- Excellus BlueCross BlueShield (Rochester, NY)
- …you, we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for various aspects of decision-making and ... to ensure accurate diagnosis coding. This position is responsible for risk adjustment coding and quality assurance validation for the following programs, including… more
- Elevance Health (Woodbridge, NJ)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced analytics to gain… more
- Corewell Health (Grand Rapids, MI)
- …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...and supporting the goals and objectives of the risk adjustment department through leading all data management, analysis and… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Director Risk Adjustment Prospective Operations & Risk Mitigation is the thought leader role responsible for ensuring the complete and accurate ... a key strategic leader who initiates, develops and executes/implements the multi-product risk adjustment strategy set by the executive leaders of Risk Adjustment … more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** Rist Adjustment experience. Ability to conduct Education if needed. Auditing Experience Posting **POSITION ... PURPOSE:** A Risk Adjustment Auditor Educator is responsible for ensuring accurate coding...ensuring accurate coding and documentation in alignment with risk adjustment models, conducting audits with analysis of trends, and… more
- Tufts Medicine (Burlington, MA)
- …Boston region. **Job Overview** Under the director of the Director, Risk Adjustment Operations, performs accurate and timely reviews and validations of Medicare, ... both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position has extensive knowledge of overall ICD-10-CM coding… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in...III provides a key leadership role in the Risk Adjustment Department by independently determining and recommending the source/type… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director of Risk Adjustment Data and ... for the Medicare and Merged Market segments. The Associate Director of Risk Adjustment Data and Analytics will oversee the reporting, analytics and management of… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk ... Adjustment and Analytics. This role will manage the process...manage the process of developing and maintaining the risk adjustment strategic plan. This position will track and monitor… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Director, Risk Adjustment oversees the outcomes and operations of risk adjustment across the organization within ... Medicare Advantage, Medicaid & ACA markets. The Risk Adjustment Director is responsible for strategic direction, leadership, establishing and maturing key function,… more