Medicare Risk Adjustment jobs in Costa Mesa, CA

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Optum Risk Adjustment QA Coder- Telecommute
2+ years of recent Medicare Risk Adjustment experience. CPC, CCS, CCS - P, or RHIT, coding, medicare, risk adjustment, east coast, ICD10, ICD9, audit, quality,...
Sr. Director of Operations
CyberCoders - 28 reviews - Gardena, CA 90247
$130,000 - $175,000 a year
Based in Torrance, we are privately owned Healthcare Analytics Technology company, specializing in Medicare Risk Adjustment services for US health insurance...
Primary Care Family Practice Physician - Hemet, CA
Apply accurate diagnostic codes in order to maximize risk adjustment. The Primary Care Physician (PCP) is responsible for the day to day clinical care of...

Director Healthcare Economics

UnitedHealth Group - 9,939 reviews - Santa Ana, CA 92725
8+ years of experience in health care including experience with Medicare Advantage bid development, risk adjustment and performing analysis on health data...

Medical Director, Health Plan

Molina Healthcare - 709 reviews - Long Beach, CA
Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...


Advanced Medical Management - Long Beach, CA 90815
The Risk Adjustment Coding Specialist is responsible for Risk Adjustment HCC coding management and training both internally and externally to ensure that...
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Certified Medical Coder

Halo Staffing Group - Cypress, CA
$52,000 - $62,000 a year
Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes....
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SAS Programmer

UnitedHealth Group - 9,939 reviews - Santa Ana, CA 92725
Understanding of Medicare and/or ACA risk adjustments. As a SAS Programmer within Optum Risk Adjustment team, you will design and develop reports and analyze...

Billing Clerk

The Children's Clinic - 48 reviews - Long Beach, CA 90813
Knowledge of Medicare, Medicaid, Managed Care and other governmental insurance programs. Must have working knowledge of insurance payment regulations including...
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Quality Specialist

Alignment Healthcare - 19 reviews - Orange, CA
2+ years of HEDIS, Medicare Star program and or Risk Adjustment. Is responsible for providing Medicare Star/HEDIS and Risk Adjustment support and training....
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Manager, Regional Comprehensive Health Assessment Programs

DaVita Medical Group - 49 reviews - Costa Mesa, CA
Interprets and provides feedback of CMS regulations and HCC risk adjustments reimbursement methodology. Responsible for the ongoing development, implementation...

Business Analyst - Analytics

UnitedHealth Group - 9,939 reviews - Santa Ana, CA 92725
Experience in CMS risk adjustment model. Medicare data experience. We'll put you in the driver's seat on vital projects that have strategic importance to our...

Dir Risk Adjust Analytics

SCAN Health Plan - 69 reviews - Long Beach, CA 90806
Director, Risk Adjustment Analytics. The Director, Risk Adjustment Analytics will manage the collection, processing, submission and analysis of health care...
Risk Adjustment Analyst,Senior
Strong understanding of Medicare Risk Adjustment Payment Model and Cycle including the knowledge base to calculate and manipulate risk scores....
Risk Adjustment Analyst
Understanding of Medicare Risk Adjustment Payment Model and Cycle including the knowledge base to calculate and manipulate risk scores would be a plus....