- Centene Corporation (Tallahassee, FL)
- … risk adjustment and/or compliance required + Previous experience in risk adjustment oversight and/or coding planning preferred + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- CVS Health (Tallahassee, FL)
- …Coder) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Molina Healthcare (Jacksonville, FL)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more