- HCA Healthcare (Campbell, CA)
- … preferred + Minimum 5 years in management position leading Quality and Risk Adjustment programs preferred + Licensure: CPC, CRC and CPQH required; LVN or RN ... 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… more
- CDPHP (Albany, NY)
- …CPC certification within one year of employment is required. + CRC (Certified Risk Adjustment Coder) credential preferred . + Minimum one (1) year of experience ... to be a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart...+ High school diploma or GED required. Associates degree preferred . + CCS/CCS-P (Certified Coding Specialist) or CPC/CPC-A (Certified… more
- Elevance Health (Mason, OH)
- …Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is strongly preferred . Please be advised that ... **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk contracts including conducting… more
- Elevance Health (Mason, OH)
- …is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly preferred + Advanced skills in Microsoft Office ... consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …CMS/HHS risk adjustment models required + Associate's degree or higher preferred + Knowledge of Microsoft Office, including Word and Excel #LI-HYBRID Minimum ... us transform healthcare? Bring your true colors to blue. The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and professional… more
- State of Connecticut, Department of Administrative Services (Windsor, CT)
- …rehabilitation counseling, job placement of individuals with disabilities or vocational adjustment counseling. PREFERRED QUALIFICATIONS + Experience in career ... the request and discretion of the hiring agency. + Preferred Shift/Location: Select all location(s) and shift(s) you are...and visually impaired on issues of personal and vocational adjustment . EXAMPLES OF DUTIES + Interviews applicants who are… 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
- Molina Healthcare (New York, NY)
- …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
- 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 $79,430 - $97,080/year, 5% bonus target, full benefits.… 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
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