- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... key risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment results and quality, accuracy and identification of member… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible for the department's ... engagement and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products. **ESSENTIAL FUNCTIONS:**… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer ... us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play...in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams and external partners.… more
- Ankura (New York, NY)
- …and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice and firmwide business ... + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for clients. + Oversee and conduct… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... key risk adjustment performance metrics through coordination of analytical processes, investigation...of analyses to improve awareness and understanding of risk adjustment and identification of member health conditions. + Understand… more
- Datavant (Honolulu, HI)
- …and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep understanding of ... the Risk Adjustment business domain and is skilled at data modeling...aggregate data from multiple data sources for supporting risk adjustment medical record coding and quality processes + Design,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare ... conditions from the accurate collection, submission, and validation of risk adjustment data. Ensuring compliance with regulatory standards that ensure accurate and… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Risk Adjustment Coding Specialist -St. Peter's Health Partners - Full-time - Remote **POSITION ... PURPOSE:** The Risk Adjustment Coding Specialist works in a team environment and...(CMS). **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** **. Certified Risk Adjustment Coder (CRC) required** . Excellent verbal and written… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment ... and documentation guidelines. The development and ongoing maintenance of the Risk Adjustment Coding guidelines, as well as, guiding junior coding specialists are… more
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