- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Risk Adjustment Analyst Department Finance Exemption Status Exempt Requisition # 24959 Direct ... Reports N/A Manager Title Risk Adjustment Analytics Manager Pay & Benefits Estimated hiring range...in Oregon or SW Washington Job Summary The Risk Adjustment Analyst performs data extraction, conducts data analysis, and… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Risk Adjustment Strategic Partner works as a liaison between the provider community and Select Health. This is a niche market that requires ... and healthcare providers. This role will coordinate workstreams that include risk adjustment , HEDIS and STAR gap closure, and healthcare utilization. Travel will be… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title Director, ... Risk Adjustment Pay and Benefits Estimated hiring range $109,500 -...reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is responsible for the development, execution… more
- HCA Healthcare (Campbell, CA)
- …like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total ... our team as a(an) Manager of Quality - Risk Adjustment Programs. We care for our community! Just last...role leads all aspects of the Quality and Risk Adjustment programs for the SCCIPA network including working closely… more
- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk ... Adjustment strategies that ensure our risk adjusted and Star...risk score accuracy and completeness in all enterprise risk adjustment activities. Development of strategy includes integrating the Star… more
- Molina Healthcare (Bowling Green, KY)
- …will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex ... healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and presents… more
- MedKoder (Mandeville, LA)
- …schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized expertise to help ... while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health systems and insurance plans… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk ... . This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment... Adjustment by monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective risk… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for ... risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve health plan goals and KPIs + Presenting and managing all… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. Are you an experienced leader with a strong background in Risk Adjustment Operations? We invite you to join our team as the **Manager of ... Risk Adjustment Operations** , where you will lead our core...as well as all medical record retrieval for risk adjustment and some retrieval support for quality/HEDIS. As a… more
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