RISK ADJUSTMENT CONSULTANT REMOTE jobs in USA, United Kingdom

meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position... and provide analyses and recommendations to improve overall provider documentation as it pertains to coding and risk adjustment...

meets both established coding standards as well as CMS and Commercial Risk Adjustment guidelines. This position... and provide analyses and recommendations to improve overall provider documentation as it pertains to coding and risk adjustment...

, or clinical training, Working knowledge of Case Management and Quality Management practices Risk Adjustment knowledge preferred... to all populations across the ACA Marketplace, Medicare, and Medicaid. The role of the Care Management Consultant is to promote quality...

, provider contracting, and/or risk adjustment Demonstrated desire to work in a consulting Actuarial role Preferred...: Assist in developing innovative strategies, value-based contracts, and innovative risk-based arrangements Develop, conduct...

, provider contracting, and/or risk adjustment Demonstrated desire to work in a consulting Actuarial role Preferred...: Assist in developing innovative strategies, value-based contracts, and innovative risk-based arrangements Develop, conduct...

among a multitude of stakeholders such as Quality Improvement, eligibility, risk adjustment, other analytics team, and other clinical... contact for data use/application Clinical Data Consultant Address requests for customized data sets and ad hoc analysis...

among a multitude of stakeholders such as Quality Improvement, eligibility, risk adjustment, other analytics team, and other clinical... contact for data use/application Clinical Data Consultant Address requests for customized data sets and ad hoc analysis...

: Knowledge of CMS Star Rating measures, clinical standards of care, preventive health, and risk adjustment. Knowledge of CMS... Medicare Stars & Risk Adjustment team to support the development of Medicare Advantage network strategies that support Star...

Title: IT PMO Consultant Location: Remote Key Responsibilities: Create, Track and Monitor the progress... of all project activities and report on status, risks, and issues. Recommend adjustment to ensure the successful completion...

to 50% travel but also offers full remote flexibility and is open to qualified candidates throughout the U.S. in central... aggregating information from existing engagements and our current consultant/contractor base, identifying potential opportunities...

to 50% travel but also offers full remote flexibility and is open to qualified candidates throughout the U.S. in central... aggregating information from existing engagements and our current consultant/contractor base, identifying potential opportunities...

to 50% travel but also offers full remote flexibility and is open to qualified candidates throughout the U.S. in central... aggregating information from existing engagements and our current consultant/contractor base, identifying potential opportunities...

to 50% travel but also offers full remote flexibility and is open to qualified candidates throughout the U.S. in central... aggregating information from existing engagements and our current consultant/contractor base, identifying potential opportunities...

Standards strategy for assigned therapeutic area in collaboration with key stakeholders utilizing risk-based approaches... standards industry regulations and guidance while maintaining emphasis on exceptional analysis quality. Act as expert consultant...

, Risk Adjustment Data Validation Audits, and client-specific audits. Ensure conclusions, findings, and recommendations... and grievances, claims, utilization management, quality, customer service, STARs, and risk adjustment. Ability to generate original...