Medicare Risk Adjustment $70,000 jobs in Costa Mesa, CA

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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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Performance & Compliance Audit Manager

Prospect Medical Systems - Orange, CA 92868
HCC methodology OR equitable Risk Adjustment methodology:. Direct experience/knowledge of HCC methodology OR equitable Risk Adjustment methodology....
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Manager Clinical Services

MemorialCare Foundation - Fountain Valley, CA
Knowledge of CMS (Centers for Medicare and Medicaid Services) coverage policies required. Ensure daily coverage of all work areas of responsibility make...

Regional Manager Needed

Argus Medical Management, LLC - Long Beach, CA 90804
Maximize Medicare Risk Adjustment revenue. Risk Management / Compliance:. Recommend and conduct annual evaluations and salary adjustments for office staff with...
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Revenue Reconciliation Consultant (SME)

Dynamic Healthcare Systems - 2 reviews - Irvine, CA 92612
A minimum of seven (7) years relevant work experience with a minimum of five (5) years of experience involving records and information management, preferably in...

Claims - Executive Specialist, Workers Compensation Claims

Crum & Forster Insurance Co - Orange, CA
Completes mandatory Reserve Adjustment Worksheet (RAW) forms. Will abide by departmental policies and procedures, including authority levels, to comply with C&F...

Business Analyst

Dynamic Healthcare Systems - 2 reviews - Irvine, CA 92612
Medicare Advantage risk adjustment and financial reconciliation; Dynamic Healthcare Systems, of Irvine, CA is seeking a Business Analyst ....

Financial Consultant (Healthcare)

Anthem, Inc. - 1,705 reviews - Cerritos, CA
Strong grasp of Medicare revenue, including HCC risk adjustment, risk adjusted bid rate, rebate and cycles of interim vs. final score/payment....

Director, Performance Based Physician Initiatives

Coast Healthcare - 2 reviews - Lakewood, CA
Required Background Experience 5+ years of experience managing a cross-functional team Proficient knowledge of CMS-HCC model and guidelines Current knowledge of...

Dir, Medical Group Finance

Heritage Healthcare (SJHH) - 5 reviews - Anaheim, CA 92805
Five (5) or more years’ work experience within the Health Care Industry, preferably managed care and/or medical group practice management, including knowledge...

Dir, Medical Group Finance

MISSION INTERNAL MEDICAL GROUP, INC. - Anaheim, CA 92805
Five (5) or more years’ work experience within the Health Care Industry, preferably managed care and/or medical group practice management, including knowledge...

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