• Product Manager , Risk…

    Datavant (Juneau, AK)
    …life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own ... the data strategy and execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations,… more
    Datavant (08/20/25)
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  • Manager , Risk Adjustment…

    Blue KC (Kansas City, MO)
    …Blue KC Risk Adjustment (RA) programs for Commercial (ACA). Manages Risk Adjustment coding , auditing and retrieval operations and if needed special ... risk adjustment programs. **Job Description** + Manage all risk adjustment coding and chart retrieval activities to support retrospective and… more
    Blue KC (10/07/25)
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  • Risk Adjustment Manager…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk ... adjustment strategy for the acquisition and coding of medical records. The role serves as a...to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations… more
    CareFirst (09/12/25)
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  • Risk Adjustment Revenue…

    Marshfield Clinic (Marshfield, WI)
    …to the position._ **Minimum Required:** Certifications in professional coding and risk adjustment coding from American Academy of Professional Coders. ... the most exciting missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote)...programs and initiatives to improve the accuracy of the coding , including education; retrospective and prospective review processes; and… more
    Marshfield Clinic (10/15/25)
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  • Sr. Manager Business Consulting…

    CVS Health (Tallahassee, FL)
    …services within the existing program and vendors._ **Required Qualifications:** + _Expertise in Risk Adjustment payment models for MA, ACA and Medicaid._ + ... every day. **Position Summary** _The Purpose of the Sr. Manager , Business Consultation job is to drive prospective program..._Expertise in Risk Adjustment timelines and requirements_ + _Must… more
    CVS Health (10/01/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... actionable opportunities for providers to improve their Quality and Coding Accuracy performance. The role leads face-to-face meetings with...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Client Coding Project Manager - Full…

    Datavant (Sacramento, CA)
    …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... + Monitor the performance of the Risk Adjustment Operations both internally and with coding ...work experience coder with a minimum of 5 year's coding experience in risk adjustment … more
    Datavant (10/09/25)
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  • Senior Coding Educator

    Humana (Helena, MT)
    …practices in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, ... make an impact** **Required Qualifications** + 5+ years of experience in risk adjustment coding /auditing/education and provider relations/engagement +… more
    Humana (10/14/25)
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  • Manager , Clinical Quality Coding

    Sutter Health (Sacramento, CA)
    …workflows, data management, coding staff specific to clinical documentation improvement and risk adjustment coding initiatives. Manages the day to day ... operations related to Risk Adjustment Coding . Provides oversight to the coding team. Coordinates work with Clinical Quality Coding Analyst and… more
    Sutter Health (10/11/25)
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  • Regional Coding Operations Manager…

    HCA Healthcare (Houston, TX)
    …Coder (CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience with Cerner and ... This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development… more
    HCA Healthcare (10/15/25)
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