Medicare Risk Adjustment $50,000 jobs in Costa Mesa, CA

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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...
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Sponsored by Gorman Health Group
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...
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Sponsored by Gorman Health Group
Nurse Practitioner
Physicians DataTrust - Los Angeles, CA
Support Risk Adjustment Clinical strategy. Thorough understanding of Medicare HCC guidelines. Ensure assessments comply with Medicare documentation guidelines....
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Sponsored by Physicians DataTrust

Lead Risk Adjustment Analyst

Blue Shield of California - 181 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 - 159 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,...

Health Care Analyst Sr.

SCAN Health Plan - 34 reviews - Long Beach, CA
This position will support all Medicare Risk Adjustment teams in Health Care Informatics by collecting and analyzing health care related data, performing data...

Financial Analyst II - Risk Adjustment

Molina Healthcare - 159 reviews - Long Beach, CA
Medicare risk adjustment analytics experience. Risk Adjustment Programs:. This position is for Risk Adjustment Department....

Coding Specialist

Molina Healthcare - 159 reviews - Long Beach, CA
Experience with Risk Adjustment Data Validation. For providers to assist them in Risk Adjustment. Collaborates with cross-functional team to support a variety...

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)...

Financial Analyst II

Molina Healthcare - 159 reviews - Long Beach, CA
Medicare risk adjustment analytics experience. Risk Adjustment Programs:. Develop analysis of consolidated and subsidiary Risk Adjustment Factors (RAF)....

Medical Director - Remote

Molina Healthcare - 159 reviews - Long Beach, CA
Knowledge of NCQA, HEDIS, Medi-Cal, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems,...

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....

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...
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
Health Management Utilization Management Senior Manager
Accenture - 3,420 reviews - United States
Assessing and managing risk throughout the project lifecycle and making adjustments as needed to ensure planned business outcomes are achieved....
Sponsored by Accenture

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Company with Medicare Risk Adjustment $50,000 jobs
Gorman Health Group, LLC is a leading consulting and software solutions firm specializing in government health programs.