Full Time Director Medicare Risk Adjustment Jobs

Position Overview Risk Adjustment is a growing and critical field within Health Insurance Finance ... Medicaid, Medicare and Affordable Care Act/QHP. This includes monitoring submission timelines ...

Familiarity with Medicare Advantage (preferred) and/or other risk programs, including chart review ... adjustment audits), and designing monitoring/controls. * Experience developing or specifying ...

We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112 ... Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and ...

... Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112 ... Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and ...

Analyze risk adjustment data to identify trends and implement strategies for improvement. 4. ... This is a Full Time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...

ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... This is a full-time position working Monday through Friday at variable daytime hours. This will be ...

Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments and risk adjustment ...

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... This is a full-time position working Monday through Friday at variable daytime hours. This will be ...

ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as ...

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... This is a full-time position working Monday through Friday at variable daytime hours. This will be ...

Analyze risk adjustment data to identify trends and implement strategies for improvement. 4. ... This is a Full Time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...

As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk ...

As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk ...

The Senior Director, Medicare Performance Hub (MPH) is a leadership role within the Blue Cross Blue ... Proactively identify benchmarks and performance targets across Stars, Risk Adjustment, and Medical ...

As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk ...

As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk ...

As a member of the Risk Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk ...

Key responsibilities include leading risk adjustment analytics with an initial emphasis on Medicare Advantage and Medicare; tracking risk-score movement and flagging anomalies; applying expert ...