- Humana (Austin, TX)
- …health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging ... will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on problems of… more
- Datavant (Austin, TX)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled at data modeling and analysis and identifying and communicating insights to… more
- Molina Healthcare (Fort Worth, TX)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Lead, Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... to enable them to perform the tasks required. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective… more
- Wolters Kluwer (Austin, TX)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... the Eastern or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer, Provider, and Vendor,… more
- Highmark Health (Austin, TX)
- …a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data strategy. ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Datavant (Austin, TX)
- …Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality ... of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. **You will:** + Supervise… more
- Datavant (Austin, TX)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. **You will:** + Review, analyze, and code diagnostic information in a patient's medical record based on client specific… more
- Datavant (Austin, TX)
- …skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$28 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- Datavant (Austin, TX)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account management… more