Medicare Risk Adjustment $60,000 jobs in Costa Mesa, CA

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Business Systems Analyst
Episource LLC. - 2 reviews - Gardena, CA 90248
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
Episource LLC. - 2 reviews - Los Angeles, CA
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
CyberCoders - 32 reviews - Gardena, CA 90247
$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...

Business Consultant - Medicare Risk Adjustment

Humana - 3,907 reviews - Irvine, CA
Comprehensive knowledge in Risk Adjustment. Humana is seeking a Business Consultant for Risk Adjustment who will:....

Healthcare Process Consultant - Risk Adjustment

Humana - 3,907 reviews - Irvine, CA
Prior experience with Medicare Risk Adjustment. This role requires intimate knowledge of both Medicare and Clinical systems and data tables....

Manager, Risk Adjustment - Medicare

Molina Healthcare - 786 reviews - Long Beach, CA
Manager, Risk Adjustment - Medicare - (1801866). Proficiency with risk adjustment methodologies. Sets policies related to risk adjustment....

Risk Adjustment Data Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Medicare Risk Adjustment Payment Methodology and Data Knowledge; The Risk Adjustment Data Analyst will support Dynamic's risk adjustment customers....

Supervisor, Finance (Risk Adjustment)

CalOptima - 33 reviews - Orange, CA
Act as the subject matter expert for data flows and systems that support Medicare risk adjustment related activities....
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Informatics Analyst II

SCAN Health Plan - 77 reviews - Long Beach, CA 90806
Knowledge of CMS Star Rating methodology, HEDIS, and HCC risk adjustment methodology preferred. Rated as one of the top Medicare Advantage plans in California,...

Manager, Grievance & Appeals

CalOptima - 33 reviews - Orange, CA
Identify high risk issues and escalate as appropriate. Utilizes collected information to effectively make appropriate adjustments in staff goals and services....
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Clinical Documentation Quality Improvement Auditor

St. Joseph Health - 353 reviews - Mission Viejo, CA
Knowledge of Medicare, Medicaid and other third party billing rules and regulations• Skilled in clinical documentation, charging, billing compliance and coding...

SVP Medicare Segment

Molina Healthcare - 786 reviews - Long Beach, CA
Has oversight over Molina’s Medicare operations as they relate to compliance, operations, Stars, risk adjustment, network Design, and quality....

Cost Accountant/ Rate Analyst - Ensign Services

Ensign Services - 124 reviews - Mission Viejo, CA
Intelligent Risk Taking:. Stays abreast of issues impacting Medicare and Medicaid rates. Prepare and file Medicare and Medicaid cost reports....
Coding Team Lead
Episource LLC. - 2 reviews - United States
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
Episource LLC. - 2 reviews - Gardena, CA 90248
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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