- MVP Health Care (Schenectady, NY)
- Professional, Risk Adjustment Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. ... improvement. To achieve this, we're looking for a **Professional, Risk Adjustment Analyst ** to join... coding for Medicaid members. Calculates ROIs for Risk Adjustment programs. + Maintain regulatory agency… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose** : The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth ... risk adjustment model(s) and related data submission...and submit claims adjustments for supplemental submission from internal coding , external coding , and provider group … more
- Commonwealth Care Alliance (Boston, MA)
- 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex ... methodology, and will play an essential role in driving Risk Adjustment (RA) Program performance. Supervision Exercised:...processes for all essential Health Plan risk adjustment program activities including identifying gaps in coding… more
- UCLA Health (Los Angeles, CA)
- …and others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: ... As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department… more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description As a Medical Coding Analyst , you will serve as a subject matter expert on medical coding workflows, ... MIPS (Merit-based Incentive Payment System) performance reports. + Identify coding and billing risk areas and conduct...or RHIA. + Minimum of 2 years as a Coding Analyst or Coding Supervisor.… more
- Elevance Health (PA)
- …quality of life through home-care and community-based services. **Title:** Medical Coding Analyst SR. Seeking Certified Medical Coders.** **Location:** Virtual: ... - Friday, 8:00 am to 5:00 pm. The **Medical Coding Analyst Sr** is responsible for reviewing,...strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC… more
- Aston Carter (Salem, OR)
- …accuracy. Essential Skills + Certified through RHIT or RHIA. + Minimum of 2 years as a Coding Analyst or Coding Supervisor. + Over 5 years of coding ... Job Title: Hybrid Senior Medical Coding Quality Analyst 4 Days remote...+ Prepare and track MIPS performance reports. + Identify coding and billing risk areas and conduct… more
- CenterLight Health System (NY)
- …physician practices on current performance. + Serves as a subject matter expert on Risk Adjustment Data Validation (RADV) audits from Medicare. + Perform random ... Professional Practice Manager (CPPM) 4. Certified Professional Biller (CPB) 5. Certified Risk Adjustment Coder (CRC). Experience: + Three (3) years' experience… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Information Technology Services, Office of Title Technology Analyst 2 (Rapid Application Development) - Project Assistant Occupational Category IT ... Under the direction of the Information Technology Architect 2, the Technology Analyst 2 (Rapid Application Development) will be responsible for designing and… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
- Evolent (Tallahassee, FL)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a...+ 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2… more
- CenterLight Health System (NY)
- …identify improvement areas. + Assist the Director with analytics to support Medicare risk adjustment process through advanced medical records review to identify ... JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the...improvement. JOB RESPONSIBILITIES: + Analyze claims data to identify risk -adjustable conditions and uncover opportunities to improve risk… more
- New York State Civil Service (Albany, NY)
- …Services, Department of Title Virtual Currency Data Governance Senior Analyst (Financial Services Specialist 2 (Policy Analysis), SG-23) Occupational Category ... otherwise add value to the team;* Ensures consistency by adhering to software coding and style guides;* Provides training and support to dashboard users and ensures… more
- MUFG (Tampa, FL)
- …system testing, process automation, and procedural documentation. * Familiarity with risk , internal control, and financial governance components to ensure compliance ... Account reconciliations, Suspense Account reconciliations; reviewing, providing, correcting, and coding data; conducting root cause analysis and remediation; resolving… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical,… more
- AdventHealth (Altamonte Springs, FL)
- …multiple priorities at once with little supervision. . Possesses knowledge about risk adjustment and hospital publicly reported data. . Possesses knowledge ... goals. Employee will assist in training other team members on inpatient coding . The Coder Analyst IV may participate in our quality, safety review process, which… more
- Amazon (Seattle, WA)
- …and systems would you build to maximize customer satisfaction? Our mission in Payments Risk is to make Amazon.com the safest place to shop online. The Payments ... Risk team safeguards the order pipelines; monitoring, tracking, and...of experience as a Data Engineer, BI Engineer, Business/Financial Analyst or Systems Analyst in a company… more
- Amazon (Seattle, WA)
- …that provides customers with control and transparency and reducing privacy risk , while enabling partner teams to innovate with appropriate guardrails for ... and tooling. Key job responsibilities * Manage escalated privacy and trust risk events/cases from start to finish; write detailed case notes, reports, summaries,… more
- Amazon (Seattle, WA)
- …to completion. The Infrastructure Security Team is responsible for the security and risk management of the AWS Infrastructure. We build systems that detect, assess, ... and mitigate risk across the global infrastructure and are accountable for...any combination of the following: threat modeling experience, secure coding , identity management and authentication, software development, cryptography, system… more
- Amazon (Arlington, VA)
- …data to search for evidence of potentially damaging threat activities which pose a risk to Amazon customers and data. - You will work alongside incident responders ... datasets. - Work alongside other engineers to improve security and reduce operating risk for our customers. - Monitor cybersecurity media, blog posts, and other… more
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