Remote Medicare Risk Adjustment Jobs (NOW HIRING)

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and ... remote position.

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and ... remote position.

Lead enterprise risk adjustment strategy for Medicare Advantage, Medicaid, and Commercial risk contracts * Drive accurate and sustainable RAF performance through prospective and retrospective ...

Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are ...

Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are ...

... Medicare-Medicaid Plan (MMP) lines of business. • Assists risk adjustment data analytics leaders in developing automated suspect and target/ranking engine for all lines of businesses. • ...

Experience with Medicare and/or commercial risk adjustment processes. * Experience and ... Dress code is typical for a professional remote work setting and may be adjusted as needed for ...

Experience with Medicare and/or commercial risk adjustment processes. * Experience and ... Dress code is typical for a professional remote work setting and may be adjusted as needed for ...

Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are ...

Risk Adjustment Coding Specialist II - REMOTE (CST/EST) Department: Quality - Risk Adjustment ... Review provider documentation of diagnostic data from medical records to verify that all Medicare ...

Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are ...

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... Fully Remote (with up to 10% travel) Salary Range: $120,000- $140,000 This position requires the ...

Risk Adjustment Work Shift: Day Job Category: Risk, Quality and Safety A rewarding career that fits ... This is a remote position with a work schedule of Monday - Friday 8am - 5pm. Candidates must live ...

Develop and own the enterprise risk adjustment analytics strategy, roadmap, and governance framework across all lines of business including Medicare Advantage, Medicaid Managed Care, and ACO REACH.

Support compliance with Medicare Advantage, Medicaid, CMS, telehealth, payer, and risk adjustment ... Location This is a remote U.S. role with occasional travel as needed for leadership, audit ...

... the Medicare Shared Savings Program and Medicare Advantage and Commercial value-based care ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

... for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed ... risk adjustment improvement initiatives. The auditor prepares customized reports based on data ...

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... Fully Remote (with up to 10% travel) Salary Range: $120,000- $140,000 This position requires the ...

... the Medicare Shared Savings Program and Medicare Advantage and Commercial value-based care ... Technical Requirements (for remote workers only, not applicable for onsite/in office work): In ...