• Product Manager, Risk Adjustment…

    Datavant (Des Moines, IA)
    …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)
    - Related Jobs

  • Risk Adjustment Representative

    Humana (Des Moines, IA)
    …support assignments. Performs computations. Typically works on semi-routine assignments. The Risk Adjustment Representative 2 ensures coding is ... caring community and help us put health first** The Risk Adjustment Representative 2 conducts quality assurance...diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.… more
    Humana (06/25/25)
    - Related Jobs

  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Sioux City, IA)
    …**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)
    - Related Jobs

  • IPA Coding Associate Director

    CenterWell (Des Moines, IA)
    …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)
    - Related Jobs

  • Senior Client Coding Project Manager

    Datavant (Des Moines, IA)
    …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)
    - Related Jobs

  • Senior Analyst, Medical Economics - REMOTE

    Molina Healthcare (Cedar Rapids, IA)
    …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)
    - Related Jobs

  • Sr Analyst, Specialty Performance Analytics

    Evolent (Des Moines, IA)
    …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)
    - Related Jobs