- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Datavant (Boise, ID)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Highmark Health (Boise, ID)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Humana (Boise, ID)
- …PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare ... with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by… more
- Datavant (Boise, ID)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- CenterWell (Boise, ID)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- RELX INC (Boise, ID)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more
- CenterWell (Boise, ID)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- St. Luke's Health System (Boise, ID)
- … Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder). **What's in it for you** At St. Luke's, ... Outpatient: Home health, interventional radiology, observation, ambulatory and/or inpatient professional surgery, and Oncology. Inpatient: coding less with charges… more
- Trinity Health (Boise, ID)
- …Trinity practices and policies. Partners with leadership to improve HCC and other Risk Adjustment capture with provider and coder education. Conducts ongoing ... coding by each practitioner. Educates practitioners on coding, documentation, and compliance matters. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** 1. CPC, RHIT,… more