Medicare Risk Adjustment jobs in Costa Mesa, CA

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Coding Quality Consultant
Knowledge of Risk Adjustment HCCs. Targeting local providers who would benefit from our Medical Risk Adjustment training....

Auditor, Risk Adjustment - (2 position)

Molina Healthcare - 350 reviews - Long Beach, CA
The Auditor, Risk Adjustment develops, recommends and implements controls and cost-effective approaches to minimize the organization's risks effects....

Sr. Healthcare Economics Analyst

UnitedHealth Group - 4,835 reviews - Santa Ana, CA 92725
Understanding of Medicare Advantage Risk Adjustment. Produce and review reports specific to risk adjustments for various markets....

Coding Quality Consultant

UnitedHealth Group - 4,835 reviews - Anaheim, CA 92808  +1 location
Knowledge of Risk Adjustment HCCs. Targeting local providers who would benefit from our Medical Risk Adjustment training....

Business Analyst Consultant

UnitedHealth Group - 4,835 reviews - Santa Ana, CA 92725
2+ years experience with Medicare / Medicaid / ACA Risk Adjustment. You are a thought leader who thrives on developing new solutions to solve tough challenges....

Associate Director, HouseCalls

UnitedHealth Group - 4,835 reviews - Irvine, CA
Medicare Risk Adjustment. 3+ years of experience in Medicare risk adjustment. Strong knowledge of CMS Risk Adjustment and ICD-10 coding requirements and...

Senior Payroll Specialist

Rancho Santiago Community College District - 3 reviews - Santa Ana, CA
Liaisons with risk management office and payroll manager in monitoring workers' compensation absences, approval and payments;...

Research Pharmacist

SCAN Health Plan - 47 reviews - Long Beach, CA 90806
Knowledge of CMS Star Rating methodology, HEDIS, and HCC risk adjustment methodology. Rated as one of the top Medicare Advantage plans in California, SCAN...

RN Case Manager Full Time Days (8hr), TEMP

Integrated Healthcare Holdings, Inc. - Anaheim, CA
Adjustment to medical setting; Provides discharge screen to those patients in high risk category. This position is for Western Medical Center Anaheim....

ACO Network Manager

Coast Healthcare - 2 reviews - Lakewood, CA
This specifically includes ensuring the oversight and implementation of CMS requirements for Tenet’s Medicare Shared Savings Program....

Director Risk Adjustment - Data Analytics

Molina Healthcare - 350 reviews - Long Beach, CA
Risk adjustment project experience. The Director is responsible for setting appropriate risk scores for Molina Medicare members and Molina Medicaid members...
Sr. Healthcare Economics Analyst - Santa Ana, CA
Understanding of Medicare Advantage Risk Adjustment. Produce and review reports specific to risk adjustments for various markets....
Business Analyst III CHAPS
HealthCare Partners - 224 reviews - El Segundo, CA 90245
Maintain and support policies, processes and systems related to Medicare risk. 1 or more years CMS-Risk Adjustment experience....
Medical Case Manager
CalOptima - 19 reviews - Orange, CA
Interpret and apply established clinical criteria, Title 22, Medicare and Medi-Cal guidelines. Current and extensive knowledge of the NCQA, Title 22, Medi-Cal,...

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