Medicare Risk Adjustment jobs in Costa Mesa, CA

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Risk Adjustment Data Validation Coder

Molina Healthcare 118 reviews - Long Beach, CA
Experience with Risk Adjustment Data Validation. Knowledge of risk adjustment in both Medicare and Marketplace lines of business....
16 hours ago - save job - email - more...

Medical Coder - Mission Viejo, CA

UnitedHealth Group 1,808 reviews - Mission Viejo, CA
Risk adjustment experience or health plan experience. HCC coding for Medicare advantage is a plus. Talk about meaningful work....
16 hours ago - save job - email - more...

Manager Risk Adjust Data Operations

Molina Healthcare 118 reviews - Long Beach, CA
Knowledge of regulations related to data submission for Medicare Advantage, MMP, and Marketplace risk adjustment....
6 days ago - save job - email - more...

Coding Auditor- 99928

Anthem, Inc. 527 reviews - Downey, CA 90240 - +1 location
Assists with CMS National and Targeted Risk Adjustment Data Validation audits. Responsible for auditing Medicare Advantage diagnosis data collected from...
10 days ago - save job - email - more...

Medical Coder- HCC

Brand New Day, HMO - Westminster, CA 92683
Responsible for the facilitation of the Medicare Risk Adjustment chart review process and assists with the Medicare Risk Adjustment chart review, physician...
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10 days ago - save job - email - more...

Medical Coding Educator - Professional Fee Services

Altegra Health 61 reviews - Tustin, CA - +1 location
Risk Adjustment Reimbursement & Advisory Services. Assesses and maintains impact of current compliance activities and evaluates risk factors of coding and...
13 days ago - save job - email - more...

Provider Relations & Contract

Seaside Health Plan - Long Beach, CA
Train providers and staff regarding the provider portal, Models of Care, capitation reports, risk adjustment, utilization management, quality improvement, and...
MemorialCare - 15 days ago - save job - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 96 reviews - Cypress, CA
Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)....
17 days ago - save job - email - more...

VP, Data Analytics - (Costa Mesa, CA)

Quality Systems, Inc. - Costa Mesa, CA
Experience with Medicare and PPACA Risk Adjustment payment models. Experience with HEDIS, Medicare Star and similar quality reporting....
19 days ago - save job - email - more...

Finance Leader - California (Senior Products)

Humana 823 reviews - Irvine, CA
Direct all Medicare Advantage bids activities, including assumptions (Risk scores, trends setting, product portfolio, membership growth), and coordinates...
21 days ago - save job - email - more...
Medical Coder- HCC
Brand New Day, HMO - Westminster, CA
Responsible for the facilitation of the Medicare Risk Adjustment chart review process and assists with the Medicare Risk Adjustment chart review, physician...
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Sponsored by Brand New Day, HMO - 10 days ago
Senior Consultant - Risk Adjustment - Work Remotely
Gorman Health Group - United States
Vice President, Risk Adjustment. Business focus is currently on Medicare and Commercial Risk Adjustment, with plans to expand to Medicaid Risk Adjustment over...
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Sponsored by Gorman Health Group - 30+ days ago
Risk Adjustment Analyst - Medicare Financial Analytics - San...
UnitedHealth Group 1,808 reviews - Santa Ana, CA
Medicare risk adjustment data and forecasting change in revenue and risk adjustment. 2+ years Risk Adjustment experience....
Sponsored by UnitedHealth Group - 30+ days ago

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Company with Medicare Risk Adjustment jobs
Gorman Health Group, LLC is a leading consulting and software solutions firm specializing in government health programs.