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Medicare Risk Adjustment $80,000 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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Senior Product Manager with AppExchange experience
CyberCoders - 16 reviews - Torrance, CA
$100,000 - $150,000 a year
Senior Product Manager with AppExchange experience Based in Torrance, CA We are a leading Healthcare Data Analytics Company that provides health information...
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Manager, Grievance & Appeals
CalOptima - 15 reviews - Orange, CA
Identify high risk issues and escalate as appropriate. Utilizes collected information to effectively make appropriate adjustments in staff goals and services....
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Manager, Grievance & Appeals

CalOptima - 15 reviews - Orange, CA
Identify high risk issues and escalate as appropriate. Utilizes collected information to effectively make appropriate adjustments in staff goals and services....

Director Human Resources

SCAN Health Plan - 40 reviews - Long Beach, CA 90806
Rated as one of the top Medicare Advantage plans in California, SCAN Health Plan employees are passionate about what they do....

Director, Managed Care Business Development

Genesis Healthcare - 1,379 reviews - Foothill Ranch, CA 92610
Examine opportunities to enter risk arrangements such as shared savings programs with insurance plans to align quality of care practices and outcome goals....

Quality Risk Patient Safety Regulatory Consultant - RN

Kaiser Permanente - 3,646 reviews - Anaheim, CA
NCQA, DMHC, Title 22, Medicare and Medi-Cal, Joint Commission etc.). THIS POSITION IS RESTRICTED TO EXCLUSIVE USE WITHIN THE QUALITY, RISK, PATIENT SAFETY AND...

Director, Performance Based Physician Initiatives

Coast Healthcare - 2 reviews - Lakewood, CA
Adjustment programs and internal audits to improve accuracy of data and mitigate audit risks. Assist in evaluating issues identified in the encounter data...

Nurse Practitioner, Risk Adjustment

Molina Healthcare - 239 reviews - Long Beach, CA 90802
The NPRA is further responsible for keeping up to date on changes in the Medicare risk adjustment model or other documentation requirements....

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...

Dir, Medical Group Finance

Heritage Healthcare (SJHH) - 4 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...

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...

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