Medicare Risk Adjustment jobs in Costa Mesa, CA

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Associate Director, Healthcare Economics - Multiple location...
UnitedHealth Group 2,180 reviews - Santa Ana, CA
Medicare risk adjustment experience. Perform Risk Adjustment Analytics. Perform Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting....
Sponsored by UnitedHealth Group
Senior Consultant - Risk Adjustment Solutions - Work Remotel...
Gorman Health Group - United States
Risk Adjustment and Medicare Managed Care:. Senior Consultant - Risk Adjustment Solutions Job Description*. With demonstrated and proven success within Medicare...
Easily apply
Sponsored by Gorman Health Group
Health Management Public Sector Market Expansion/Focus Manag...
Accenture 3,402 reviews - United States
Support senior leadership to assess and manage risk throughout the project lifecycle and making adjustments as needed to ensure planned business outcomes are...
Sponsored by Accenture

Sr. Risk Adjustment Project Specialist - Irvine, CA

UnitedHealth Group 2,180 reviews - Irvine, CA
Assess end-to-end Risk Adjustment processes to identify risks and opportunities. Working knowledge of CMS-HCC model or other risk adjustment model(s)....

Financial Analyst II

Molina Healthcare 158 reviews - Long Beach, CA
Medicare risk adjustment analytics experience. Risk Adjustment Programs:. Develop analysis of consolidated and subsidiary Risk Adjustment Factors (RAF)....

Medical Coding Specialist

Prospect Medical Systems - Orange, CA 92868
Medicare reimbursement guidelines Knowledge of the CMS-HCC Risk Adjustment Methodology Strong written and verbal communication skills Strong analytical skills...

HCC CODING SPECIALIST- MEDICARE (12063-080415)

- Orange, CA
Perform risk adjustment data validations using AHA coding guidelines. The HCC Coding Specialist will review electronic or paper based medical charts to ensure...

Sr. Accounting Analyst

Heritage Healthcare (SJHH) - Orange, CA 92868
 Previous experience in physician billing, capitation, risk adjustment, payor contracts, IBNR, CPT coding, revenue cycle, Medicare Relative Value Units (RVU’s)...

Accountant - Revenue

SCAN Health Plan 34 reviews - Long Beach, CA
Prepares post settlement reconciliation of risk score accruals. Experience within a healthcare, CMS or Medicare environment, preferred....

Billing Clerk

The Children's Clinic 22 reviews - Long Beach, CA
Knowledge of Medicare, Medicaid, Managed Care and other governmental insurance programs. Must have working knowledge of insurance payment regulations including...

Director, Process Improvement

Molina Healthcare 158 reviews - Long Beach, CA
Conducts risk adjustment educational session with internal Molina stakeholders and external clients as it relates to the Risk Adjustment Management Programs....

HCC Coding Specialist- Medicare

CalOptima 8 reviews - Orange, CA
Perform risk adjustment data validations using AHA coding guidelines. Medicare, Medi-Cal and Commercial coding guidelines....

Medical Director - Remote

Molina Healthcare 158 reviews - Long Beach, CA
Knowledge of NCQA, HEDIS, Medi-Cal, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...
Senior Consultant - Risk Adjustment Coding - Work Remotely
Gorman Health Group - United States
Senior Consultant - Risk Adjustment Coding Job Description*. Under the direction of the Senior Director, Risk Adjustment Solutions, the Senior Consultant, Risk...
Easily apply
Sponsored by Gorman Health Group
Health Care Analytics Analyst - Santa Ana, CA
UnitedHealth Group 2,180 reviews - Santa Ana, CA
Risk Adjustment experience. Interpret and analyze claims data to perform risk adjustment valuations; Actuarial, SOA, Actuarial Exams, SQL, Medicare Risk...
Sponsored by UnitedHealth Group
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Company with Medicare Risk Adjustment jobs
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