• Risk Adjustment Manager…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate ... risk adjustment strategy for the acquisition and...programs and metrics for monitoring the progress of the operations in collaboration with cross-functional teams and senior leadership.… more
    CareFirst (09/12/25)
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  • Manager , Risk Adjustment…

    Blue KC (Kansas City, MO)
    … Adjustment (RA) programs for Commercial (ACA). Manages Risk Adjustment coding, auditing and retrieval operations and if needed special projects within ... performance, monitoring and improvement of our risk adjustment coding and chart retrieval operations which...risk adjustment coding and chart retrieval operations which at times may include oversight oftemporary coders… more
    Blue KC (10/07/25)
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  • Manager , Medicaid Risk…

    CVS Health (Workman, MN)
    …are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility ... to senior leaders and market partners. The Medicaid Market Manager will serve as the key connector between national...years of experience in the health care industry, Medicaid operations , risk adjustment , or medical… more
    CVS Health (10/07/25)
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  • Manager , Quality and Risk…

    OhioHealth (Columbus, OH)
    …achieve more - in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic ... Performance **Responsibilities And Duties:** 40% Responsible for the daily operations and supervision of Risk Adjustment...for the daily operations and supervision of Risk Adjustment & Quality programs; works with… more
    OhioHealth (09/27/25)
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  • Product Manager , Risk…

    Datavant (Richmond, VA)
    …life experiences 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 execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database… more
    Datavant (08/20/25)
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  • Enterprise Risk Adjustment Analyst…

    LA Care Health Plan (Los Angeles, CA)
    … department operations Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as ... Enterprise Risk Adjustment Analyst III Job Category:...to reimbursement reporting requirements. Brings identified concerns to the Manager with recommendations for resolution. Applies subject expertise in… more
    LA Care Health Plan (07/11/25)
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  • Risk Adjustment Actuarial Analyst II…

    Elevance Health (FL)
    …and actively participates in internal risk adjustment analytics and risk adjustment operations meetings. + Participates in peer-to-peer review ... ** Risk Adjustment Actuarial Analyst II -...** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/30/25)
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  • Risk Adjustment Coder-6

    ChenMed (Miami, FL)
    …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
    ChenMed (10/03/25)
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  • Quality & Risk Adjustment Provider…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
    Blue Cross and Blue Shield of Minnesota (09/30/25)
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  • Risk Manager , Finance…

    Amazon (Seattle, WA)
    …future of Risk and Governance in Finance Operations Amazon is seeking a Risk Manager to join our Finance Operations Risk , Governance, and ... Earth's most customer-centric company. Key job responsibilities As a Risk Manager , you will be the go-to...go-to expert for project and program management across Finance Operations Risk & Governance (FORGE). Your responsibilities… more
    Amazon (08/21/25)
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