Remote Medicare Risk Adjustment Jobs Near Me

Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to ...

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

... such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not ... Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ...

AbsoluteCare is a value-based care organization serving high-risk Medicaid and Medicare populations ... The annual wellness visits are conducted for the purpose of risk adjustment and quality gap closure ...

... Medicare populations across Ohio. We go BeyondMedicine to deliver whole-person care through ... The annual wellness visits are conducted for the purpose of risk adjustment and quality gap closure ...

... Medicare populations across Ohio. We go BeyondMedicine to deliver whole-person care through ... The annual wellness visits are conducted for the purpose of risk adjustment and quality gap closure ...

Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies. * Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.

Familiarity with Medicare LCD/NCD guidance and state-specific Medicaid policies. * Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.

Analyze market financials, claims data, utilization trends, membership movement, risk adjustment ... Experience in the Medicare Advantage bid process * 3 or more years of experience in Service Fund ...

... the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding ...

... and remote locations enabling them to deliver their best work. Your application experience is ... If you require further support or reasonable adjustments with regards to the recruitment process ...

... high-risk populations. These reviews include but are not limited to the assessment of drug ... Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred * Experience ...

... Medicare Members with complex medical or behavioral health conditions or who are at high risk ... remote. * Responsible for completing four assessment per day! -Candidates will be traveling to ...

As a Trade Compliance Analyst (Remote), you'll play an important role in helping ensure our ... Partner with Finance regarding subsequent payments, refunds, and customs-related adjustments. Risk ...

This is a hybrid-remote role based out of the Dublin, OH office, with employees expected to work ... Supports the management of risk associated with IT assets through the development and promotion of ...

... Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the ... Identifies and reports high-risk situations as required per agency and CareStar policy. Minimum ...

This is a hybrid-remote role based out of the Dublin, OH office, with employees expected to work ... We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare ...

... Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the ... Identifies and reports high-risk situations as required per agency and CareStar policy. Minimum ...

MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... adjustments, oversight and for the pharmacy component of the annual bid process with CMS. What you ...

Provide ongoing case management, including regular follow-ups, plan adjustments, and crisis ... Some programs may require desk sharing, docking, or remote work after training. * Up to 24-hours of ...