- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Datavant (Boston, MA)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- Commonwealth Care Alliance (Boston, MA)
- …for systems and processes for all essential Health Plan risk adjustment program activities including identifying gaps in coding and documentation * ... 011260 CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex programs,… more
- Amazon (Boston, MA)
- …across multiple industries, never losing our passion for customers. Are you a privacy professional eager to harness the transformative power of AI to redefine how we ... upcoming tech builds and roadmaps, work with senior leaders on acceptable business risk when applicable, and track remediation actions as needed. You will be… more
- Datavant (Boston, MA)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all… more
- Amazon (Westborough, MA)
- …optimization, and simulation. Our aim is to provide realistic simulations for risk reduction, faster R&D, and stakeholder education. In the future, simulation will ... and operational efficiency. Basic Qualifications - 8+ years of non-internship professional software development experience - 8+ years of programming with at… more
- Amazon (Boston, MA)
- …other career-advancing resources here to help you develop into a better-rounded professional . Work/Life Balance We value work-life harmony. Achieving success at work ... least two of the following: threat modeling experience, secure coding , identity management and authentication, software development, cryptography, penetration… more
- Evolent (Boston, MA)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2...biostatistics, mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy… more