- Commonwealth Care Alliance (Boston, MA)
- …from management. * Working knowledge of the provider-based healthcare industry and Risk Adjustment preferred . Required Language (must have): * English EEO is The ... 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex programs,… more
- Mount Sinai Health System (New York, NY)
- …Minimum of 3 years coding experience ? At least 2 years of HCC Risk Adjustment experience, preferred ? Clinical background in a healthcare setting, preferred ... **Job Description** MSHP seeks a Risk Adjustment Analyst support efforts to improve the overall...? Credentials in one or more of the following, preferred : ? Certified Professional Medical Auditor (CPMA) ? Certified… more
- Fallon Health (Worcester, MA)
- …the provider-based healthcare industry, claims processing, provider billing or Risk Adjustment strongly preferred + Familiarity with MassHealth/Medicaid a plus ... and LinkedIn. **Brief Summary of Purpose** : The Risk Adjustment Analyst (RAA) will be a SME for the...(RAA) will be a SME for the MassHealth risk adjustment model(s) and related data submission requirements. This role… more
- Centene Corporation (Harrisburg, PA)
- …required. Bachelor's degree in nursing and experience in managed care industry preferred . Risk adjustment and Microsoft Excel experience preferred . ... of Pennsylvania **Position Purpose:** Support the development and maintenance of Risk Adjustment related programs and reporting. Aid in working with Risk … more
- Commonwealth Care Alliance (Boston, MA)
- …including claims, encounters, diagnoses, and provider data. + Familiarity with CMS risk adjustment methodologies and HCC coding preferred . + Experience with data ... of Encounter Data Management within the Revenue Cycle Department, the Risk Adjustment Data Developer is responsible for the design, development, and maintenance of… more
- Hartford HealthCare (Hartford, CT)
- …strongly desired. * Experience with the nuances of diagnosis coding and risk adjustment programs preferred * Progressively responsible role with leadership * ... - Physician (CCS-P) or Certified Coding Specialist (CCS) Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire) _We take great care… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …(Required) + Experience working in a similar type of department (Risk Adjustment , Quality) or comparable work environment (Healthcare). ( Preferred ) + Has ... blog: https://healthsource.premera.com/ . **_About the role of Senior Risk Adjustment Operations Department Coordinator_** As the **Senior Risk Adjustment… more
- Hartford HealthCare (Farmington, CT)
- …Hartford Healthcare o Experience with the nuances of diagnosis coding and risk adjustment programs preferred ** o Experience working in an educational/ training ... specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to Manager… more
- Convey Health Solutions (Chicago, IL)
- …Familiarity with healthcare payer/provider claims, clinical, or quality data. + Risk Adjustment experience is preferred . OTHER DUTIES AND RESPONSIBILITIES + ... to accelerate analytic insights and new feature enhancements to Pareto's risk adjustment solution suite. Additionally, the ability to understand / contribute to… more
- Molina Healthcare (Caldwell, ID)
- …NPIs, TINs, etc. * History of success in roles impacting both Risk Adjustment and HEDIS ** PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green ... ABILITIES:** * 4+ years of program and/or project management experience in risk adjustment and/or quality * 4+ years of experience supporting HEDIS engine activity,… more
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