- Baylor Scott & White Health (Austin, TX)
- …internal and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible...such as revenue forecasting and ROI. + Contributes to program improvement by designing and implementing business process and… 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
- Humana (Springfield, IL)
- …our caring community and help us put health first** The Director, Quality and Risk Adjustment has regional oversight of the development and implementation of the ... company Medicare /Medicaid Stars Program . Oversees Stars quality improvement...to increase the plan quality. Has regional oversight of risk adjustment to ensure appropriate implementation of… 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
- Centene Corporation (Jefferson City, MO)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- MVP Health Care (Schenectady, 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
- Molina Healthcare (Ridgeland, MS)
- **Job Description** **Job Summary** The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality ... of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject matter expert...MHI RQES and VP Stars in developing the local Medicare Stars work plan and executes on interventions that… more
- Amazon (CO)
- …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
- Blue KC (Kansas City, MO)
- …groups. + Analyze data and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare Advantage and Qualified ... programs focused on improving the quality of care for Medicare Advantage & Qualified Health Plan (ACA) Members. +...+ Provide training on Stars measures, risk adjustment coding practices, and Blue KC program … more
Recent Jobs
-
Transportation / Aviation Electrical Engineer
- AECOM (Chicago, IL)
-
Summer Intern - Technology, Infrastructure and Innovation
- CIBC (Chicago, IL)
-
SAFe Proxy Product Owner (Cloud)
- Shuvel Digital (Dulles, VA)
-
UI Developer - Angular/Java (Kubernetes & Containerized Applications)
- System One (Pittsburgh, PA)
Related Job Searches:
Adjustment,
Medicare,
Medicare Risk Adjustment,
Program,
Risk,
Risk Adjustment