Data Risk Analyst
Phoenix, AZ ยท On-site
... RADV audits Crossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall ...
New
Phoenix, AZ ยท On-site
... RADV audits Crossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall ...
New
Phoenix, AZ ยท On-site
... RADV audits Crossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall ...
New
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Coordinate and support internal and external audits, including RADV and other regulatory or operational reviews * Serve as the primary point of coordination for audit requests, documentation ...
Coordinate and support internal and external audits, including RADV and other regulatory or operational reviews * Serve as the primary point of coordination for audit requests, documentation ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Houston, TX ยท On-site
$27.69 - $34.61/hr
Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and attending REGTAP calls. Stay current with coding standards, risk adjustment methodologies, and CMS ...
Houston, TX ยท On-site
$27.69 - $34.61/hr
Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and attending REGTAP calls. Stay current with coding standards, risk adjustment methodologies, and CMS ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Los Angeles, CA ยท On-site +1
Medicare Advantage regulatory oversight, including RADV and encounter data integrity * Operational and IT audit leadership across finance, claims, pharmacy, medical management, and technology
Quick apply
Los Angeles, CA ยท On-site +1
Medicare Advantage regulatory oversight, including RADV and encounter data integrity * Operational and IT audit leadership across finance, claims, pharmacy, medical management, and technology
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape ...
| Aspect | Radv | Radiologic Technologist |
|---|---|---|
| Credentials | Certification in radiography, often specific to radiology | Certification in radiography or radiologic technology |
| Work Environment | Hospitals, clinics, imaging centers | Hospitals, outpatient clinics, diagnostic labs |
| Employer & Industry Usage | Primarily in radiology departments | Broader healthcare settings including radiology |
Radv and Radiologic Technologist roles share similar credentials and work environments, often overlapping in hospitals and clinics. However, Radv may focus more specifically on radiology procedures, while Radiologic Technologists have a broader scope including various imaging techniques. Both are essential in diagnostic healthcare, with Radv often specializing in radiography.

Other
Posted 2 days ago
Data Risk Analyst
Location : Phoenix , AZ
Please find the JD Below
The Risk Adjustment Analyst serves as a data and strategic specialist who tracks health plan performance and financial risk By using advanced coding methodologies and data extraction tools they bridge the gap between clinical documentation and actuarial health forecasting Their overarching goal is to maintain absolute regulatory compliance while optimizing organizational revenue
Must Have
Data Analysis Modeling Gather clean and consolidate financial claims pharmacy enrollment and premium datasets into actionable models
Risk Score Calculation Analyze diagnostic patterns to calculate Risk Adjustment Factors RAF and forecast financial impacts using clinical metrics
Coding Quality Compliance Maintain deep familiarity with medical terminologies ICD10CM coding and Hierarchical Condition Categories HCC to isolate coding discrepancies or revenue gaps
Audit Support Provide backend reporting and data validation to assist with internal quality checks and federal Risk Adjustment Data Validation RADV audits
Crossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall disease burden
Reporting Dashboards Design custom automated dashboards and adhoc financial plans to report risk trends directly to executive leadership
Skills Advanced proficiency in SQL for relational databases paired with statistical modeling in Python SAS or R
Nice to Have
Healthcare experience
Soft Skills
1 Strong communication and interpersonal skills
2 Good analytical and problemsolving skills
Skills
Mandatory Skills : Dimensional Data Modeling, MS SQL Server, Python for DATA, R - Data Science, SAS-Data Integrator
Good to Have Skills : Statistics-Data Science