+ Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI,… more
- Humana (Tallahassee, FL)
- …+ Experience with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at ... Coder) Certification + 4 or more years of medical coding experience + Risk Adjustment ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- AdventHealth (Tampa, FL)
- …and approved coding policies and procedures. . Participates in the mortality/ risk adjustment reviews when assigned. . Assists with post-payment DRG appeals. ... a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor, under general supervision of the Inpatient Operations Manager, is… more
- Insight Global (Tampa, FL)
- …. Skills and Requirements Active CPC or CCS 3-5 years of HCC/ Risk Adjustment coding experience Concurrent coding ... Medicare advantage projects . Must obtain an active Coding certification (CPC) through AAPC or AHIMA, or a...through AAPC or AHIMA, or a CCS. Will be coding more risk adjustment vs… more
- Molina Healthcare (Jacksonville, FL)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required… more
- Evolent (Tallahassee, FL)
- …of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and pod ... in SQL - Required + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2 years performing data visualization (Tableau,… more
Recent Jobs
-
Licensed Veterinary Technician, Interventional Radiology
- Schwarzman Animal Medical Center (New York, NY)
-
Senior Data Science Analyst
- Simplot (Boise, ID)
-
Facility Solutions Manager
- City Wide Facility Solutions (Durham, NC)