- Centene Corporation (Jefferson City, MO)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... , Legal or related field; or equivalent experience required + 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding… more
- Centene Corporation (Jefferson City, MO)
- …recommendations; design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- CenterWell (Jefferson City, MO)
- …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... Responsible for performance management and strategy development for PCO risk adjustment at the division and market...for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and… more
- Humana (Jefferson City, MO)
- …large production-oriented teams + Experience in claims processing, encounters submissions, or Risk Adjustment + Experience with the IT budgeting and ... procedures, analytics, and technology capabilities are implemented to achieve critical compliance requirements. The Associate Vice President (AVP) of Medicare and… more
- CenterWell (Jefferson City, MO)
- …in healthcare **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare Risk Adjustment coding **Additional Information** + Remote Role + ... and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory guidelines, and optimize documentation for accurate reimbursement.… more