• Medicare Risk Adjustment…

    Elevance Health (Middletown, NY)
    ** Medicare Risk Adjustment Advanced...creating a culture that is designed to advance our strategy but will also lead to personal and professional ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (07/29/25)
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  • Medicare Risk Adjustment…

    Elevance Health (Latham, NY)
    ** Medicare Risk Adjustment Advanced...creating a culture that is designed to advance our strategy but will also lead to personal and professional ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
    Elevance Health (07/29/25)
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  • Product Manager, Risk Adjustment…

    Datavant (Albany, NY)
    …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… more
    Datavant (06/06/25)
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  • Risk Adjustment Analyst - Predictive…

    Molina Healthcare (Yonkers, NY)
    …well as automated analytical as well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk ... **Job Description** **Job Summary** The Analyst, Risk Adjustment -Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics… more
    Molina Healthcare (07/31/25)
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  • Manager, Provider Engagement - VBP…

    Centene Corporation (Queens, NY)
    …+ Develop and refine Medicare contract models to incorporate RAF ( Risk Adjustment Factor) trends, Stars quality metrics, and benchmarking methodologies to ... execution of the organization's Value-Based Payment strategies (VBP) and other risk -based contracting strategies. + Oversee Medicare -specific VBP contracts,… more
    Centene Corporation (07/09/25)
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  • Senior Analyst, Risk & Quality Reporting…

    Molina Healthcare (NY)
    …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare...users on how to use reports + Builds intervention strategy reporting for the Risk and Quality… more
    Molina Healthcare (05/31/25)
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  • Senior Client Coding Project Manager

    Datavant (Albany, NY)
    …outpatient or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment , CDI, Medicaid, Commercial RA, and HEDIS ... up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
    Datavant (06/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Albany, NY)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
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