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....
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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