• Business Consultant Sr ( Medicare…

    Elevance Health (Grand Prairie, TX)
    …is strongly preferred + Healthcare business knowledge related to Risk Adjustment Payment Methodology strongly preferred + Advanced skills in Microsoft Office ... consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on… more
    Elevance Health (05/01/25)
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  • Sr Analyst, Healthcare Analytics - Risk…

    Molina Healthcare (Fort Worth, TX)
    …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare...risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA… more
    Molina Healthcare (05/03/25)
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  • Risk Adjustment Trainer

    Datavant (Austin, TX)
    …+ Knowledge and understanding of HCC mapping and models + Experience with coding Medicare , Commercial and Medicaid risk adjustment charts + Understanding of ... staff/external partners + Oversee the development of complex and advanced ICD-10 and Hierarchical Condition Category (HCC) coding and... Medicare , Commercial and Medicaid risk adjustment business logic and coding +… more
    Datavant (05/07/25)
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