• ACA / Medicare Risk…

    Baylor Scott & White Health (St. Paul, MN)
    + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... to provide insight to decision-makers. This role supports program management activities around risk adjustment data management and submissions to CMS. This role… more
    Baylor Scott & White Health (10/03/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …be considered. * Experience in medical coding with a focus on Medicare Advantage and ACA risk adjustment . * Certified Risk Adjustment Coder (CRC) ... certification * In-depth knowledge of ACA & Medicare Advantage risk adjustment methodology, coding guidelines (ICD-10-CM), healthcare compliance, and… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Director of Risk Adjustment

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …skills, and military experience will be considered. * Extensive knowledge of CMS risk adjustment regulations, HHS ACA requirements, Medicaid risk ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota Career Area: Special… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (St. Paul, MN)
    …in the organization's value-based reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/regulatory requirements and CMS ... share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA , and commercial populations...outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value… more
    Highmark Health (08/20/25)
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