• Product Manager, Risk Adjustment…

    Datavant (Boise, ID)
    …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 (Idaho Falls, ID)
    …**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 (Boise, ID)
    …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 (Boise, ID)
    …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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  • Coding Auditor & Educator

    Trinity Health (Boise, ID)
    …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid… more
    Trinity Health (05/28/25)
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  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Idaho Falls, ID)
    …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 (Boise, ID)
    …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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