- MASC Medical Recruitment Firm (North Port, FL)
- …License Paid Training on accurate risk adjustment coding Training on Medicare appropriate quality of care (STARS) program Must take call once week every ... populations with multiple comorbidity Virtual medical treatment and management of high- risk population Ability to create a comprehensive and coordinated plan of… more
- MASC Medical Recruitment Firm (Dundee, FL)
- …License Paid Training on accurate risk adjustment coding Training on Medicare appropriate quality of care (STARS) program Minimal or no on-call after ... populations with multiple comorbidity Virtual medical treatment and management of high- risk population Ability to create a comprehensive and coordinated plan of… more
- Healthcare in Action (Glendale, CA)
- …experiencing homelessness through an innovative ?street medicine? approach by contracting with Medicare and Medicaid health plans as well as hospitals and health ... and parks. The Peer Navigator supports members who are experiencing/ are at risk of experiencing homeless with managing their own health in the Downtown LA/West… more
- Point32Health (Canton, MA)
- … adjustment engagement with senior leaders at contracted provider organizations. + ** Risk Adjustment Program Management and Vendor Evaluation** : The ... provider engagement and reporting activities for risk adjustment programs and initiatives that impact Medicare ,...Manager will be responsible for risk adjustment program management and… more
- Elevance Health (West Des Moines, IA)
- …for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of ... to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and… more
- CareFirst (Baltimore, MD)
- …risks or barriers to leadership to ensure that all risk adjustment activities fully comply with Medicare , Medicaid, ACA, and state-specific regulations. ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports...Adjustment . + Successful completion of a Coding Certificate program from an accredited organization (ie, CPC, CRC, CPMA… more
- CareFirst (Baltimore, MD)
- …**Knowledge, Skills and Abilities (KSAs)** + Deep knowledge of regulatory compliance and risk adjustment program integrity. + Experience developing & ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes...and problem resolution to meet business operational requirements for Medicare Advantage(MA), Affordable Care Act (ACA) & Medicaid Lines… more
- MVP Health Care (Rochester, NY)
- …of Hierarchical Condition Categories (HCC)s and diagnosis codes related to Risk Adjustment programs to improve and optimize program targeting for Medicare ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Risk Adjustment Analyst** to join #TeamMVP. This is the opportunity for… more
- Humana (Topeka, KS)
- …+ Ensure compliance with CMS guidelines and Medicare Risk Adjustment standards. + Collaborate with Stars program teams to manage vendor activities ... relationships that drive in-home health and well-being assessments for Medicare members. As a Program Delivery Lead,...CMS guidelines-all while supporting Humana's Retail bid goals and Medicare Risk Adjustment requirements. This… more
- Amazon (FL)
- …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...balancing time, quality, and resources to optimize project and program outcomes * Lead the end-to-end implementation of new… more
