- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in the … more
- The Cigna Group (Mclean, VA)
- … Analyst will be primary contact for provider groups on Risk Adjustment topics at joint operating meetings, quality meetings, etc. Lead analysts may be ... for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned provider groups (PODs/IPAs). +… more
- Elevance Health (Denver, CO)
- …you a check, or ask you for payment as part of consideration for employment. **Medicare Risk Adjustment Advanced Analyst Sr** + Job Family: RDA > Reporting & ... risk adjustment experience preferred. + Experience with ACA Risk adjustment , Star, and Medicaid quality incentives preferred. For candidates working… more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment ... monitoring of key performance indicators to enable operational excellence within the risk adjustment department. You will be responsible for coordinating mock… more
- Bloomberg (New York, NY)
- …clients, and other external stakeholders continue to evolve. We are looking for a Senior Risk Analyst who will develop a deep understanding of our products and ... and we work fast - while keeping up the quality and accuracy we're known for. It's what keeps...understand the inherent risks within our processes. The Senior Risk Analyst will be accountable to perform… more
- Bloomberg (Washington, DC)
- Bloomberg Economics - GeoEconomics - Country Risk Analyst **Washington, DC** Posted Mar 20, 2024 - Requisition No. 123986 With close to 50 economists and 200 ... and policy. We are seeking an expert on country risk analysis to join our growing team. **THE ROLE:**...The successful candidate will work with Bloomberg's chief geoeconomics analyst and other members of the Bloomberg Economics team… more
- Kelsey-Seybold Clinic (Houston, TX)
- …status and rejection issues related to risk adjustment and quality data submissions **Job Title: Data Operations Analyst I** **Location: Pearland ... will provide data, systems support, and analysis related to risk adjustment and quality data...errors and ensure completeness and accuracy of submissions. * HEDIS/ Quality Reporting Analyst : Mapping, verifying, and loading… more
- The Cigna Group (Memphis, TN)
- …+ Responsible for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned provider groups ... audit departments regarding compliance, coding, and inappropriate coding. + Attend risk adjustment and quality provider meetings for assigned provider groups… more
- The Cigna Group (Seattle, WA)
- …providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment , medical cost management, etc. ... **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
- Molina Healthcare (AZ)
- …Compliance. + History developing Quality Improvement initiatives, population health strategies and risk adjustment programs. + Acts as a lead analyst to ... are being considered at this time.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Analyst , Quality Improvement (QI) Interventions/Compliance contributes to either… more
- Baptist Memorial (Memphis, TN)
- …integrity of upstream, midstream and downstream revenue cycle activities that impact the adjustment processing of claims. + Conducts risk assessments to define ... education + Employee referral program Job Summary: Position: 13173 - Analyst - Quality Assurance Facility: BMH - Central Business Office Department:… more
- AdventHealth (Tampa, FL)
- …Under administrative guidance, the Coder Analyst IV will conduct concurrent mortality, quality , and risk adjustment review of patients in conjunction ... **Shift** : 8:00am-4:30pm **The role you'll contribute:** The Coder Analyst IV Quality Liaison is a Health...for coders, CDI, and physicians based on SOI/ROM and risk adjustment findings. * Functions as the… more
- RELX INC (Atlanta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...About our Team We are looking for a Business Analyst who will be the vital link between our… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...About our Team We are looking for a Business Analyst who will be the vital link between our… more
- Highmark Health (Dover, DE)
- …Healthcare-related field **Substitutions** + 6 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS, and/or health ... and implements process improvements related to the potential of quality medical care and service to members and to...**Required** + 5-10 years of combined experience with RN/LPN, Risk Adjustment HCC Coding, medical coding/billing, HEDIS,… more
- LA Care Health Plan (Los Angeles, CA)
- …Analyst III - Encounters Analyst Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical… more
- CVS Health (Scottsdale, AZ)
- …more personal, convenient and affordable. Position SummaryWe are expanding the ACA risk adjustment analytics team to support provider enablement activities. This ... Sr Analyst , Informatics position will serve as a subject matter expert on ACA Risk Adjustment at- risk provider reporting and will be responsible for… more
- Providence (Everett, WA)
- …The Coding Analyst is responsible for detailed diagnostic coding associated with Risk Adjustment and HCC coding. This impacts revenue and CMS compliance with ... and information systems, as well as contracted providers. Coding analyst will have a comprehensive understanding of ICD-9, ICD-10...in development of Health Plan Payment Rules related to risk adjustment . Providence caregivers are not simply… more
- RELX INC (Alexandria, VA)
- Pattern Analyst - National Security (LNSSI)Are you looking to utilize your data analysis skills in support of National Security and global missions?Do you enjoy using ... a data-driven approach to uncover information and insights? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk .… more