• ACA / Medicare Risk…

    Baylor Scott & White Health (Jefferson City, MO)
    + **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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  • Government Programs Submissions and Vendor Data…

    Blue KC (Kansas City, MO)
    …of that data. **Job Description** + Maintains expert knowledge of Medicare Advantage & ACA Risk Adjustment models + Responsible for all formal risk ... of the role + Minimum 5 years' experience in Medicare Advantage & ACA Risk Adjustment submission experience **Blue Cross and Blue Shield of Kansas City… more
    Blue KC (10/16/25)
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  • Sr. Data Analyst - US Remote

    Datavant (Jefferson City, MO)
    …improve productivity and quality.** + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and ... SQL queries, MS Excel, Python, etc + Deep understanding of and experience in Risk Adjustment (MA, ACA and MD) business analytics with knowledge of different … more
    Datavant (11/25/25)
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  • Government Programs Clinical Coordinator, Senior

    Blue KC (Kansas City, MO)
    …experience + Strong knowledge of Medicare Advantage and Qualified Health Plans ( ACA ) including Stars and Risk Adjustment + Experience in consulting ... programs focused on improving the quality of care for Medicare Advantage & Qualified Health Plan ( ACA )...and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare… more
    Blue KC (11/01/25)
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