Medicare Risk Adjustment jobs in Costa Mesa, CA

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Senior FP & A Business Analyst Santa Ana CA
UnitedHealth Group 1,547 reviews - Santa Ana, CA
3 years previous experience working with CMS Medicare / Medicare Advantage data. We are currently searching for an experienced Senior Risk Adjustment Reporting...
Sponsored by UnitedHealth Group - 25 days ago
Nurse Practitioner
Physicians DataTrust - Cerritos, CA
Support Risk Adjustment Clinical strategy. Thorough understanding of Medicare HCC guidelines. Ensure assessments comply with Medicare documentation guidelines....
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Sponsored by Physicians DataTrust - 30+ days ago

VP, Data Analytics - (Costa Mesa, CA)

Quality Systems, Inc. - Costa Mesa, CA
Experience with Medicare and PPACA Risk Adjustment payment models. Experience with HEDIS, Medicare Star and similar quality reporting....
10 days ago - save job - block - email - more...

Business Analyst

Dynamic Healthcare Systems - Irvine, CA
Expertise specific to Medicare Advantage risk adjustment and financial reconciliation; HCC Risk Adjustment models (5+ years)....
2 days ago - save job - block - email - more...

Risk Adjustment Analyst, Medicare Financial Analytics - Sant...

UnitedHealth Group 1,547 reviews - Santa Ana, CA
The Risk Adjustment Analyst will be responsible for analyzing Medicare risk adjustment data and forecasting change in revenue and risk adjustment scores with a...
20 days ago - save job - block - email - more...

Manager, Risk Adjustment Audit

SCAN Health Plan 22 reviews - Long Beach, CA
Familiarity with Medicare Risk Adjustment methodologies and CMS HCC Risk Adjustment guidelines required. Collaborate with IT and HCC risk adjustment business...
6 hours ago - save job - block - email - more...

Provider Relations Specialist - Orange County, CA

UnitedHealth Group 1,547 reviews - Orange, CA
Coordinate and participate in office staff and physician training regarding risk adjustment, clinical Pay for Performance measures, and Patient Satisfaction...
17 days ago - save job - block - email - more...

Physician Educator — Documentation/Coding

Jacobus Consulting - Rancho Santa Margarita, CA
Experience with outpatient Medicare Risk Adjustment. Education will address documentation insufficiencies in Medicare Risk Adjustment and HCC coding....
5 days ago - save job - block - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 86 reviews - Cypress, CA
Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)....
5 days ago - save job - block - email - more...

Sr RAMP Analyst

Molina Healthcare 105 reviews - Long Beach, CA
Background in supporting risk adjustment activities and clinical informatics. Assist in the design and the execution of risk adjustment management activities....
19 days ago - save job - block - email - more...

Coding and Education Specialist

Molina Healthcare 105 reviews - Long Beach, CA
Experience with Risk Adjustment Data Validation. For providers to assist them in Risk Adjustment. Collaborates with cross-functional team to support a variety...
26 days ago - save job - block - email - more...

HEDIS Practice Advisor - Cypress, CA

WellCare 86 reviews - Cypress, CA
Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters)....
5 days ago - save job - block - email - more...
Director, Account Mgmt
CCHN, Inc - California
The ICD-9 codes are then used by health plans to substantiate appropriate changes to Medicare premiums for risk adjustment reimbursement....
Sponsored by Matrix Medical Network - 10 days ago
Reporting Manager
United Health Group 1,547 reviews - Santa Ana, CA
Medicare Risk Adjustment experience preferred. Medicare and/or Medicaid is preferred. If you want to achieve more in your mission of health care, you have to be...
Sponsored by NurseJobsNationwide.com - 6 days ago

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Company with Medicare Risk Adjustment jobs
1,547 reviews
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