• Risk Adjustment Trainer

    Datavant (Atlanta, GA)
    …and understanding of HCC mapping and models + Experience with coding Medicare , Commercial and Medicaid risk adjustment charts + Understanding of ... Medicare , Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health insurance plans operations + Deep… more
    Datavant (05/07/25)
    - Related Jobs

  • 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 (04/24/25)
    - Related Jobs

  • Sr Analyst, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Macon, 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 (04/16/25)
    - Related Jobs

  • Sr Analyst, Medical Economics (Clinical Analytics…

    Molina Healthcare (GA)
    …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), + Diagnosis Related Groups ... lead to value + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job...and other payment mechanisms. * + Understanding of value-based risk arrangements + Experience in quantifying, measuring, and analyzing… more
    Molina Healthcare (04/12/25)
    - Related Jobs