• Risk Adjustment Audit…

    Molina Healthcare (Tampa, FL)
    …and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate ... Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in...team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of… more
    Molina Healthcare (08/08/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Tampa, FL)
    …chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, ... the daily operations of all aspects of risk adjustment data validation related activities, including,...adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external… more
    Molina Healthcare (07/25/25)
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  • Director, Clinical Data Acquisition (HEDIS…

    Molina Healthcare (Tampa, FL)
    …for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This ... * Experience developing performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation… more
    Molina Healthcare (08/21/25)
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