- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** Rist Adjustment experience. Ability to conduct Education if needed. Auditing Experience Posting POSITION ... PURPOSE: The Risk Adjustment Coding Specialist works in a team environment and...and training will be conducted per Excellus payer risk adjustment coding guidelines and required of all PCPs within… more
- CareOregon (Portland, OR)
- Job Title Risk Adjustment Coding Manager Requisition # 24887 Exemption Status Exempt Management Level Manager Direct Reports Coding Auditors Manager Title Director, ... Risk Adjustment Pay and Benefits Estimated hiring range $109,500 -...reside in Oregon or Washington. Job Summary The Risk Adjustment Coding Manager is responsible for the development, execution… more
- HCA Healthcare (Campbell, CA)
- …like family! Jump-start your career as a(an) Manager of Quality - Risk Adjustment Programs today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total ... our team as a(an) Manager of Quality - Risk Adjustment Programs. We care for our community! Just last...role leads all aspects of the Quality and Risk Adjustment programs for the SCCIPA network including working closely… more
- Robert Half Accountemps (Long Beach, CA)
- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk ... Adjustment strategies that ensure our risk adjusted and Star...risk score accuracy and completeness in all enterprise risk adjustment activities. Development of strategy includes integrating the Star… more
- Indy Gov (Indianapolis, IN)
- Community Adjustment Support Staff Print (https://www.governmentjobs.com/careers/indianapolis/jobs/newprint/4892326) Community Adjustment Support Staff Salary ... 11:59 PM Eastern + Description + Benefits Position Summary The Community Adjustment Support Staff's primary responsibility is to provide administrative support for… more
- CVS Health (Harrisburg, PA)
- …Summary** + Provide evaluation of vendor outcomes used for At-Time-of-Care Risk Adjustment solutions + Provide data analytic and evaluation support as assigned + ... will play a key collaborative role in supporting the organization's risk adjustment strategies and operations through advanced data analysis. This position involves… more
- MedKoder (Mandeville, LA)
- …schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical and specialized expertise to help ... while identifying opportunities for increased financial success. The HCC Risk Adjustment Coder provides coding services to health systems and insurance plans… more
- CVS Health (Montgomery, AL)
- …all with heart, each and every day. **Position Summary** As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast ... States. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key value-based… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk ... . This person will support the Director of Risk Adjustment by monitoring and reporting on risk adjustment... Adjustment by monitoring and reporting on risk adjustment KPIs, delivering insights for prospective and retrospective risk… more
- Molina Healthcare (Columbus, OH)
- …Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set ... Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve performance through… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for ... risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve health plan goals and KPIs + Presenting and managing all… more
- Datavant (Columbus, OH)
- …experiences to realize our bold vision for healthcare. We're looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department ... and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment… more
- Datavant (Columbus, OH)
- …our bold vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics ... and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively vs reactively.… more
- Highmark Health (Columbus, OH)
- …job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its ... and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to build/strengthen patient care… more
- Highmark Health (Pittsburgh, PA)
- …and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs to ensure ... and adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the models and guidance. + Accountable… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. Are you an experienced leader with a strong background in Risk Adjustment Operations? We invite you to join our team as the **Manager of ... Risk Adjustment Operations** , where you will lead our core...as well as all medical record retrieval for risk adjustment and some retrieval support for quality/HEDIS. As a… more
- Marshfield Clinic (Marshfield, WI)
- …in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP-Actuarial **Scheduled Weekly Hours:** 40 **Employee ... of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a key leader for commercial and government program actuarial… more
- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment , you will be an expert in risk adjustment coding and ... documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for… more
- CenterWell (Columbus, OH)
- …part of our caring community and help us put health first** The Medicare Risk Adjustment Strategy Lead in the PCO risk adjustment area implements and supports ... processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts within the… more
- UNC Health Care (Chapel Hill, NC)
- …and well-being of the unique communities we serve. Summary: The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical records ... under the value care contracts. In addition, the Risk Adjustment Coordinator will be responsible for working the EPIC...in the top 12 for claim generation. The Risk Adjustment Coordinator will complete Pre-Visit Planning reviews daily to… more
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