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

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NLP/Machine Learning ENgineer
CyberCoders - 26 reviews - Torrance, CA
$120,000 - $175,000 a year
NLP/Machine Learning ENgineer Based in Torrance, we are privately owned healthcare Analytics Technology company, specializing in Medicare Risk Adjustment...
Health & Welfare Director
Medicare / commercial risk adjustment. Healthcare Analytics and its impact on risk adjustment and risk Management;...
Medicare Revenue Reconciliation SME
Summitech Consulting - Irvine, CA 92602
$110,000 - $130,000 a year
Our client needs an experienced SME in Medicare Revenue Reconciliation. Minimum of 7 years relevant experience with a minimum of 5 years involving records and...

Medicare Revenue Reconciliation Consultant (SME)

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
As it relates to Medicare Revenue Reconciliation. Dynamic Healthcare Systems is hiring for the newly created position of Medicare Revenue Reconciliation...

DIRECTOR SYSTEMS SUPPORT - ADMINISTRATIVE HEALTHCARE REQ - W...

agilon health - Long Beach, CA
Medicare Advantage, Risk Adjustment, Medi-Cal, Insurance Exchange, and commercial line of business:. DIRECTOR SYSTEMS SUPPORT - ADMINISTRATIVE HEALTHCARE...
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Business Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Medicare Advantage risk adjustment and financial reconciliation; Dynamic Healthcare Systems, of Irvine, CA is seeking a Business Analyst ....

Enrollment Accounting Consultant

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Medicare Enrollment Accountant. As it relates to Medicare Revenue Reconciliation. A minimum of seven (7) years relevant work experience with a minimum of five...

VP, Medicare General Manager (WA-UT-ID)

Molina Healthcare - 499 reviews - Long Beach, CA
Experience with Medicare managed care plans, specifically with bid mechanics, risk adjustment, quality/Stars, Operations, Compliance....

Health Care Analyst III

SCAN Health Plan - 56 reviews - Long Beach, CA 90806
Experience with CMS-HCC based Risk Model, Payment Cycle and Risk Score Calculation. Works under general supervision to support multiple aspects of Medicare Risk...

Regional Medical Director

Blue Shield of California - 325 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...
Physician - Medical Director
Humana, Inc - 2,813 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...
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...
Project Manager (Healthcare Business Operations) - Ontario,...
OptumCare - 8 reviews - Chino, CA 91710
Experience with healthcare, especially Medicare and Medicare Risk Adjustment preferred 1-3 years. No industry is moving faster than health care....
Manager, Revenue Accounting
City of Hope - 135 reviews - Duarte, CA 91010
Other responsibilities include managing external consultants of all government reporting for Medicare, Medi-Cal and OSHPD, while maintaining compliance with all...
Primary Care Physician (PCP) - Downey, CA
OptumCare - 8 reviews - Downey, CA 90239
Apply accurate diagnostic codes in order to maximize risk adjustment. AppleCare Medical Management Group was incorporated in 2003....

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