- Humana (Sacramento, CA)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Ankura (Los Angeles, CA)
- …issues that affect a healthcare organization, especially related to Medicare and Commercial Risk Adjustment . + Strong time management skills and ability ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- HCA Healthcare (Campbell, CA)
- …changes and requirements into strategy and forecasts + Lead the collaboration between Risk Adjustment , Quality, Medical Management and Network Management ... impacting our communities. As a Director of Quality and Risk Adjustment with HCA Healthcare, you can...and focus + Collaborate with key stakeholders like Network Management to ensure Representatives are armed with actionable data… more
- Baylor Scott & White Health (Sacramento, CA)
- …and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... procedure documentation. + Oversee updates to department policies and procedures regarding risk adjustment data management . + Remain current on CMS Risk… more
- Datavant (Sacramento, CA)
- …and roadmap for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Client Data Management :** Oversee secure and ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and… more
- Datavant (Sacramento, CA)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (Sacramento, CA)
- …vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... for education opportunities in both quality and productivity to management for review and/or action. + Assists in auditing...95% or higher. + Any other tasks required by management . What you will bring to the table: +… more
- Datavant (Sacramento, CA)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Sacramento, CA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Amazon (CA)
- …project progress and roadblocks. Surface risk insights and best practices for risk management and mitigation. Contribute to internal risk management ... emerging risks and monitor controls. Prepare and deliver business reviews to the management team regarding emerging risks, status of risk assessments, and… more
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