• Risk Adjustment - Risk…

    Humana (St. Paul, MN)
    …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
    Humana (11/01/25)
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  • Director of Risk Adjustment

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    … risk adjustment activities. * Collaborate with Clinical and Care Management teams to align risk adjustment initiatives with population health, ... and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota...teams and driving data integrity, this role enhances care management , risk mitigation, and financial optimization. The… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Risk Adjustment QA Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …errors, and prevent fraud. * Collaborate with Provider Network, Clinical and Care Management teams to align risk adjustment initiatives with population ... characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Director Risk Adjustment and Quality…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | ... Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead...skill and career development, policy administration, coaching on performance management and behavior, employee relations, and cost control. Required… more
    Blue Cross and Blue Shield of Minnesota (11/01/25)
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  • ACA/Medicare Risk Adjustment Analyst…

    Baylor Scott & White Health (St. Paul, MN)
    …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
    Baylor Scott & White Health (10/03/25)
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  • Product Manager, Risk Adjustment…

    Datavant (St. Paul, MN)
    …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 (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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  • Auditing Team Lead, HCC Risk…

    Datavant (St. Paul, MN)
    …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 (10/23/25)
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  • Supervisor, Risk Adjustment Auditing

    Datavant (St. Paul, MN)
    …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 (10/19/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (St. Paul, MN)
    …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
    Datavant (10/30/25)
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