Medicare Risk Assessment jobs

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Senior Analyst, Risk Adjustment
Understand Medicare risk score methodology, including:. As a key member of the Risk Adjustment team, maintain up to date knowledge of Medicare risk adjustment...
Telephonic Care Manager
Commonwealth Care Alliance - 33 reviews - Charlestown, MA 02129
Utilize assessment and stratification information as the basis for member-specific plans of care; Our patients are seniors and persons with disabilities covered...
Nurse Practitioner
CenseoHealth, LLC - Montana
$80 an hour
Performing in-home, pre-scheduled health risk assessments for seniors insured under the Medicare Advantage plans that we represent nationwide.\*....
Easily apply

Information Security and Risk analyst, Healthcare SaaS

AF Group - Southborough, MA
Perform internal controls and information security risk assessments of existing or emerging technologies to identify inherent risk and evaluate key mitigating...

Risk Manager

State of North Carolina - 101 reviews - Granville County, NC
$42,667 - $69,177 a year
Planning and development of assessment tools and techniques. The Risk Manager is the first contact representing the facility for all communication and...

Compliance Analyst

NTT Data Services, Inc - Lincoln, NE
HIPAA, HITECH, Medicare, Medicaid, etc); Monitor functional and operational areas for compliance risks related to State and Federal regulations....
Easily apply

Business Development/Capture Manager

Favor TechConsulting - Vienna, VA 22182
Prepare initial assessment of the technical, financial, schedule or any other unusual risks associated with a proposal....
Easily apply

Risk Manager

North Carolina Office of State Human Resources - Granville County, NC
$42,667 - $69,177 a year
Planning and development of assessment tools and techniques. The Risk Manager is the first contact representing the facility for all communication and...

Internal Auditor II (Operations) Job

HealthPartners - 155 reviews - Bloomington, MN
Participate in periodic risk assessment projects. We currently have an exciting opportunity for an Internal Auditor II – Operations....

Healthcare Advocate

UnitedHealth Group - 5,014 reviews - California  +1 location
Coordinate risk adjustment chart reviews with capitated or risk share providers. Provide training to provider groups on Medicare Advantage, quality measures...

Social Worker II

Deaconess Health System - 25 reviews - Evansville, IN 47747
Assessment identifies risk management and safety issues for each patient. Assessment is based on relevant physical, emotional, developmental, social, cultural,...
Easily apply

Risk Analytics Manager

ConnectiCare - 53 reviews - Farmington, CT 06032
Ensure accurate calculation of HHS/CMS risk scores for Commercial/Medicare Risk Adjustment eligible members....
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Compliance Manager - Medicare Part D Monitoring

Cigna - 2,059 reviews - Nashville, TN
Feedback and input to the Compliance Risk Assessment team and process. Perform periodic assessments of program success....
Senior Manager – State & Local Government - Medicaid - Strat...
Deloitte - 4,365 reviews - Los Angeles, CA
Manage engagement risk. Expertise around the Centers for Medicare and Medicaid (CMS) policy guidance and approval process....
DIRECTOR RISK ADJUSTMENT - FULL TIME (1 FTE) - WEEKDAYS
Responsible for risk adjustment, which includes Hierarchical Condition Coding (HCC) or other risk adjusted revenue programs, to ensure complete and accurate...

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