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TypeFull-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 ...
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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 ...
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 ...
Risk Adjustment Analyst, Experienced - 22002BF At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our ...
The Experienced Risk Adjustment Analyst will report to the Senior Manager Medi-Cal Encounter Analytics. In this role you will you will generate risk scores and track variances to prior year and Plan ...
The Data analyst will be a key member of the Risk adjustment department whose responsibility is to conduct analyses to support Operations staff and derive metrics to improve vendor accountability
Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment * Identify and implement appropriate analytic approaches and methodologies
The Data Analyst-Risk, Senior will report to the Analytic manager of Suspect Analytics operations. In this role you will help expand Blue Shield's Risk Adjustment related initiatives around Disease ...
We are seeking a motivated Risk Adjustment Analyst to join our team, supporting and expanding on CHPW's risk analytic capabilities. This role requires critical thinking, strong communication, a ...
The main job responsibilities will support Blue Shield's risk adjustment program through data submissions to Centers of Medicare & Medicaid Services (CMS). Your Work In this role, you will: * Analyze ...
As a Risk Adjustment Analyst focused on risk adjustment vendor management, strategy, and operations, you will be responsible for helping execute the day-to-day operations for current vendors and risk ...
The Lead Data Analyst - Risk Adjustment will be core to the growth of the business and will have an incredible opportunity to work with proven entrepreneurs as they scale a business model validated ...
: Risk Adjustment Consulting Research Analyst SrMUST reside in ID, OR, UT or WA - Telecommute OptionThe Senior Consulting Research Analyst provides consultation on the design, testing and enhancement ...
Risk Adjustment experience preferred * Heath care industry experience preferred * Advanced level of ... Eager learner, collaborative partner, easy communicator, and careful analyst * Passion for ...
Must have experience in coding and/or risk adjustment * Experience in the following areas is a plus. * Clinical Decision Support * Healthcare Analytics for Payers * Healthcare Consulting for Payers
We are looking to expand our sales team immediately by adding a driven and dedicated Sales Executive to the Decision Analytics Sales team. The Sales Executive will be responsible for Risk Adjustment ...
The Director - Data Science (Risk Adjustment) will lead a team of data-scientists/analytics professionals engaged in development and implementation of data science products for Risk Adjustment ...
Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of ...
Risk Adjustment Coder II needed for a temp opportunity with Yoh's client located in San Ramon, CA ... Provide analytics, education, in-person trainings in provider offices, and serve as the subject ...
SUMMARY The Risk Adjustment Coding Specialist is responsible for reviewing provider documentation ... Select correct ICD code assignment by proficient analysis and translation of diagnostic statements ...
Risk Adjustment Campaign Associate Remote in Oregon, Washington, Idaho or Utah Primary Job Purpose ... Demonstrated analytical and problem-solving skills. Experience in project management methods and ...
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