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22,777 Risk Adjustment Jobs

  • Type
    Full-Time

Position Description The Expert Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage, Affordable Care Act (ACA) and/or Medicaid Risk Adjustment by ...

Adobe Care And Wellness LLC

Risk Adjustment Specialist

Adobe Care And Wellness LLC Tempe, AZ
  • Type
    Full-Time

Serves as a key member of the Medicare Risk Adjustment Management team in developing processes for multidisciplinary, matrixed teams to execute the strategic vision and achieve the goals and ...

  • Type
    Full-Time

Position OverviewReporting to the COO, the SVP, Risk Adjustment Operations will work to identify, implement, and improve solutions across the Home & Community Services (HCS) Operations to help the ...

Saicon Consultants Inc

Risk Adjustment Analyst

Saicon Consultants Inc Portland, OR
  • Benefits
    Medical Life Insurance Dental
  • Type
    Full-Time

The Risk Adjustment Analyst is a critical resource in our efforts to ensure adequate compensation for risk assumed in Medicare and ACA markets, while improving the experience of both the member and ...

Yoh Staffing Solutions

Risk Adjustment Coder II

Yoh Staffing Solutions San Ramon, CA
  • Type
    Contractor

Risk Adjustment Coder II needed for a temp opportunity with Yoh's client located in San Ramon, CA! Top Skills Should You Possess: * Experience with medical & HCC coding What You'll Be Doing

  • Type
    Full-Time

Our risk adjustment analytics team is responsible for managing, measuring, and optimizing all aspects of Medicare, Medicaid, and ACA risk adjustment programs to ensure complete and accurate capture ...

Cambia Health Solutions, Inc

Risk Adjustment Campaign Associate

Cambia Health Solutions, Inc Jordan Valley, OR
  • Type
    Full-Time

Risk Adjustment Campaign Associate Remote in Oregon, Washington, Idaho or Utah Primary Job Purpose... The Risk Adjustment Campaign Associate oversees multiple small to large-scale complex projects ...

Medical Professionals

Risk Adjustment Coder

Medical Professionals San Ramon, CA
  • Pay
    $33 to $43 Hourly
  • Benefits
    Vision Medical 401k Dental
  • Type
    Full-Time

In this role The Risk Adjustment Coder II provides support and coding expertise to all programs that support risk adjustment and data validation efforts for our Medicare, Commercial and PPO lines of ...

Centene Corporation

Risk Adjustment Auditor Educator -Remote Available

Centene Corporation San Francisco, CA
  • Type
    Full-Time

Subject matter experts for proper risk adjustment coding and CMS data validation * Work in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director ...

Medical Mutual of Ohio

Risk Adjustment Programs Analyst

Medical Mutual of Ohio Cleveland, OH
  • Type
    Full-Time

... risk adjustment programs and their effectiveness, advises on necessary courses of action • Collaborates and communicates with leadership from RAPs, Care Management, Quality and Population Health ...

Prominence Health Plan

Sr. Field Coder, Risk Adjustment

Prominence Health Plan Reno, NV
  • Type
    Full-Time

Provides clinically based concurrent and retrospective review of medical records to evaluate the quality of documentation for Risk Adjustment and HEDIS purposes. The goal of concurrent review ...

  • Pay
    $135K to $169K Annually
  • Type
    Full-Time

Status: Full-time, Salaried, Work from open The Director - Data Science (Risk Adjustment) will lead a team of data- scientists/analytics professionals engaged in development and implementation of ...

Centene Corporation

Risk Adjustment Coder

Centene Corporation Lafayette, LA
  • Type
    Full-Time

Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines. * * Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model. * * Ability to meet ...

Premera Blue Cross

VP Quality and Risk Adjustment

Premera Blue Cross Mountlake Terrace, WA
  • Type
    Full-Time

As theVP, Quality and Risk Adjustment , you will be responsible for the strategic development and results of Premera's Quality Improvement Program and oversee all aspects of the Program. The Premera ...

  • Type
    Full-Time

SUMMARY The Risk Adjustment Coding Specialist is responsible for reviewing provider documentation of diagnostic data from medical record to verify that all Medicare Advantage and Commercial risk ...

Agilon Health

Manager, Risk Adjustment

Agilon Health Minneapolis, MN
  • Type
    Full-Time

Manager, Risk Adjustment Job Description: Position Summary: The Manager of Risk Adjustment will be accountable for successfully managing the Risk Adjustment program and overseeing the end-to-end ...

  • Type
    Full-Time

The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic ...

Manatee Memorial Hospital

CODER - RISK ADJUSTMENT

Manatee Memorial Hospital Reno, NV
  • Type
    Full-Time

The Coder of Risk Adjustment will be responsible for accurate coding and documentation which is imperative to support proper reimbursement from Medicare while ensuring organizational compliance. The ...

  • Type
    Full-Time

ApolloMed is looking for a Risk Adjustment Billing Specialist who will work at our Alhambra office location at 1668 S. Garfield Ave, Alhambra CA 91770; this positon will be temporary hybrid with 3 ...