Medicare Risk Adjustment $60,000 jobs in Costa Mesa, CA
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Business Systems Analyst
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Understanding of MARA (Medicare Advantage Risk Adjustment) and or other Risk Adjustment methodologies. Episource, with over 1500 employees worldwide, is a...
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Manager of Clinical Services
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Episource, with over 1500 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans....
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Sr. Manager of IT/Security Compliance
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$130,000 - $175,000 a year
Based in Torrance, we are privately owned Healthcare Analytics Technology company, specializing in Medicare Risk Adjustment services for US health insurance...
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Humana
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3,907 reviews
- Irvine, CA
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Comprehensive knowledge in Risk Adjustment. Humana is seeking a Business Consultant for Risk Adjustment who will:....
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Humana
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3,907 reviews
- Irvine, CA
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Prior experience with Medicare Risk Adjustment. This role requires intimate knowledge of both Medicare and Clinical systems and data tables....
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Molina Healthcare
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786 reviews
- Long Beach, CA
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Manager, Risk Adjustment - Medicare - (1801866). Proficiency with risk adjustment methodologies. Sets policies related to risk adjustment....
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Dynamic Healthcare Systems
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3 reviews
- Irvine, CA 92612
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Medicare Risk Adjustment Payment Methodology and Data Knowledge; The Risk Adjustment Data Analyst will support Dynamic's risk adjustment customers....
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CalOptima
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33 reviews
- Orange, CA
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Act as the subject matter expert for data flows and systems that support Medicare risk adjustment related activities....
Easily apply
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SCAN Health Plan
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77 reviews
- Long Beach, CA 90806
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Knowledge of CMS Star Rating methodology, HEDIS, and HCC risk adjustment methodology preferred. Rated as one of the top Medicare Advantage plans in California,...
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CalOptima
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33 reviews
- Orange, CA
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Identify high risk issues and escalate as appropriate. Utilizes collected information to effectively make appropriate adjustments in staff goals and services....
Easily apply
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St. Joseph Health
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353 reviews
- Mission Viejo, CA
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Knowledge of Medicare, Medicaid and other third party billing rules and regulations• Skilled in clinical documentation, charging, billing compliance and coding...
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Molina Healthcare
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786 reviews
- Long Beach, CA
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Has oversight over Molina’s Medicare operations as they relate to compliance, operations, Stars, risk adjustment, network Design, and quality....
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Ensign Services
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124 reviews
- Mission Viejo, CA
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Intelligent Risk Taking:. Stays abreast of issues impacting Medicare and Medicaid rates. Prepare and file Medicare and Medicaid cost reports....
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Coding Team Lead
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Risk Adjustment (HCC) coding experience. Episource, with over 1500 employees worldwide, is a leading provider of risk adjustment services and solutions for...
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Project Manager
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Payer and risk adjustment background beneficial. Episource, with over 1500 employees worldwide, is a leading provider of risk adjustment services and solutions...
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