Healthcare Risk Adjustment Specialist (Remote)
Plan A Health
- Remote job
Role: Customer Success Manager, Healthcare Risk Adjustment Responsibilities Drive customer goals and revenue growth within a defined book of business. Ensure successful platform adoption and alignment with operations, product, and analytics teams. Manage executive relationships to deliver desired outcomes. Engage proactively to secure renewals and expansion opportunities. Qualifications & Skills Deep knowledge of CMS risk adjustment processes. Strong program management skills. Customer-focused mindset with proactive engagement. #J-18808-Ljbffr Plan A Health
- ...Burden of Illness department, the full-time Risk Adjustment Coding Specialist will perform medical record reviews,... ...ICD-10-CM codes, and collaborate with healthcare providers to ensure accurate documentation and coding in a remote setting. Key responsibilities Perform...Remote workFull time
- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...Remote work
- Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across EHR, claims, and external vendor files. The role centers on validation, distribution, and analysis to enable timely performance tracking...Remote job
- ...looking for experienced and motivated Risk Adjustment Clinical Documentation Specialist professionals to join our dedicated team in a fully remote capacity. As a Risk Adjustment... ...Integrity, Risk Adjustment, or related healthcare documentation experience Active LPN or...Remote work
- Nebraska Blue Cross and Blue Shield is seeking a Risk Adjustment Health Data Analyst to join our Healthcare Analytics team. You will analyze claims, enrollment, and risk adjustment submissions to evaluate program performance and identify opportunities for improvement....Remote job
- The Healthcare Analytics role supports the Risk Adjustment Programs team by analyzing healthcare data to evaluate program performance, measure financial and clinical... ...applying to this position may be hybrid or remote and can live in one of the following states: Florida...Remote workLive in
$99k - $124k
...Location: Seattle, WA Department: Healthcare Economics How You’ll Make An... ...conditions by identifying risk earlier, coordinating... ...Strive! Benefits & Perks Hybrid-Remote Flexibility – Work from home... ...Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing,...Remote workWork at officeWork from homeFlexible hours- ...Supporting the Risk Adjustment team in a fully remote capacity, the Specialist, Risk Adjustment will manage daily operations related to medical record retrieval... ...or provider outreach 1+ years of experience in Healthcare Operations 2+ years of experience achieving set...Remote workWork experience placement
$31.03 - $36.03 per hour
...required work experience. ~3 years of risk adjustment and/or hierarchical condition category... ...and guide less experienced coding specialists. Experience: Experience supporting... ...and education for physicians or other healthcare practitioners. Experience...Remote workTemporary workWork experience placement$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey... ...train provider office staff members Proficiency with healthcare coding softwares and Electronic Health Records (EHR)...Remote workFull timeWork at officeHome office- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer...Remote jobWork from homeHome office
- UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote capacity. The role emphasizes clinical judgment, analytical skills, and a commitment to documentation integrity reflecting patient severity...Remote job
- Astrana Health is seeking a Risk Adjustment Coding Specialist to support physician practices remotely from CST/EST time zones. You will review records for HCCs, educate providers, and track KPIs like HCC recapture and AWVs, contributing to program success. Requirements...Remote jobFull time
- Location: El Segundo, CA Remote Status: Hybrid Job Id: 616 # of... ...Title: RiskAdjustment Coding Specialist Job Location: El Segundo HQ... ...effective. We help reduce avoidable healthcare costs, improve clinical... ...Role We are looking for a Risk Adjustment Coding Specialist to own...Remote workFull timeTemporary workWork at officeFlexible hours
- UASI is seeking a Clinical Risk Adjustment Documentation Specialist to join our team in a fully remote capacity. You will support coding accuracy, HCC capture, regulatory compliance, and documentation integrity with strong clinical judgment. This role emphasizes prospective...Remote job
$143.62k - $229.79k
...Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and... ...is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our...Remote workLocal areaFlexible hours$62.9k - $85.1k
...Risk Adjustment Campaign Associate Hybrid role (3 days/week in office) at our Portland, Medford... ...in business, project management, healthcare, or related field and at least 2 years... ...is primarily performed in an office or remote work environment. Travel may be required...Remote workWork at officeImmediate startWork from homeFlexible hours3 days per week$99k - $124k
...Health Services LLC is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their Seattle team. In this role, you will evaluate financial... ...and at least 3 actuarial exams completed. Enjoy hybrid-remote work options and a competitive salary ranging from $99,000 to...Remote job$99k - $124k
Strive Health Services LLC in Chicago is seeking a Lead Actuarial Analyst, MA Risk Adjustment, to evaluate financial performance and translate data into actionable strategies. The ideal candidate will have 4+ years of experience in risk adjustment analytics, a Bachelor'...Remote job- ...there is a better path to healing and healthcare maintenance, and we’re working on... ...organization.Position SummaryThe Information Risk & Compliance Specialist supports privacy, security, and... ...Intrastate) to assess risk and compliance at remote clinics. Preferred Qualifications•...Remote workFlexible hoursWeekend workAfternoon shift3 days per week
$70k - $85k
...currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr.... ...enable us to continue to scale in the healthcare industry. The staff is required to frequently... ...(approximately 75% travel) with remote support to help practices. The...Remote workWork at officeWork from homeHome office$63.65k - $92.57k
...exciting place to be within the healthcare industry. As a member of Mass... ...operational support to the Risk Score Management program with... ...reports based on risk adjustment data from several data sources... ...Working Conditions - This is a remote role that can be done from most...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Strategy Analyst V, Risk Adjustment- CDI Support Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring... ...Job Schedule: Full-time Job Type: Standard Worker Location: Remote Employee Status: Regular Employee Group/Union Affiliation:...Remote workFull timeTemporary workShift work
- ...responsible for the creation, development, and communication of Risk Adjustment targets, performance and ongoing reporting; providing... ...preferred. 2 years of experience with Medicare/Medicaid or similar healthcare clinical/claims data strongly preferred. An ideal candidate...Work experience placement
- ...Hanover, NY. This role involves developing and communicating Risk Adjustment targets while providing analytics and insights to various... ...of 7 years of experience is required, preferably within the healthcare sector, particularly with Medicare/Medicaid data. The ideal...
- ...A leading AI healthcare analytics company is seeking a Risk Adjustment Analyst to enhance AI models by evaluating their performance and ensuring medical accuracy... ...you to apply. The position is flexible, fully remote, and offers hourly pay starting at $20+, with bonuses...Remote workHourly payFlexible hours
- ...in Raleigh, NC is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our Healthcare Economics team. You will evaluate financial performance,... ...a 10% target bonus, comprehensive benefits, and hybrid-remote work in a collaborative One Team environment. #J-18808-Ljbffr...Remote work
- Role: Risk Adjustment Analyst It involves training AI models by providing healthcare-related problems for AI chatbots and evaluating their performance for accuracy and logical consistency. Responsibilities: Develop and present healthcare scenarios, assess chatbot responses...Remote jobHourly payFlexible hours
$145k - $160k
...Tampa, FL, with hybrid flexibility, but remote is an option for the right person.Come for... ...data-driven to accelerate our impact.Healthcare benefits are complex and largely underutilized... ...disclosed range estimate has not been adjusted for the applicable geographic...Remote workLocal area- ...WellBe Senior Medical is a physician‑led, risk‑bearing healthcare organization delivering high‑quality... ...(utilization, cost trends, risk adjustment, revenue adequacy) Developing financial... ...Environment In‑person at Chicago office, with remote work options for eligible employees...Remote workContract workInternshipWork at officeLocal area
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