- Baylor Scott & White Health (Salt Lake City, UT)
- + **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
- University of Utah Health (Murray, UT)
- …lines of business (eg, ACA , Medicaid). + Supports the evaluation of risk adjustment interventions such as provider outreach, chart reviews, and in-home ... trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for...targeting data to identify opportunities for accurate and complete risk score capture in ACA (Marketplace), and… more
- Molina Healthcare (Orem, UT)
- …Director level role or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data ... **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for...processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA , and Medicaid lines of… more
- Highmark Health (Salt Lake City, UT)
- …in the organization's value-based reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/regulatory requirements and CMS ... share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA , and commercial populations...outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value… more