- Corewell Health (Grand Rapids, MI)
- …Some states are not eligible for remote work (CA and NY). Positioned in the Risk Adjustment Department, the Manager, Risk Adjustment Analytics will ... be responsible for leading the Risk Adjustment Analytics team and supporting the goals and objectives...who is adept at problem solving, possesses strong SQL coding skills and an ability to communicate effectively to… more
- CVS Health (Lansing, MI)
- …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
- Molina Healthcare (Grand Rapids, MI)
- …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