- Datavant (Honolulu, HI)
- …Experience in building queries to collect and interpret raw data from databases to support risk adjustment coding and medical record + Experience in using ... experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst ...and aggregate data from multiple data sources for supporting risk adjustment medical record coding … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... milestones and key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... milestones and key deliverables. Develop tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that… more
- Centene Corporation (Jefferson City, MO)
- …+ 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding required + Medicare experience required + Demonstrated ... from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, ... Will Have Blue Cross and Blue Shield of Minnesota is hiring a Principal Healthcare Analyst on our Risk Adjustment team in Eagan, MN.The Principal Healthcare… more
- Aston Carter (St. Paul, MN)
- Job Title: Financial Analyst IIJob Description As a Financial Analyst II, you will play a crucial role in reviewing incoming project requests to ensure alignment ... or OpEx, and prepare clear documentation and recommendations for financial coding . Responsibilities + Review incoming project requests for alignment with capital… more
- SSM Health (MO)
- …Coder (CPC(R)) - American Academy of Professional Coders (AAPC) + Or + Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) + ... Requirements:** PRIMARY RESPONSIBILITIES + Identifies and evaluates emerging compliance, coding , and financial risks, utilizing regulatory guidance, resources, and… more
- Molina Healthcare (Cleveland, OH)
- …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** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing… more