• Director, Strategy Advancement, Risk…

    Humana (Salt Lake City, UT)
    …part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and ... business segments and the company at large. The Director, Risk Adjustment Strategy Advancement requires...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (05/29/25)
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  • Risk Adjustment Trainer

    Datavant (Salt Lake City, UT)
    …+ Knowledge and understanding of HCC mapping and models + Experience with coding Medicare , Commercial and Medicaid risk adjustment charts + Understanding of ... Medicare , Commercial and Medicaid risk adjustment business logic and coding +...other legally protected status. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that… more
    Datavant (05/07/25)
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  • Market Partnership and Finance Strategy…

    CenterWell (Salt Lake City, UT)
    …at increasing clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct ... The Market Partnership and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed… more
    CenterWell (04/26/25)
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  • Senior Analyst, Risk & Quality Reporting…

    Molina Healthcare (UT)
    …Azure, AWS, or Hadoop + 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare...users on how to use reports + Builds intervention strategy reporting for the Risk and Quality… more
    Molina Healthcare (05/31/25)
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  • IPA Coding Associate Director

    CenterWell (Salt Lake City, UT)
    …within the Primary Care Organization. ** Strategy :** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy , responsible for driving ongoing ... Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions.… more
    CenterWell (04/24/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Salt Lake City, UT)
    …care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex care, ... strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing...develop and support the MSO's National Clinical Vision and Strategy , directly lead a team of regional & area… more
    CenterWell (05/28/25)
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  • Sr Analyst, Specialty Performance Analytics

    Evolent (Salt Lake City, UT)
    …of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and pod ... to be reliable, be an excellent teammate, and contribute to our culture and strategy . **What You'll Be Doing:** + Participate in design and scoping of analytic work;… more
    Evolent (05/22/25)
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