Medicare Risk Adjustment jobs in Costa Mesa, CA

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Risk Adjustment Analyst
DW Simpson Global Actuarial Recruitment - California
Our Western client seeks a professional with 5-7 years of experience in healthcare analytics along with solid understanding of Medicare Risk Adjustment Payment...
Director, Comprehensive Health Assessment Programs (CHAPs)
DaVita Medical Group - 71 reviews - El Segundo, CA 90245
Support the planning and coordination of market initiatives and operational programs related to Medicare Risk Adjustment....
Remote Senior Software Engineer (EMR)
Pulse8 Inc. - United States
Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing Risk Adjustment and Quality Management....
Easily apply

Manager, Risk Adjustment - Medicare

Molina Healthcare - 817 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....

Risk Adjustment Auditor Education

WellCare - 913 reviews - Cypress, CA 90630
Manager, Risk Adjustment Programs. Works on additional risk adjustment audit requests (i.e. Required 2 years of experience in coding with knowledge of Medicare...

Supervisor, Finance (Risk Adjustment)

CalOptima - 37 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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Business Analyst - Risk and Clinical Documentation (Remote)

Landmark Health - 35 reviews - Huntington Beach, CA
Analyze Claims and Risk Adjustment data and build out Risk Models. In this key role, the Business Analyst, Risk & Clinical Documentation will be responsible for...

Healthcare Programmer Analyst

UnitedHealth Group - 11,727 reviews - Santa Ana, CA 92725
Solid understanding of Medicare Risk Adjustment. We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping...

Entry Level Nurse Coder

Advanced Medical Management - 21 reviews - Long Beach, CA 90815
RISK ADJUSTMENT CODER. Knowledge of Medicare managed care. Audit provider documentation of CPT, ICD-9 and ICD-10 codes to ensure adherence with coding and CMS...
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Application System Analyst

Dynamic Healthcare Systems - 3 reviews - Irvine, CA 92612
Medicare Advantage risk adjustment, financial reconciliation, Part D including PDE audit, enrollment, premium billing....

Claims Examiner - General Liability/Employment Practices Lia...

Sedgwick Claims Management Services - 895 reviews - Long Beach, CA
Approves and makes timely claim payments and adjustments; Subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets....

Informatics Analyst II

SCAN Health Plan - 80 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,...
Remote Database Administrator / Data Architect
Pulse8 Inc. - United States
Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing Risk Adjustment and Quality Management....
Easily apply