• Quality & Risk Adjustment

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... -performance consultation team, this role * Identifies opportunities for provider groups to improve performance on quality ...-facing or leadership-facing experience * Knowledge of Health Care Quality measures * Certified Risk Adjustment more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …are ready to make a difference, join us. The Impact You Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Director, Prospective + Concurrent Risk

    Datavant (St. Paul, MN)
    …multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment , care management, and provider enablement. + Identify ... 8+ years of product management experience in healthcare, including ownership of clinical, risk adjustment , or provider -facing solutions. + Proven leadership… more
    Datavant (08/08/25)
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  • Manager, Risk Adjustment Coding…

    Evolent (St. Paul, MN)
    …You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the ... Risk Adjustment Coding Support team. Evolent Care...improvement for individual employees and that impact the team. Provide individual and team training on clinical documentation requirements,… more
    Evolent (09/23/25)
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  • Clinical Documentation Improvement Specialist…

    Bluestone Physician Services (Stillwater, MN)
    …and other clinical staff to educate them on the importance of accurate documentation for risk adjustment purposes. + Provide ongoing training and support to ... thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play… more
    Bluestone Physician Services (09/07/25)
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  • Product Manager, Risk Adjustment

    Datavant (St. Paul, MN)
    …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 ... execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...data pipelines, providing the ability to proactively intervene and provide traceability + Maintain databases / data stores that… more
    Datavant (08/20/25)
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  • Auditor, HCC Risk Adjustment Coding…

    Datavant (St. Paul, MN)
    …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 (08/08/25)
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  • Supervisor, HCC Risk Adjustment

    Datavant (St. Paul, MN)
    …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... and time off requests. + Receive, merge and track quality , productivity, and feedback for all team members. +...Provide coaching and feedback on achieving production and quality standards of the role. + Report trends for… more
    Datavant (09/20/25)
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  • Senior Data Quality /Integrity Engineer

    Humana (St. Paul, MN)
    …with corporate and market teams, including IT, Quality Operations and Compliance, and Risk Adjustment , as well as vended partners. The Senior Data Quality ... community and help us put health first** Humana's Health Quality and Stars organization is seeking a Senior Data...audit requirements to partner on data/process updates; and to provide insights, impacts and guidance to the enterprise +… more
    Humana (10/02/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (St. Paul, MN)
    …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
    Datavant (09/25/25)
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