Medicare Risk Adjustment $40,000 jobs in Costa Mesa, CA

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Health & Public Service - CMS Star Ratings, HEDIS & ACO Qual...
Accenture 3,295 reviews - United States
Assessing and managing risk throughout the project lifecycle and making adjustments as needed. Health & Public Service....
Sponsored by Accenture
Health Management Public Sector Market Expansion/Focus Manag...
Accenture 3,295 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
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*....
Easily apply
Sponsored by Gorman Health Group

Lead Risk Adjustment Analyst

Blue Shield of California 177 reviews - Costa Mesa, CA
Medicare Risk Adjustment experience required. Medicare Analytics creates data driven solutions for chart pursuit, member outreach with emphasis on capturing...

Auditor, Risk Adjustment

Molina Healthcare 154 reviews - Long Beach, CA
Apply best practices to ensure accuracy of risk adjustment payment in all markets. Support all risk adjustment audit related projects to ensure goals,...

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)...

Program Director

Molina Healthcare 154 reviews - Long Beach, CA
Risk adjustment project experience preferred. Designs and implements programs for the Risk Adjustment unit (with support from VP)....

Senior Risk Adjustment Analyst

Blue Shield of California 177 reviews - Costa Mesa, CA
3+ years of Medicare Risk Adjustment experience. Assesses business risks relating to back up for reporting design and production and develops and implements...

Director of Healthcare Data Management

Recordflow - Santa Ana, CA
We partner with healthcare plans to complete various risk adjustment and quality improvement programs. Strong financial knowledge, inclusive of P&Ls, Part C and...
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Intermediate Medicare Revenue Analyst

Blue Shield of California 177 reviews - Costa Mesa, CA
Experience with Medicare Advantage Risk Adjustment analytics is preferred. Collects, analyzes and synthesizes data;...

Medical Director - Remote

Molina Healthcare 154 reviews - Long Beach, CA
Knowledge of NCQA, HEDIS, Medi-Cal, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...

Regional Operations Manager

Davita 995 reviews - Downey, CA
O Ensure compliance to all applicable regulations and DaVita policies o Monitor risk management and quality assurance compliance....

Regional Manager Needed

Argus Medical Management, LLC - Long Beach, CA
Maximize Medicare Risk Adjustment revenue. Risk Management / Compliance:. Recommend and conduct annual evaluations and salary adjustments for office staff with...
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Sr. Consultant, Risk Adjustment Coding & Clinical Documentat...
Gorman Health Group - United States
Under the direction of the Senior Vice President, Healthcare Analytics and Risk Adjustment Solutions, the Senior Consultant, Risk Adjustment Coding and Clinical...
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Sponsored by Gorman Health Group
Senior Consultant, Healthcare Analytics - Work Remotely
Gorman Health Group - United States
Provide industry guidance to staff within the Risk Adjustment Business and to other project-related GHG staff, as needed....
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Sponsored by Gorman Health Group

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Company with Medicare Risk Adjustment $40,000 jobs
Accenture is a management consulting, technology services and outsourcing company.