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Permanent Hcc Risk Adjustment Jobs in Virginia (NOW HIRING)

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models * Experience working with CMS and CMMI total cost of care (ACO) programs * Proven track record ...

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Permanent Hcc Risk Adjustment information

What is the difference between Permanent Hcc Risk Adjustment vs Permanent Hcc Risk Adjustment?

AspectPermanent Hcc Risk Adjustment

It appears there is a duplication in the comparison question. Assuming the intended comparison is between Permanent Hcc Risk Adjustment and Hcc Coding Specialist, here is the comparison:

AspectPermanent Hcc Risk Adjustment

Permanent Hcc Risk Adjustment involves analyzing and managing patient data to ensure accurate risk scores for insurance purposes, requiring knowledge of medical coding, risk models, and healthcare regulations. An Hcc Coding Specialist focuses on assigning correct diagnosis codes to patient records, often working in similar environments with certifications like CPC. Both roles are essential in healthcare reimbursement and share similar credentials, work settings, and industry usage, but the Risk Adjustment role emphasizes data analysis and risk management, while Coding Specialists focus on accurate coding documentation.

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Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations

Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations

Amazon

Arlington, VA

Full-time

Posted 4 days ago

Amazon rating

7.4

Company rating: 7.4 out of 10

Based on 7,012 frontline employees who took The Breakroom Quiz

6th of 39 rated national retailers

Job description

Are you passionate about transforming healthcare finance through innovation and AI. Amazon is seeking a Revenue Cycle manager to own the strategy and performance of the end-to-end revenue cycle for One Medical's Senior Health line of business. In this role, you'll drive meaningful impact by improving net collections, accelerating free cash flow, and strengthening regulatory compliance under Medicare and Medicare Advantage reimbursement models-all while raising the bar on the member financial experience.
This role is unique because success is defined not by managing transactional volume, but by diving deep to identify root causes of defects, eliminating unnecessary work through upstream fixes and simplification, and deploying AI to scale team impact

You'll work at the intersection of healthcare finance, regulatory compliance, and technology to solve complex challenges that directly improve both business performance and patient outcomes.
Key job responsibilities
- Own the strategy and financial performance of the Senior Health revenue cycle end-to-end, with accountability for net collection rate, aged accounts receivable, bad debt, and free cash flow under Medicare and Medicare Advantage reimbursement models
- Dive deep to identify root causes of claim and payment defects, distinguish symptoms from systemic issues, and prioritize the highest-value defects for resolution by partnering with clinical and revenue cycle teams to implement upstream fixes
- Redesign revenue cycle workflows by challenging every step in existing processes, eliminating work that does not add value, and simplifying processes to be faster, more compliant, and more efficient
- Deploy AI and automation as primary levers to scale operations-using AI to detect defect patterns, surface risk, generate operational insights, and reduce manual effort without adding headcount
- Partner with Compliance, Legal, and Clinical leaders to set and uphold compliance standards for Medicare and Medicare Advantage, including Hierarchical Condition Category (HCC) risk-adjustment coding accuracy and documentation integrity
About the team
The Healthcare FinOps (HFO) team provides centralized revenue cycle management support for Amazon Health Services, owning end-to-end billing and collections operations across our health business lines. We manage the full claims lifecycle-from charge capture and coding through denial management and payment posting-partnering with healthcare technology vendors to build automation, improve first-pass resolution rates, and scale efficiently.
Our team is building the future of healthcare finance by combining deep operational expertise with innovative technology solutions. We foster a culture of continuous improvement, where every team member is empowered to challenge the status quo, simplify complexity, and drive measurable impact for our patients and business.

What Amazon employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Amazon

Sourced by ZipRecruiter

Amazon.com, Inc., commonly known as Amazon, is an American multinational technology company. It was founded by Jeff Bezos in 1994 and initially started as an online marketplace for books. Since then, Amazon has expanded its operations and become one of the largest e-commerce companies in the world. Amazon's primary business is its online retail platform, where customers can purchase a vast array of products, including electronics, clothing, books, home goods, and much more. The company offers a convenient and user-friendly shopping experience, with features such as fast shipping, customer reviews, and personalized recommendations. In addition to its e-commerce platform, Amazon has diversified its business into various other areas. One of its notable ventures is Amazon Web Services (AWS), a comprehensive cloud computing platform that provides services such as storage, compute power, and database management to individuals and businesses. AWS has become a leader in the cloud computing industry, powering many websites and applications worldwide. Amazon has also developed its own consumer electronics, including the popular Amazon Kindle e-reader, Fire tablets, Fire TV streaming devices, and the Alexa-powered Echo smart speakers. The Alexa voice assistant, integrated into these devices, allows users to interact with their devices using voice commands, perform tasks, and access information. Furthermore, Amazon has expanded into media and entertainment. It operates Prime Video, a streaming service that offers a wide range of movies, TV shows, and original content. Amazon Music provides a platform for streaming and purchasing digital music, while Audible offers audiobooks and other audio content. The company's commitment to customer satisfaction and convenience is demonstrated by its membership program, Amazon Prime. Prime members receive various benefits, including free two-day shipping, access to streaming services, exclusive deals, and more.

Industry

It services, book publishers, retail, real estate and computer and electronic product manufacturing

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US

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