• Auditor , Risk Adjustment…

    Molina Healthcare (Miami, FL)
    …**Knowledge/Skills/Abilities** * Assist in the daily operations of all aspects of risk adjustment data validation related activities, including, but not limited ... file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, milestones and… more
    Molina Healthcare (07/25/25)
    - Related Jobs

  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more
    Humana (07/29/25)
    - Related Jobs