Medicare Risk Adjustment jobs in Costa Mesa, CA

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Associate Director of Healthcare Economics - Multiple Locati...
UnitedHealth Group 2,053 reviews - Santa Ana, CA
Medicare risk adjustment experience. Perform Risk Adjustment Analytics. Perform Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting....
Sponsored by UnitedHealth Group  - 7 days ago
Associate Director Model Analytics and Development - Multipl...
UnitedHealth Group 2,053 reviews - Santa Ana, CA
Medicare risk adjustment experience. Risk Adjustment Compliance Coding Review. Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting....
Sponsored by UnitedHealth Group  - 4 days ago
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  - 21 days ago

Associate Director of Healthcare Economics - Multiple Locati...

UnitedHealth Group 2,053 reviews - Santa Ana, CA
Medicare risk adjustment experience. Perform Risk Adjustment Analytics. Perform Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting....

Senior Healthcare Economics Analyst

Anthem, Inc. 599 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....

Business Systems Analyst - WellMed - Cypress, CA

UnitedHealth Group 2,053 reviews - Cypress, CA
Understand the Clinical terminologies, Medicare Advantage and Health Care Industry concepts (ICD9/ICD10/CMS Risk Adjustment regulations)....

Senior Risk Adjustment Analyst

Blue Shield of California 172 reviews - Costa Mesa, CA
3+ years of Medicare Risk Adjustment experience. Assesses business risks relating to back up for reporting design and production and develops and implements...

Vice President, Medicare and ACA Risk Adjustment Strategy

UnitedHealth Group 2,053 reviews - Santa Ana, CA
Vice President, Medicare and ACA Risk Adjustment Strategy. Practice SME in risk adjustment and Medicare Advantage required....

Associate Director Model Analytics and Development - Multipl...

UnitedHealth Group 2,053 reviews - Santa Ana, CA
Medicare risk adjustment experience. Risk Adjustment Compliance Coding Review. Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting....

Business Systems Analyst - WellMed

WellMed Medical Mgmt, Inc - Cypress, CA
Understand the Clinical terminologies, Medicare Advantage and Health Care Industry concepts (ICD9/ICD10/CMS Risk Adjustment regulations)....

Risk Adjustment Coding Specialist

Advanced Medical Management, Inc. - Long Beach, CA
Knowledge of Medicare managed care. Audits provider documentation of ICD-9 codes to verify that coding meets both established standards as well as CMS Risk...
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Financial Analyst

Kelly Services 3,355 reviews - Long Beach, CA 90802
Medicare risk adjustment analytics experience. Risk Adjustment Programs:. Risk Adjustment Factors RAF Follow CMS guidelines and regulation for data submission...

Sr. Risk Adjustment Project Specialist - Irvine, CA

UnitedHealth Group 2,053 reviews - Irvine, CA
Assess end-to-end Risk Adjustment processes to identify risks and opportunities. Working knowledge of CMS-HCC model or other risk adjustment model(s)....
Sr. Consultant, Risk Adjustment Coding & Clinical Documentat...
Gorman Health Group - United States
Under the direction of the Senior Vice President, Healthcare Analytics and Risk Adjustment Solutions, the Senior Consultant, Risk Adjustment Coding and Clinical...
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Sponsored by Gorman Health Group  - 30+ days ago
Senior Consultant, Healthcare Analytics - Work Remotely
Gorman Health Group - United States
Provide industry guidance to staff within the Risk Adjustment Business and to other project-related GHG staff, as needed....
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Sponsored by Gorman Health Group  - 30+ days ago

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