- Molina Healthcare (Scottsdale, AZ)
- … management activities and clinical informatics + Experience with Risk Adjustment Data Validation ** Preferred License, Certification, Association** + Certified ... training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment … more
- Convey Health Solutions (Chicago, IL)
- …Familiarity with healthcare payer/provider claims, clinical, or quality data. + Risk Adjustment experience is preferred . OTHER DUTIES AND RESPONSIBILITIES + ... to accelerate analytic insights and new feature enhancements to Pareto's risk adjustment solution suite. Additionally, the ability to understand / contribute to… more
- Dignity Health (Phoenix, AZ)
- …- Associates degree in healthcare or equivalent experience. - Cerified Risk Adjustment Coder (CRC) ** Preferred Qualifications:** - 2-3 years of experience ... the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is...in outpatient coding preferred . **Overview** The purpose of Dignity Health Management Services… 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
- Elevance Health (Woodbridge, NJ)
- … Skills, Capabilities, and Experiences:** + 1 year or more of risk adjustment analytics experience for government programs strongly preferred . + Proficiency in ... **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;**...is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible for employing advanced… more
- Trinity Health (Syracuse, NY)
- …Expert Outpatient (CDEO) or Certified Clinical Documentation Specialist-Outpatient (CCDS-O) preferred . **EXCELLUS CONTRACT SPECIFIC Risk Adjustment Coding, ... **Employment Type:** Full time **Shift:** **Description:** Rist Adjustment experience. Ability to conduct Education if needed. Auditing Experience Posting **POSITION… 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 ... the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk Adjustment … more
- 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
- 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
- Elevance Health (Louisville, KY)
- …tools and comprehensive experience with Teradata, SQL, or equivalent database tools strongly preferred . + 5+ years of risk adjustment analytics experience for ... **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;**...education and experience which would provide an equivalent background. ** Preferred Skills, Capabilities, & Experiences:** + Advanced expertise with… more