• Risk Adjustment Medical…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    The ** Risk Adjustment & Quality Division at BCBST** is seeking a skilled ** Risk Adjustment Medical Record Coder** to support our mission of ... this role, you will perform first\-pass reviews of member medical records to identify and capture active...accordance with BCBST policy\. **Preferred Qualifications:** + CRC \(Certified Risk Adjustment Coder\) certification is a plus\.… more
    BlueCross BlueShield of Tennessee (12/10/25)
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  • Risk Adjustment Actuarial Analyst II…

    Elevance Health (Nashville, TN)
    ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
    Elevance Health (12/03/25)
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  • Operations Supervisor, Risk…

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …a strong background in medical records coding and quality assurance? Risk Adjustment is looking for a **Supervisor** to lead a dynamic team dedicated ... to accuracy and compliance in risk adjustment coding\. **About the Team:** This... records from provider offices and supervise the medical record quality review process\. + Ensure… more
    BlueCross BlueShield of Tennessee (12/09/25)
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  • Senior Field Sales Executive - Healthcare…

    Wolters Kluwer (Nashville, TN)
    …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...role covers all new business, w/ a proven track record of success in sales. **Key Tasks: ** +… more
    Wolters Kluwer (10/28/25)
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  • HCC Risk Adjustment Coder - Full…

    Datavant (Nashville, TN)
    …for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines… more
    Datavant (11/14/25)
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  • Director, Risk Bearing Provider Sales

    Datavant (Nashville, TN)
    …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care...providers (health systems, ACOs, IPAs, etc.). + Proven track record of exceeding sales quotas and driving revenue growth… more
    Datavant (12/10/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and...Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented… more
    CVS Health (12/12/25)
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  • Onsite Medical Representative

    Amazon (Charleston, TN)
    …referrals to outside medical providers as necessary. - Minimize the AA risk of injury through awareness, education, and proactive engagement. - Maintain all ... goals, Amazon is seeking an experienced and dynamic Onsite Medical Representative (OMR) to join our team. In this... providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a… more
    Amazon (11/19/25)
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  • Healthcare Clinical Documentation Specialist

    Deloitte (Nashville, TN)
    …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service...+ Knowledge of care delivery documentation systems and related medical record documents + Knowledge of age-specific… more
    Deloitte (11/21/25)
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  • Medical Science Liaison, Cell Therapy…

    Bristol Myers Squibb (Nashville, TN)
    …lives. Read more: careers.bms.com/working-with-us . **Summary:** The Cell Therapy MSL captures medical insights and acts as a clinical & scientific advisor to ... partners. Ensures applicable interactions are aligned with enterprise and medical strategies and ultimately serve to ensure patients have...by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. + The… more
    Bristol Myers Squibb (11/25/25)
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