Risk Adjustment Coding Project Lead
Datavant
Datavant is looking for a Client Coding Project Manager to oversee audits related to risk adjustment coding efforts in Sacramento, California. The ideal candidate should have a Bachelor's degree and expertise in risk adjustment. Responsibilities include monitoring operations, ensuring compliance, and training staff. We offer competitive health benefits and opportunities for career growth. This role ensures the quality of coding practices while contributing to a highly collaborative environment focused on transformative healthcare solutions. #J-18808-Ljbffr
$86.4k
...plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities... ...direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of current direction/projects/operations and recommends strategies and...RiskFor contractorsWork at officeLocal areaRemote work$120k - $135k
...Percentage: Up to 25% Job Shift: Day The Senior Risk Adjustment Factor (RAF) Specialist supports Vivant’... ...accurate and complete documentation and coding of diagnoses to optimize member Risk... ...Membership Report reconciliation. Lead provider education (training, specialty...RiskFull timeWork at officeShift work$120k - $135k
...VIVANT HEALTH LLC is hiring a Senior Risk Adjustment Factor (RAF) Specialist in Sacramento, CA... ...ensuring compliance with CMS guidelines, leading provider education, and analyzing... ...experience in Risk Adjustment and HCC coding, with a salary range of $120,000 - $135...Risk$86.4k - $138.6k
A leading healthcare organization seeks an experienced manager to oversee Risk Adjustment and Quality/HEDIS operations. The role includes managing audits, ensuring compliance... ...experience, and be certified in healthcare coding or related areas. Remote position with a comprehensive...RiskRemote job$91k - $119k
...are seeking a highly experienced Senior Risk Adjustment Coder to play a critical role in risk... ...Risk Adjustment professional to support a leading healthcare organization focused on... ...and is not a traditional production-only coding position. The ideal candidate will bring...RiskFull timeRemote workMonday to FridayFlexible hoursShift work$68k - $80k
...Financial Services & Insurance Claims Adjuster - Workers Comp This role... ...a rapidly growing, industry-leading global company known for its... ...properly documented and claims coding is correct. May process complex... ...is the world’s leading risk and claims administration partner...RiskContract workFlexible hours- Highmark Health is looking for a skilled coder to manage HCC coding for Medicare Advantage and other programs. This role requires at least 3 years of HCC coding experience and certifications like CPC. The successful candidate will work independently on coding tasks, assist...RiskRemote jobWork at office
$80k - $92k
Vitu is looking for a Project Manager in Sacramento, California, responsible for managing client implementation teams. The candidate should... ...in customer-facing roles and skills in project management, risk management, and communication. The salary range is $80,000 - $92...Risk$121.28k - $194.1k
...Americas. Solidigm will continue to lead the world in innovating new... ...external customers and manage programs/projects to ensure cost-effective, high-... ...team members. Creates/tracks/adjusts the project or program schedule. Assesses risks and identifies issues and solutions...RiskFlexible hours- A leading cybersecurity firm is seeking a Remote Security Project Manager to oversee project objectives and deliverables concerning ZTA Roadmap Implementation. The... ...role will be critical in advising IT leadership on risk management and ensuring the quality of project activities...RiskRemote work
$75k - $90k
...creating transformative change in healthcare. What We're Looking For: The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to...RiskWork experience placementShift work- ...wholeheartedly believe 'Together We Lead, Together We Succeed'. We... ..., financial, administration & risk management. As an on‑site... ...and recommend strategies and adjustments Develop yearly operating budgets... ...receipt, reconciliation, and coding of all vendor invoices Ensure...RiskPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work
$169.4k - $279.6k
...Environment, Transformational Projects, and a Growing Team!... ...solutions. As a Lead Architect, you will collaborate... ...establish governance, risk, and control processes... ...change. Able to adjust plans, priorities and strategies... ...with agentic coding tools such as Claude Enterprise...RiskTemporary workWork experience placementLocal area$116k - $231k
...lives. This isn’t just a job, it's a chance to lead change, drive progress, and leave a lasting legacy. HDR is seeking a Project Controls Business Class Lead to join our... ...management, cost management, change management, risk management, and document management. Manage and...RiskFull timeContract workTemporary workPart time- ...Management, Inc. is looking for a full-time on-site MEP Senior Project Manager in Sacramento. You will lead and deliver challenging HCAI / OSHPD healthcare... ...is essential. The role involves managing budgets, risks, and communications with various stakeholders. #J-188...RiskFull time
$60 - $70 per hour
Eliassen Group is seeking an experienced HR Project Manager for a contract role focused on leading the HR workstream of an enterprise transformation. The ideal... ...and demonstrate excellence in stakeholder engagement, risk and financial management. Essential tools include...RiskRemote jobContract work$75k - $103k
Jacobs is seeking a talented Project Controls Professional in Sacramento, California, to support our project controls team. This hybrid... ...responsibilities such as financial reporting, project coordination, and risk analysis. Qualified candidates will possess a BS or BA degree...Risk$135k - $160k
...Job Description Solar Project Manager (C&I Solar | 1–... ...tracking, and forecasting Lead coordination between:... ...financials : cost coding, budget tracking, reporting... ..., change orders, and risk Keep projects... ...as the modification or adjustment of the job application...RiskPermanent employmentContract workFor contractorsFor subcontractorWork at officeLocal area1 day per week- Project Manager Anywhere Type: Contract Category: Program/Project Management... ....00/hr. w2 Responsibilities Lead end-to-end project execution... ..., timelines, dependencies, risks, and deliverables. Serve as... ...with Zoho CRM or Zoho’s low-code environment (preferred). Light...RiskHourly payContract workLocal areaRemote work
$130k - $140k
...Capio Group is looking for an experienced Technical Project Manager/AI Delivery Lead! Full-time employee - Sacramento Salary: $130,000 - $140... ...and manage project scope, schedule, resources, strategy, risks/issues, communications, milestones, success criteria, and...RiskFull timeFlexible hours- ...Position: Risk Management Analyst Location: Sacramento, CA Duration:... ...management. ~ Working knowledge of industry leading GRC practices ~5+ years of experience... ...~ Have the ability to multi-task and adjust to shifting priorities, have keen...RiskShift work
$175k - $230k
AI Project Manager Delivery Lead Location: On-site Sacramento Salary: $175-230k Sabot Consulting is seeking an AI Delivery LeadProject Manager who... ...metrics to ensure project success. Communicate progress, risks, and outcomes to executive leadership. Must Have 7+...Risk- ...in Sacramento is searching for a Senior Risk Adjustment Factor (RAF) Specialist to support our Medicare... ...ensuring accurate documentation and coding to optimize Risk Adjustment Factor... ...healthcare providers, conduct audits, and lead educational programs, making a significant...Risk
$28.84 per hour
.... Accounts Payable Handle accounts payable, including invoice coding and processing via DocLink. Submit requests to corporate AP team... ...required by the state and federal government. Manage the risk management and other compliance processes required by Nexstar....RiskHourly payWork at officeLocal area$150k - $165k
...Conduct routine office visits, annual wellness visits, and health risk assessments - Perform physical exams and deliver... ...- Maintain accurate and thorough documentation (ICD-10, HCC coding, risk adjustment) - Collaborate closely with physicians and the care team to...RiskFull timePart timePrivate practiceWork at office$20 - $22 per hour
...accurate documentation and correct claims coding. Processes routine payments,... ...other roles. Sedgwick is the world's leading risk and claims administration partner, which... ...solutions in claims administration, loss adjusting, benefits administration, and product recall...RiskWork at officeLocal areaFlexible hours$80k - $100k
...a rapidly growing, industry-leading global company known for its... ...makes timely claim payments and adjustments; and settles clams within... ...properly documented and claims coding is correct. Refers cases as... ...Sedgwick is the world's leading risk and claims administration...RiskWork at officeRemote workFlexible hours$106.9k - $147k
...regarding technical approach for project components, and work is... ...demands. Primary focus on leading analysis and pricing of value-... ...least 3 years of experience in coding and data manipulation. Prior... .... Exposure to Value-Based, Risk Sharing, or other alternative...RiskFull timeContract workTemporary workApprenticeshipRemote workWork from home$15k
...Financial Services & Insurance Experienced Surety Bond Desk Adjuster PRIMARY PURPOSE : Handles losses and claims valued up... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive...RiskFor contractorsWork at officeLocal area- This role centers on leading the design, development, and optimization... ...direction across the full project lifecycle—from concept and system... ...control system standards, coding practices, and documentation protocols... ..., resource allocation, and risk management efforts....RiskFull timeFlexible hours
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