Medicare Risk Adjustment jobs

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Risk Adjustment Analyst - Medicare Financial Analytics - San...
UnitedHealth Group 1,874 reviews - Santa Ana, CA
Medicare risk adjustment data and forecasting change in revenue and risk adjustment. 2+ years Risk Adjustment experience....
Sponsored by UnitedHealth Group - 4 days ago
Lead/Principal Analyst, Medicare Risk Adjustment Analytics
Predilytics Inc - Burlington, MA
3-6 years of experience managing analytic activities in Risk Adjustment analytic operations. Manage predictive model development, analytics, reporting, and...
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Sponsored by Predilytics Inc - 20 days ago

Coding Quality Auditor

Aetna 448 reviews - Houston, TX 77032 - +1 location
Experience with Medicare and/or Medicaid Risk Adjustment process required. Responsible for performing audits of medical records to ensure the ICD-9 codes that...

Associate Actuary - Risk & Revenue Optimization

Blue Cross Blue Shield 1,453 reviews - Richardson, TX
Medicare Advantage experience; This role is focused on developing, operating, managing and evolving Risk Adjustment analytics and solutions in support of the...

Actuarial Associate - Risk & Revenue Optimization

Blue Cross Blue Shield 1,453 reviews - Richardson, TX
Healthcare Risk Adjustment or Medicare experience; This position is responsible for participating in implementation and analysis of pricing, underwriting,...

HCC Auditor - Educator

Heritage Healthcare (SJHH) - Orange, CA 92868
This, in an organized effort to receive appropriate risk adjustment payments from CMS to support the costs associated with predicted healthcare needs for its...

Clinical Quality Consultant, Gainesville, FL

UnitedHealth Group 1,874 reviews - Gainesville, FL - +5 locations
Strong knowledge of Medicare. Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status....

Claims Specialist I

Polk County 17 reviews - Bartow, FL 33830
Makes corrections and/or adjustments and submit for approval and signature. Prefer experience in managed care, health plan, health care billing, Medicaid, and...

Manager, Medicare Risk Adjustment - Torrance, CA

Humana 853 reviews - Torrance, CA - +1 location
Extensive Medicare Risk Adjustment experience. Present Risk profiles to providers. Actively coordinating with PODs, Provider Relations/Contracting with key...

MSO Market Leader

Humana 853 reviews - Rogers, AR
Advanced knowledge of path to risk, risk contracting, Medicare Understanding, value based reimbursement. Reports may include a Clinical/Quality Leader (RN),...

Manager, Quality Improvement and Risk Adjustment

CarePoint Health Plans - Jersey City, NJ
Medicare Risk Adjustment:. Medicare Risk Adjustment experience preferred. Reporting to the Director, Quality Improvement and Risk Adjustment, the QI/RA Manager...
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Vendor Operations Analyst (Risk Adjustment and Encounter Dat...

Health Net, Inc. - 4002 - Woodland Hills, CA
Health Net, through its subsidiaries, provides and administers health benefits to approximately 5.4 million individuals across the country through group,...
Risk Adjustment Nurse (RN or LPN)
Aetna 448 reviews - Seattle, WA
Exp with Medicare and/or Commercial risk adjustment process. Shares best practices in risk adjustment across all sites/regions....
Sponsored by Aetna - 3 days ago
Director Risk Adjustment Analytics
Assurant 374 reviews - Milwaukee, WI
Prior experience with Medicare / Medicaid risk adjustment. Description The Director Risk Adjustment Analytics is responsible for providing direction and...
Sponsored by Assurant - 9 days ago
Sr. Risk Adjustment Coding Quality Educator
Blue Cross Blue Shield of Massachusetts 31 reviews - Hingham, MA
O Risk Adjustment. Develop and maintain coding reference tools for the Risk Adjustment Coding Team as well as BCBSMA providers....
Sponsored by Blue Cross Blue Shield of Massachusetts - 30+ days ago

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Company with Medicare Risk Adjustment jobs
1,874 reviews
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