RISK ADJUSTMENT OPERATIONS BUSINESS jobs in UNITED STATES, United Kingdom

and coordinate operations across multiple providers and health insurer areas. The Chart Retrieval, Risk Adjustment Consultant...Your Role The Blue Shield’s Risk Adjustment (RA) team plays a crucial role in bringing healthcare into the digital...

Services (CMS) or the US Department of Health and Human Services (HHS) for risk adjustment payments. In addition to file... submissions, the Non-Submission team serves its clients through monitoring throughput from upstream business partners, ongoing...

decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering.... Responsibilities Generate actionable insights and recommendations for business leaders based on deep understanding of risk adjustment...

decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering.... Responsibilities Generate actionable insights and recommendations for business leaders based on deep understanding of risk adjustment...

decision-making. You will work closely with colleagues across the Risk Adjustment business, data science, and data engineering.... Responsibilities Generate actionable insights and recommendations for business leaders based on deep understanding of risk adjustment...

The Manager, Risk Adjustment & Value Based Reimbursement has an important role in a high-profile group tasked... particular the participation in risk adjustment payment models and other value based initiatives. Under minimal supervision...

, Healthcare Risk Adjustment, you will play a key role in driving customer goals, business transformation, and revenue expansion... and/or experience in a customer-facing vendor management role , managing Risk Adjustment/specific to RADV lines of business...

Anticipated End Date: 2024-07-12 Position Title: Director of Medicare Risk Adjustment Analytics and Reporting... Job Description: Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote...

operations and Regional / Market operations Assist in developing of training and analytical materials for Risk Adjustment... Covered. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations...

Customer Success Manager - Risk Adjustment Remote Opportunity Reveleer is a healthcare data and analytics company..., Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans...

ability to understand and coordinate operations across multiple providers and health insurer areas. The Chart Retrieval, Risk Adjustment...Job Description: Your Role The Blue Shield's Risk Adjustment (RA) team plays a crucial role in bringing healthcare...

work arrangements 7 holidays per year PTO buy back and selling excess, when eligible Medicare Risk Adjustment.... Responsibilities: Ability to extract and define relevant information within patient/member or other business operations data...

We Are Looking For: Every day, Cambia’s dedicated team of Risk Adjustment Operations is living our mission to make health care easier and lives... better. As a member of the Risk Adjustment Operations Team, as our Risk Adjustment Provider Educator, you'll develop communications...

of the Manager, Business Consultation job is to monitor and manage day to day operations for Commercial Accountable Care Act.... Preferred Qualifications A minimum of 5 years expertise in Risk Adjustment payment models for Medicare Advantage...

and coverage. The Risk Adjustment Coder works to improve the coding and quality aspects of risk adjustment processes. In... for documentation improvement, optimize risk adjustment processes, and support revenue cycle management. The Risk Adjustment Coder...

and coverage. The Risk Adjustment Coder works to improve the coding and quality aspects of risk adjustment processes. In... for documentation improvement, optimize risk adjustment processes, and support revenue cycle management. The Risk Adjustment Coder...

for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the... Health or from Harris County taxpayers. Skills / Requirements JOB SUMMARY The Risk Adjustment Coordinator will assist...