Medicare Risk Adjustment jobs in Costa Mesa, CA

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Director-Sr Mgd Care Bus Dev
Genesis Healthcare - 1,846 reviews - Foothill Ranch, CA
Examine opportunities to enter risk arrangements such as shared savings programs with insurance plans to align quality of care practices and outcome goals....
Primary Care Physician - Banning & Moreno Valley, 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...

EDI Data Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Three or more years of experience in Medicare risk adjustment and ANSI X12, working with Palmetto, CSSC, and CMS....

Certified Coder

CalOptima - 26 reviews - Orange, CA
Knowledge of Medicare NCCI edit protocol. This position acts as a resource for PACE physicians and other members of the Interdisciplinary team This individual...
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Revenue Recognition CNSLT

BBG Management Corporation - 5 reviews - Irvine, CA
Advanced knowledge of risk adjustment techniques; Strong experience in reporting on Medicare risk score calculations, claims/encounter data, CMS data submission...
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Regional Medical Director

Blue Shield of California - 335 reviews - Costa Mesa, CA
Support of HCC clinical programs and other Medicare Advantage programs and policies to improve financial performance , clinical quality , and member experience...

IT - Business Analyst - Senior

InSys Consulting Services - Santa Ana, CA
Medicare Risk Adjustment. Knowledge of Medicare Advantage Risk Adjustment. Medicare Advantage companies like Southern Cal, LACare, Scan, or Molina....

Director-Sr Mgd Care Bus Dev

Genesis Healthcare - 1,846 reviews - Foothill Ranch, CA
Examine opportunities to enter risk arrangements such as shared savings programs with insurance plans to align quality of care practices and outcome goals....

Primary Care Physician (PCP)

UnitedHealth Group - 5,939 reviews - Downey, CA 90242
Apply accurate diagnostic codes in order to maximize risk adjustment. AppleCare Medical Management Group was incorporated in 2003....
Primary Care Physician (PCP) - Downey, CA
Apply accurate diagnostic codes in order to maximize risk adjustment. AppleCare Medical Management Group was incorporated in 2003....
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North Orange County Community College District - 6 reviews - Anaheim, CA 92801
$5,263 - $6,382 a month
Interprets the laws and regulations regarding employees' eligibility/enrollment in PERS, STRS, Social Security, Medicare or any other retirement system and...
Health & Welfare Director
PwC - 3,930 reviews - Los Angeles, CA 90002
Medicare / commercial risk adjustment. Healthcare Analytics and its impact on risk adjustment and risk Management;...
HEDIS - RN
Care1st - 2 reviews - California
 Experience with Medicare HCC Risks and ICD-10 and CPT codes preferred  Experience with Utilization Management, Case Management, Care Coordination and Medical...
Clinical Coding Consultant - Los Angeles County, CA
UnitedHealth Group - 5,939 reviews - Los Angeles, CA 90079
Knowledge of Risk Adjustment HCCs. Targeting local providers who would benefit from our Medical Risk Adjustment training....
Physician - Medical Director
Humana, Inc - 2,923 reviews - Los Angeles, CA
As Regional Risk Adjustment Medical Director you will use your clinical and risk adjustment expertise to influence, lead and educate providers on the importance...

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