Senior Risk Adjustment Educator (Remote)
Humana Inc
- Remote job
Humana Inc. is seeking a Senior Coding Educator to identify opportunities to improve provider documentation and create tailored education plans for assigned providers. You will report to the Manager, Coding Education and lead educational sessions focused on quality of care and documentation improvements. The role requires AAPC CPC certification, 3+ years in risk adjustment education, data analysis skills, and strong PowerPoint presentation abilities for leadership audiences. #J-18808-Ljbffr Humana Inc
- Humana Inc. seeks a Senior Coding Educator to improve provider documentation and tailor an education plan for each assigned provider group... ...will report to the Manager, Coding Education and lead risk adjustment initiatives, data analysis, and targeted webinars. The role...Remote jobSeniorRisk
- Humana Inc. seeks a Senior Coding Educator to identify opportunities to improve provider documentation and tailor an education plan for each... ...will report to the Manager, Coding Education and lead risk adjustment strategy across groups. You will analyze data, deliver educational...Remote jobSeniorRisk
- ...StatesCompany: CenCal HealthPosted: Paycom - ATS is seeking a Risk Adjustment Coder Specialist to ensure accurate medical diagnosis data... ...You will optimize documentation, oversee vendor coding, and educate providers on risk adjustment standards.The role requires expertise...SeniorRisk
$71.1k - $97.8k
...part of our caring community The Senior Coding Educator identifies opportunities to improve provider... ...for creating and executing the risk adjustment strategy for each provider groups... ...information.Travel: While this is a remote position, occasional travel to Humana...Remote workSeniorRiskFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$57.35k - $86.03k
...including severity of illness, risk, professional and resource utilization. Education Qualifications: Key Responsibilities... ...complexity, risk, and scope. Remote position with as needed on-site... ...Coding, DRG, Value Based, Risk Adjustment, Accountable Care Organization,...Remote workSeniorRiskWork experience placementWork from homeFlexible hoursShift workWeekend work- ...joining our team! We are currently hiring for a Provider Educator & Medicare Risk Adjustment Coder to join BlueCross BlueShield of South Carolina. In... ...8-hour shift between 7:00am-9:00pm and will be fully remote. The candidate may be required to come on-site for...Remote workRiskFull timeFor contractorsWork experience placementSecond jobCurrently hiringLocal areaMonday to FridayShift work
- Astrana Health seeks a Sr. Director of Risk Adjustment to lead risk adjustment, clinical documentation... ...strategies. This leader will guide Senior Managers, Managers, and teams,... ...integrity, and performance across markets. Remote work with travel in the US is required....Remote workSeniorRisk
- Cambia Health Solutions is seeking a Risk Adjustment Auditor I or II for a hybrid role with three days in office across designated U.S. locations, including OR/UT/ID states. The role focuses on retrospective and prospective chart reviews to ensure accurate risk adjustment...Remote jobSeniorRiskWork at office
- Gallagher Bassett in the United States is seeking a Claims Adjuster with 5+ years of experience in General Liability to join our hybrid team... ...active licenses across states and a commitment to accurate risk assessment and fair resolution. You will investigate, evaluate,...Remote jobSeniorRisk
$147.55k - $215.18k
...Hi, we're Oscar. We're hiring a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. Oscar... ...Location: This position is fully remote and open to candidates residing in... ...factors including your relevant skills, education, and experience. Full-time...Remote workSeniorRiskFull timeWork from homeHome office- Oscar Health is seeking a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. This role focuses on understanding the financial implications... ...close, forecasting, and analytics. This is a fully remote position for US residents, reporting to the VP,...Remote jobSeniorRisk
$196.73k - $286.9k
...Hi, we're Oscar. We're hiring a Senior Director, Actuarial - Risk Adjustment to join our Actuarial team. Oscar... ...Location: This position is fully remote and open to candidates residing in... ...factors including your relevant skills, education, and experience. Full-time...Remote workSeniorRiskFull timeWork from homeHome office$68k - $90k
...claims management firm is looking for a Senior-Level Bodily Injury Claims Adjuster to join their Commercial Auto/Commercial Trucking Team. This remote position requires 5+ years of... ...alongside comprehensive benefits. #J-18808-Ljbffr North American Risk Services (NARS)Remote jobSeniorRisk- ...deliver highly personalized risk and claims management... ...employer. Responsibilities This Senior Casualty Claim Adjuster role requires deep, proven... ...days in the office; and 1 day remote where it makes sense to do... ...professional continuing education We'll Count On You To Develop...Remote workSeniorRiskFull timeWork experience placementWork at officeFlexible hours
$74.57k - $115.59k
...Location: Remote – Must reside in Illinois, Indiana, or Wisconsin Schedule: Monday–Friday... ...Position Overview We are hiring a Senior Coding Educator to join a large, multi-specialty health... ...trends, documentation gaps, compliance risks, and appropriate reimbursement opportunities...Remote workSeniorRiskMonday to Friday$103k - $121k
...applications and next steps. Our partner is looking for a Risk Adjustment Operations Senior Project Analyst based in the United States. The Risk... ...integrity, and drive continuous process improvement. This is a remote, full-time opportunity for a detail-oriented professional...Remote workSeniorRiskFull time$80k - $115k
Senior Liability Adjuster - Medical Professional Join to apply for the Senior Liability Adjuster - Medical... ...Administration & Adjusting Location: Remote (United States) Compensation: $80,000... ...services, helping businesses navigate risk and transform within the insurance and...Remote workSeniorRiskFull time$103k - $121k
...healthcare. What We’re Looking For: The Senior Project Analyst is responsible for... ...partners closely with Finance working on the Risk Adjustment Coding Operations team, to build... .... Ability to work effectively in a remote, team environment. Flexibility in work...Remote workSeniorRiskFull time- Now Brewing - Senior Claims Adjuster! #tobeapartner From the beginning, Starbucks set out to be a different kind of company. One that not only... ...with company standards. Assess liability, exposure, litigation risk, and potential business impact to develop resolution...Remote jobSeniorRiskWork at officeLocal area
$72.8k - $130k
...Matter Expert This position is national remote. You'll enjoy the flexibility to... ...organizations reduce costs while improving risk management, quality and revenue growth. Ready... ...and delivers the standardized onboarding education of new hires for the Middle Revenue Cycle...Remote workSeniorRiskMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayShift work- The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational...Remote jobSeniorRiskWork at office
$56.24k - $94.91k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...Opportunity As a dedicated Senior Auto Adjuster, you will work within... ...duties as needed. Ensures risks associated with business activities... ...planning and continuing education assists employees with their...Remote workSeniorRiskContract workH1bWork at officeRelocation packageAfternoon shift3 days per week$500 per month
Remote Full-time Daily Drop — Subscriber Perk Reduce Debt Up to $500 to boost your salary... ...you will administer and resolve highest risk management expectations claims in a timely... ...with documented rationale, maintain and adjust reserves over the life of the claim to reflect...Remote workSeniorRiskFull timeWork experience placement- ...limited to, policyholders, public adjusters, attorneys, vendors, and experts.Timely... ...and conclude the claim.Required Education and Experience:Must maintain a Florida... ...* Tuition reimbursement* Vision insuranceWork Location: Remote #J-18808-Ljbffr Windward Risk ManagersRemote workSeniorRiskCurrently hiringVisa sponsorship
$86.3k - $118.7k
...Become a part of our caring community The Senior Clinical Operations Professional designs... ...information.Travel: While this is a remote position, occasional travel to Humana's offices... ...related skills, knowledge, experience, education, certifications, etc.$86,300 - $118,700...Remote workSeniorRiskFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$160k - $220k
...Healthcare Actuarial Consulting firm seeking a Senior Actuarial Manager within Medicare &... ...financial strategy, shared savings, risk adjustment, and total cost of care. This role would... ...long-term career progression. In office or remote candidates across the US will be...Remote workSeniorRiskWork at office$70k - $95k
...department is seeking a Senior Workers Compensation Claims Adjuster for the Central region team... ...South Dakota. This is a remote Full-time/Exempt role.... ...opportunities to transfer risk and pursue subrogation. Proactively... ...of best practices and educational materials. WHAT YOU...Remote workSeniorRiskFull timeTemporary workWork at officeWork from homeFlexible hours$63.59k - $121.53k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined... ...existing and emerging risks that stem from business activities... ...path planning and continuing education assists employees with their...Remote workSeniorRiskContract workH1bWork at officeRelocation package3 days per week- ...medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team... ...7:00am - 5:00pm CT ~ Fully remote ~ Preferred Experience:... ...(ICD-10-CM including HCC risk adjustment diagnosis) for professional services...Remote workRiskFull timeWork at officeFlexible hoursShift work
$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment... ...of leadership, including Senior Managers, Managers, and... ...adjustment, coding, provider education, documentation improvement,... ...Working Conditions This is a remote position. Travel is required...Remote workSeniorRiskFull timeContract work
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