• UnitedHealth Group (Atlanta, GA)
    As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused ... Expert Knowledge of CMS regulations and specifications in regards to Medicare Advantage risk adjustment Experience working with healthcare data Experience in… more
    CareerBuilder (05/27/21)
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  • UnitedHealth Group (Atlanta, GA)
    …for error. Join us and start doing your life's best work.(sm)As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk ... risk . If you eat, breathe, and sleep risk adjustment like we do, then this...in class experts in the field. As a senior healthcare economics consultant, you will help lead key efforts… more
    CareerBuilder (06/08/21)
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  • UnitedHealth Group (Eden Prairie, MN)
    …life's best work.(sm)As the Healthcare Economic Consultant for the Optum Care National Risk Adjustment Team, we support all risk adjustment efforts ... related field Knowledge of CMS regulations and specifications regarding Medicare Advantage Risk Adjustment Knowledge of healthcare administrative data… more
    CareerBuilder (06/08/21)
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  • UnitedHealth Group (Houston, TX)
    …and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk ... have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts...for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position… more
    CareerBuilder (05/28/21)
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  • UnitedHealth Group (Austin, TX)
    …and HCC Percent Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk ... have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts...for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives. This position… more
    CareerBuilder (05/28/21)
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  • UnitedHealth Group (Phoenix, AZ)
    …regional and corporate goals to ensure continued growth and profitability Oversees risk adjustment programs to ensure proper coding documentation and regulatory ... healthcare systems, medical quality assurance, quality improvement and risk management Knowledge and experience with inpatient management programs (ie,… more
    CareerBuilder (05/10/21)
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  • UnitedHealth Group (Golden, CO)
    …documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) and Medicare ... and a singular opportunity to do your life's best work.(sm) OptumCare is committed to creating an environment where physicians...do best: care for their patients. To do so, OptumCare provides administrative and business support services to both… more
    CareerBuilder (05/26/21)
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  • UnitedHealth Group (Seattle, WA)
    …subject matter expertise in areas including project scope definition, risk identification, project approach, resource procurement, facilitation, and other areas ... delivery. Will help produce optimum real estate asset utilization for the OptumCare local care delivery organization, and contribute to business success through… more
    CareerBuilder (05/12/21)
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  • UnitedHealth Group (Denver, CO)
    OptumCare 's national Clinical Performance organization and its strategic platforms for Medicare risk adjustment and clinical quality. With high visibility to ... Of particular importance for this role is familiarity with concepts of Medicare risk adjustment and Stars/HEDIS clinical quality programs and their impact on… more
    CareerBuilder (05/10/21)
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  • UnitedHealth Group (Dallas, TX)
    …experience Strong financial analytical background within Medicare Advantage plans ( Risk Adjustment /STARS Calculation models) Exceptional analytical and data ... Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you… more
    CareerBuilder (06/08/21)
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  • UnitedHealth Group (San Antonio, TX)
    …the DataRAP(R) database utilizing the Centers for Medicare and Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) guidelines. This position is also ... Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you… more
    CareerBuilder (06/10/21)
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  • UnitedHealth Group (Las Cruces, NM)
    …employmentJob Keywords: Clinical Manager, BSN, RN, Medical Coding, WellMed, CPC, AAPC, Risk Adjustment , Chart Review, Supervisor, Manager, Nurse Manager, El ... Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you… more
    CareerBuilder (05/13/21)
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  • UnitedHealth Group (Houston, TX)
    …the work activities of the management team and nursing/clinical staff in the Risk Adjustment department Ensures the timely preparation of reports, budgets, and ... you may be interested in.Required Qualifications: Bachelor of Science in Nursing, Healthcare Administration or a related field required. (Eight additional years of… more
    CareerBuilder (04/01/21)
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  • VP, Reporting and Analytics

    Optum (Everett, WA)
    **Job Summary:** The Vice President of Risk Adjustment , Data Reporting & Analytics, Pacific Northwest (PNW) is responsible for the operational deployment of our ... oversight of all aspects Data, Reporting, and Analytics as it relates to Risk Adjustment , including oversight of directors and managers responsible for… more
    Optum (06/16/21)
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  • Director,CHAPs

    Optum (El Segundo, CA)
    …and coordination of market initiatives and operational programs related to Medicare Risk Adjustment . Lead market initiatives and support teams engaged in ... **Project management of multiple programmatic initiatives and activities related to Medicare risk adjustment at the California Market level.** **Oversee market… more
    Optum (05/28/21)
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  • Associate Medical Director

    Optum (Ontario, CA)
    …hospitals, and other providers in the community. + Act as the Clinical Lead for Risk Adjustment and works collaboratively with the Risk Adjustment ... We at NAMM, a part of OptumCare , deliver a clearly differentiated level of outcome...coding and documentation (approximately 50- 60% dedicated time for risk adjustment efforts). + Collaborates and engages… more
    Optum (04/24/21)
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