- The Cigna Group (Baltimore, MD)
- …(CCS-P) + Registered Health Information Management Technician (RHIT) + 5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health ... along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on...matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding … more
- The Cigna Group (Bloomfield, CT)
- …/ outpatient or medical office coding experience, preferably two (2) years risk adjustment coding experience. + Excellent written and verbal ... providers and internal matrix partners of Cigna Medicare's programs specific to CMS Risk Adjustment and HCC Coding Processes. It will require expertise in… more
- The Cigna Group (Seattle, WA)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... **Role Summary:** The Provider Performance Lead Analyst is a key member of the market...to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions… more
- UPMC (Pittsburgh, PA)
- …+ Experience with DRG Assignment and clinical validation of diagnoses. + Experience with HCC/ Risk Adjustment coding preferred. + Proficiency using Epic, One ... **UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor/ Analyst is an… more
- CareOregon (Portland, OR)
- …Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager Direct Reports n/a Requisition # 24286 Pay and ... claims, data management, EDI experience Preferred + Experience with Medicare Advantage risk adjustment and payment methodologies Knowledge, Skills and Abilities… more
- MUFG (Tampa, FL)
- …audience. Able to demonstrate excellent judgment in interpreting policies and assessing risk . Description: + The analyst will need to understand differences ... to deliver value to our customers, employees, and shareholders. We're seeking an analyst to support the QCOE team charged with implementing initiatives into the… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- CVS Health (Topeka, KS)
- …based contracting/network + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and ... VA + San Antonio, TX + Southern, IL Position Summary This Senior Analyst , Healthcare Quality Management will be a Quality Practice Liaison who builds positive… more
- Johns Hopkins University (Baltimore, MD)
- …data. + Provide research support on topics including cohort definition, risk adjustment scores, cost-sharing calculations, and provider-level data integration. ... Health Initiative (HBHI) is seeking a **_Sr. Statistical Programmer Analyst and Data Manager_** to support health policy and...+ Offer coding support to staff, students, and faculty as needed.… more
- reveleer (CA)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... Data QA Analyst Glendale, CA or Remote Reveleer is a...every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust… more
- CVS Health (Topeka, KS)
- …based contracting/network + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and ... + Dallas, TX + Lexington, KY + Southern Region, IL Position SummaryThis Analyst Healthcare Quality Management will be a Quality Practice Liaison who builds positive… more
- AdventHealth (Altamonte Springs, FL)
- …manage multiple priorities at once with little supervision. *Possesses knowledge about risk adjustment and hospital publicly reported data. *Possesses knowledge ... Location** : Remote **The role you'll contribute:** The Coder Analyst IV is a Health Information Professional with a...a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of… more
- reveleer (New Albany, OH)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust data… more