Medicare Risk Adjustment jobs in Costa Mesa, CA

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Senior Consultant - Clinical and Stars - Work Remotely
Gorman Health Group - United States
HCC Risk Adjustment. Medicare Health Plan Operations Knowledge/Experience. At least 10 years prior clinical or Medicare plan experience*....
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Sponsored by Gorman Health Group - 15 days ago

Reg Dir SNP/MMP Plan Support

Molina Healthcare 126 reviews - Long Beach, CA
O Filling roles necessary for the company to achieve its risk adjustment goals. 8+ years experience in Medicare Operations....

Medical Case Manager (Long Term Care)

CalOptima 7 reviews - Orange, CA
Interpret and apply established clinical criteria, Title 22, Medicare and Medi-Cal guidelines. Must have current and extensive knowledge of the NCQA, Title 22,...

Nurse Practitioner

Physicians DataTrust - Cerritos, CA
Support Risk Adjustment Clinical strategy. Thorough understanding of Medicare HCC guidelines. Ensure assessments comply with Medicare documentation guidelines....
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Reg Dir SNP/MMP Plan Support
Molina Healthcare 126 reviews - Long Beach, CA
O Filling roles necessary for the company to achieve its risk adjustment goals. 8+ years experience in Medicare Operations....
Sponsored by Molina Healthcare - 17 days ago
Senior Consultant - Risk Adjustment - Work Remotely
Gorman Health Group - United States
Vice President, Risk Adjustment. Business focus is currently on Medicare and Commercial Risk Adjustment, with plans to expand to Medicaid Risk Adjustment over...
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Sponsored by Gorman Health Group - 15 days ago
Risk Adjustment Analyst - Medicare Financial Analytics - San...
UnitedHealth Group 1,883 reviews - Santa Ana, CA
Medicare risk adjustment data and forecasting change in revenue and risk adjustment. 2+ years Risk Adjustment experience....
Sponsored by UnitedHealth Group - 8 days ago

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Company with Medicare Risk Adjustment jobs
Gorman Health Group, LLC is a leading consulting and software solutions firm specializing in government health programs.