- CareOregon (Portland, OR)
- …Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Risk Adjustment Analyst Department Finance Exemption Status Exempt ... reside in Oregon or SW Washington Job Summary The Risk Adjustment Analyst performs data...Conduct trend analysis to identify process improvements related to coding and documentation. + Gain knowledge of and perform… more
- UNC Health Care (Chapel Hill, NC)
- …the health and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical ... payer under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for...CDI staff such as the HCC/RAF Pocket Guide, HCC Coding Tip Sheets by clinical conditions, and relevant information… more
- Elevance Health (VA)
- …and quality of life through home-care and community based services. **Medical Coding Analyst Sr.** Seeking Certified Medical Coders.** Location: **This position ... - Friday, 8 am to 5 pm.** The **Medical Coding Analyst Sr** is responsible for reviewing,...strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Information Technology Services, Office of Title Technology Analyst 1 (Rapid Application Development) - Project Assistant Occupational Category IT ... for 53 New York State Agencies. Under the direction of the Technology Analyst 2 (Rapid Application Development), the Technology Analyst 1 (Rapid Application… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Risk Adjustment Data Analyst to support a leading health insurance customer. The main purpose of a ... better business decisions. The individual will interpret and apply Medicare Advantage Risk Adjustment rules, regulations, and processes in analytics projects.… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- VNS Health (Manhattan, NY)
- …membership? "Our analysts are knowledgeable about medical claims data and the risk - adjustment models that determine our revenues; they analyze opportunities for ... We are looking for an ambitious and curious senior health economics analyst to join our team. Compensation Range:$93,400.00 - $116,800.00 Annual What We… more
- AIG (Parsippany, NJ)
- …we help customers to manage risk . Join us as a Senior Loss Sensitive Analyst to play your part in that transformation. It's an opportunity to grow your skills ... member of the team. Make your mark in Retail Casualty within AIG Risk Management, (AIGRM) Client Services. AIG underwriting teams help to find insurance solutions… more
- Molina Healthcare (Albany, NY)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
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