Impactful Risk Adjustment Coder for Medicare Advantage
Gather Health
Gather Health is seeking a Risk Adjustment Coding Specialist to support accurate diagnosis documentation as part of its value-based care initiatives. This role plays a crucial part in ensuring compliance with coding practices and enhancing quality outcomes under Medicare Advantage contracts. The ideal candidate has at least two years of professional coding experience, living in the Boston area. Benefits include comprehensive health insurance, retirement plans, and generous PTO. #J-18808-Ljbffr
- ...Gather Health Gather Health Primary Care, Inc. in Boston is seeking a Risk Adjustment Coding Specialist to ensure accurate coding practices that align with Medicare Advantage regulations. This role involves collaborating with a clinical team to improve patient outcomes...Risk
- ...Risk Adjustment Coding Specialist will play a pivotal role in supporting accurate and complete... ...commitment to value-based care under Medicare Advantage and ACO REACH contracts. Embedded... ...experience as a certified professional coder One year of risk adjustment experience...RiskTemporary workLive inWork at officeLocal areaImmediate start
$276.93k - $338.47k
...Title: Vice President, Stars & Risk Adjustment Performance Reports to:... ...results and advocate for Medicare business interests in cross-... ...term success of the Medicare Advantage business. The ideal candidate... ...management, data analysts, and risk coders. Key Responsibilities...RiskShift work$276.93k - $338.47k
...Overview Vice President of Stars & Risk Adjustment Performance serves as a... ...results and advocate for Medicare business interests in cross‑... ...management, data analysts, and risk coders. Key Responsibilities... ...leadership experience in Medicare Advantage Stars and/or Risk Adjustment...RiskFull time- ...Massachusetts Inc. is looking for a Vice President of Stars & Risk Adjustment Performance to guide strategic initiatives in Medicare programs. This role requires over 15 years of leadership experience in Medicare Advantage and a strong analytical approach. The successful...Risk
$110 per hour
A healthcare solutions provider in Massachusetts seeks a compassionate Nurse Practitioner to conduct in-home wellness risk adjustment assessments. Ideal candidates should have a valid NP license and three years of patient care experience. This role is PRN with a flexible...RiskDaily paidReliefFlexible hours$151.2k - $184.8k
Director of Risk Adjustment Data & Analytics Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data & Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged...RiskFull time$78k - $113k
Overview Position Summary The Manager of Risk Adjustment Coding manages the day-to-day... ...stakeholders, supports management of oversight of Coders and continuously works to improve... ...delivery systems, and legislative initiatives impacting execution of team goals to team(s)...RiskFixed term contractFlexible hours- ...Blue Cross and Blue Shield of Massachusetts Inc. is looking for a Director of Risk Adjustment Data & Analytics to lead the analytics team and oversee all aspects of Medicare risk adjustment reporting. The role involves developing strategies for data analytics, ensuring...Risk
$24.04 - $33.65 per hour
Boston Medical Center is looking for a Risk Adjustment Coder to accurately assign ICD-10-CM diagnosis codes based on clinical documentation. The role entails reviewing medical records for coding accuracy and compliance, requiring two years of relevant coding experience...Risk- Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual... ...complexity while ensuring accurate risk adjustment for patient care. The Certified Risk... ...preferred Expertise in Medicaid and/or Medicare risk adjustment models Billing compliance...RiskRemote job
$169.95k - $283.25k
...patients, aiming to positively impact the health of 2.5 billion... ...in the safety evaluation and risk management of key GSK assets... ...emailing us at - usrecruitment.adjustments@gsk.com GSK is an Equal... ...please visit the Centers for Medicare and Medicaid Services (CMS)...RiskLocal area$24.04 - $33.65 per hour
POSITION SUMMARY The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories...RiskFull timeWork experience placementFlexible hours$106.9k - $147k
...assignments. Opportunity to gain hands-on Medicare Advantage experience within a rapidly growing... ...-making. Use your skills to make an impact Required Qualifications Bachelor'... ...preferred. Exposure to Value-Based, Risk Sharing, or other alternative payment...RiskFull timeContract workTemporary workApprenticeshipRemote workWork from home$63.44k - $95.16k
...Category/Area of Expertise: Risk Management & Insurance Job Requisition: 483515... ...The Analyst II role is an experienced adjusting position responsible for managing a caseload... ...confidentiality. Financial & Operational Impact Manages an assigned book of WC claims...RiskFull timeLocal areaRemote work$132.75k - $221.25k
...for people living with, and at risk of, HIV. ViiV Healthcare is... ...very best, and a team full of impact-driven team members who are... ...emailing us at - usrecruitment.adjustments@gsk.com ViiV is an Equal... ...please visit the Centers for Medicare and Medicaid Services (CMS) website...RiskLocal areaRemote workNight shift- A leading healthcare provider in Boston seeks a Manager of Risk Adjustment Coding to oversee daily operations and ensure accurate coding practices. The role includes managing workflows, implementing quality initiatives, and collaborating with stakeholders to enhance patient...Risk
$222.75k - $371.25k
...patients, aiming to positively impact the health of 2.5 billion... ...information, identify potential risks and implications, and make... ...apply. If you need reasonable adjustments to apply or interview, tell us... ...please visit the Centers for Medicare and Medicaid Services (CMS) website...RiskWork at officeLocal area2 days per week- ...Source One Management Services, LLC is seeking a Nurse Practitioner to conduct in-home Health Risk Assessments (HRAs) for Medicare Advantage members in Quincy, Massachusetts. This role offers a flexible schedule and the potential for strong supplemental income with no...RiskExtra incomeFlexible hours
- CVS Health in New Hampshire is seeking a Senior Informatics Manager to join the Risk Adjustment Analytics team. In this role, you will lead complex data analyses to drive health plan performance, managing a team to deliver advanced analytics and insights. The ideal candidate...RiskRemote job
$79.56k - $115.72k
...Inpatient CDI Risk Adjustment Specialist Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business... ...outcomes through improvement of risk-adjusted reporting impacting the O/E for multiple MGB enterprise quality initiatives while...RiskRemote workShift work$154.28k - $257.13k
...patients, aiming to positively impact the health of 2.5 billion... ...making Identify and mitigate risks related to data integrity, system... ...us at - usrecruitment.adjustments@gsk.com GSK is an Equal Opportunity... ...please visit the Centers for Medicare and Medicaid Services (CMS)...RiskFull timeLocal area2 days per week3 days per week$217.8k - $363k
...patients, aiming to positively impact the health of 2.5 billion... ...strategy, enabling robust benefit-risk assessment, and ensuring the... ...us at - usrecruitment.adjustments@gsk.com GSK is an Equal... ...please visit the Centers for Medicare and Medicaid Services (CMS) website...RiskLocal area$220k - $240k
...more proactive, effective care to their Medicare patients, ultimately lowering costs and improving... ...for someone who understands that, in a risk‑based model, performance and satisfaction... ...a senior hire with a COO‑level scope of impact. The Head of Customer and Commercial...RiskContract workShift work$90k - $120k
...Delivery Manager (Healthcare - Medicaid & Medicare) Join to apply for the Product Delivery... ...Leadership: Drive end-to-end delivery of high-impact healthcare projects—modernizing systems... ..., accountability, and trust. Risk & Quality Management: Identify delivery risks...RiskFull timeRemote workFlexible hours- ...Social Security Act gives the Centers for Medicare and Medicaid Services (CMS) the authority... ...not all inclusive) : • Drive high-impact programmatic decision-making for policy initiatives... ...of initiatives. • Identify project risks and develop proactive mitigation...RiskFull timePart timeWork experience placementInternshipWork at office
- ...to IT infrastructure and Cyber Security risk reduction Effective communication skills... ...disease together. We aim to positively impact the health of 2.5 billion people by the end... ...information, please visit the Centers for Medicare and Medicaid Services (CMS) website atRiskLocal area
$113k - $197.7k
...serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care... ...and partner relationships, escalating risks or issues as needed. Assist with... ...and outcomes. Knowledge of Medicare Advantage rules and regulations. Knowledge of MassHealth...RiskWork experience placementWork at office$285k - $350k
...Commercial, Individual & Small Group, Medicare, Duals, and Medicaid lines of... ...the interconnected impacts across utilization management... ...affordability performance, emerging risks, and strategic... ...Experience operating in Medicare Advantage, Medicaid, risk-based commercial...Risk$142.3k - $195.7k
...practices in accountable AI for effective risk management and measurement. Join us in... ...large-scale ETL Use your skills to make an impact Required Qualifications Master's Degree... ...a better quality of life for people with Medicare, Medicaid, families, individuals, military...RiskBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office
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