Medicare Risk Adjustment jobs in Costa Mesa, CA

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Manager, Grievance & Appeals

CalOptima - 15 reviews - Orange, CA
Identify high risk issues and escalate as appropriate. Utilizes collected information to effectively make appropriate adjustments in staff goals and services....

Informatics Analyst Sr

SCAN Health Plan - 42 reviews - Long Beach, CA 90806
Understanding of CMS Star Rating methodology, HEDIS, and HCC risk adjustment methodology preferred. Rated as one of the top Medicare Advantage plans in...

HCC Risk Adjustment Coder - Fluent in Vietnamese

Physicians DataTrust - Cerritos, CA 90703
Working knowledge of Medicare Risk Adjustment. We have an excellent opportunity for a part-time/ full-time risk Adjustment Coder to join our team....
Easily apply

SAS Business Analyst

DEREX Technologies Inc - Santa Ana, CA
Experience with Medicare Risk Adjustment. Familiarity with HEDIS data that impact Measures and Star Rating in the Quality portion of the Medicare business. U.S....
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HCC Coding/Auditor/Educators

The CSI Companies - 40 reviews - La Palma, CA
Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-9 code...

Financial Analyst, Sr. (Healthcare)

Anthem, Inc. - 1,667 reviews - Cerritos, CA
Strong grasp of Medicare revenue, including HCC risk adjustment, risk adjusted bid rate, rebate and cycles of interim vs. final score/payment....

Nurse Practitioner, Risk Adjustment

Molina Healthcare - 247 reviews - Long Beach, CA 90802
The NPRA is further responsible for keeping up to date on changes in the Medicare risk adjustment model or other documentation requirements....

Manager, Data Analytics (SQL) - Santa Ana CA

UnitedHealth Group - 4,051 reviews - Irvine, CA
Experience with Medicare Risk Adjustment Program. Manage, Manager, data analytics, data analysis, SQL, Excel, pivot tables, SAS, Tableau, Medicare Advantage,...

Data Analyst Performance Program

Prospect Medical Systems - Orange, CA 92868
Experience with Medicaid and Medicare data preferred. Design and development of needed systems, reports and tools for revenue management and medical management...

Dir, Medical Group Finance

MISSION INTERNAL MEDICAL GROUP, INC. - Anaheim, CA 92805
Five (5) or more years’ work experience within the Health Care Industry, preferably managed care and/or medical group practice management, including knowledge...
HCC Risk Adjustment Coder - Fluent in Vietnamese
Physicians DataTrust - Cerritos, CA
Working knowledge of Medicare Risk Adjustment. We have an excellent opportunity for a part-time/ full-time risk Adjustment Coder to join our team....
Easily apply
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