- 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
- Martin's Point Health Care (Portland, ME)
- …which is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes data, reviews ... 2-4 visits to Maine, per year! Join this dynamic Risk Adjustment Team in our Health Plan...of third-party analytical tools and reporting platforms related to risk profile analysis and HCC coding +… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role in ... business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst...and writing simple-complex SQL/SAS queries, Logic, and design in coding . + 1+ year experience working with Healthcare and… more
- 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 (Houston, TX)
- …/ 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
- AdventHealth (Tampa, FL)
- …the Coder Analyst IV will conduct concurrent mortality, quality, and risk adjustment review of patients in conjunction with the Clinical Documentation ... **Shift** : 8:00am-4:30pm **The role you'll contribute:** The Coder Analyst IV Quality Liaison is a Health Information Professional...and physicians based on SOI/ROM and risk adjustment findings. * Functions as the coding … 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
- Highmark Health (Dover, DE)
- …in a Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding , medical coding /billing, HEDIS, ... None **EXPERIENCE** **Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding , medical coding /billing, HEDIS, and/or… 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
- Santa Clara Valley Water District (CA)
- Senior Cyber Security Analyst Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4502089) Apply Senior Cyber Security Analyst Salary $139,963.20 ... Benefits + Questions Description NOTE Regarding Salary: A 3% COLA (Cost of Living Adjustment ) will apply as of 6-24-24 Overview: Do you have Six (6) years'… 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
- reveleer (OH)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... Information Security Analyst Glendale, CA, New Albany, OH, or Remote...every aspect of enrollment, provider outreach and data retrieval, coding , abstraction, reporting, and submissions. Leveraging proprietary technology, robust… 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
- Aston Carter (Bridgewater, NJ)
- Position Title: Accounts Receivable Analyst Location: Bridgewater, NJ Industry: Pharmaceutical Qualifications: + 3+ years of accounts receivable experience ... and collections of past due invoices/ deductions/ credits to ascertain potential risk associated with delinquent accounts. + Keep accurate records and audit trails.… 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
- The Cigna Group (Baltimore, MD)
- …on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. + Schedules, prepares for and ... including but not limited to Health Services, Medical Economics, Sales, and Sales & Risk Adjustment in order to develop solutions for strategic business needs +… more
- Molina Healthcare (Albuquerque, NM)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Centene Corporation (Topeka, KS)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical,… more
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