- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Analyst** to join #TeamMVP. This is the opportunity for ... prospective and retrospective objectives in population health management including focus on Risk Adjustment efforts. + Design targeting based upon disparate data… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The ** Risk Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder** to support our mission of delivering ... per week in accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\. If not currently… more
- 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 ... * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or...Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and Benefits: Pay Range: $88,600.00… more
- University of Michigan (Ann Arbor, MI)
- …impact of insurer-practice integration on patient access and quality. **2. Upcoding and risk adjustment in Medicare Accountable Care Organizations (ACOs)** ... candidate will manage, clean, and analyze administrative datasets (eg, Medicare claims, prescribing, and corporate ownership data); write reproducible...expected health risk a process known as risk adjustment . Yet this system can be… more
- Humana (Harrisburg, PA)
- …focused in the areas of Provider Contracting, Provider Engagement and Quality, Risk Adjustment , Clinical, and Financial Operations. + Leadership development, ... includes the following key responsibilities: + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for value-based… more
- CVS Health (Tallahassee, FL)
- …auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified ... ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of... and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
- CVS Health (Austin, TX)
- …required. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred. ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of... and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
- Amazon (FL)
- …deadline: Jan 8, 2026 As a Program Manager II on the One Medical At - Risk team, you will be the primary builder of new and existing capabilities and programs ... aimed at improving health outcomes for our at- risk patient populations. Working within Amazon's mission to be...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Harvard University (Cambridge, MA)
- …research related to aspects of the Medicare program, including payment policy, risk adjustment , and competition. Experience working with Medicare claims ... and SAS or Stata) * Demonstrated expertise in causal inference and high-dimensional risk adjustment /predictive modeling, experience with Medicare claims data… more
- Catholic Health Initiatives (Little Rock, AR)
- …for the value hub. + Through Risk Management/Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas and Kentucky CIN. + ... Extensive CIN/Population Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement models of payment… more