• Product Manager, Risk Adjustment…

    Datavant (Atlanta, GA)
    …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
    Datavant (06/06/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Macon, GA)
    …**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
    Molina Healthcare (07/25/25)
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  • IPA Coding Associate Director

    CenterWell (Atlanta, GA)
    …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
    CenterWell (07/24/25)
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  • Senior Client Coding Project Manager

    Datavant (Atlanta, GA)
    …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
    Datavant (06/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Atlanta, GA)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... more years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with… more
    Humana (07/29/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Augusta, GA)
    …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
    Molina Healthcare (07/10/25)
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  • Sr Analyst, Specialty Performance Analytics

    Evolent (Atlanta, GA)
    …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
    Evolent (05/22/25)
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