Remote Risk-Adjustment Educator for Value-Based Care
Community-Care-Cooperative
- Remote job
Community Care Cooperative (C3) seeks a Provider Educator – Risk Adjustment & Value-Based Care to lead education programs on clinical documentation, risk adjustment coding, and population health. You will partner with health centers, providers, and leadership to improve documentation quality, coding accuracy, and performance across MSSP and MassHealth ACO programs. You will apply CMS-HCC Version 28 knowledge and other risk adjustment models to educate and uplift provider performance, including #J-18808-Ljbffr Community-Care-Cooperative
- Community Care Cooperative seeks a Provider Educator - Risk Adjustment & Value-Based Care to develop, implement, and deliver education programs focused on clinical documentation, risk adjustment coding, population health, and value-based care performance. You will partner...Remote jobRisk
- ...to enhance documentation quality, risk adjustment, and patient care outcomes across our organization.... ..., HCC concepts, and provider education in a remote US setting. You'll collaborate with... ...teams, and health plans to drive value-based care initiatives, conduct medical...Remote jobRisk
$56.2k - $101k
...practice coding patterns, education and training regarding risk adjustment to ensure accurate... ...improve quality of care. Analysis of MRA... .... Key Details: Remote role with Southern... ...will be adjusted based on an individual's... ...to diversity, and values the ways in which we...Remote workRiskFull timePart timeWork at officeFlexible hours$107.7k - $199.3k
...analysis, pricing, and risk assessment to... ...provide financial value. Key Details 5+ years... ...Snowflake. Fully remote within the... ...and existing value-based care (VBC) arrangements... ...policies and standards Education/Experience Bachelor... ...pay will be adjusted based on an individual...Remote workRiskFull timePart timeWork at officeFlexible hours- ...RN Care Manager HCC Risk Adjustment & Value-Based Care OU Health is seeking a Registered Nurse Care Manager to lead HCC risk adjustment and coding initiatives... .... Key responsibilities include leading HCC education efforts, identifying coding and documentation opportunities...RiskLocal area
$88.8k - $184.46k
...enablers who are taking on risk under various value-based payment models.... ...global and primary care capitation, episode... ...cost drivers, risk adjustment, and network performance... .... This is a remote position. Candidates... ...but not limited to, education, relevant work experience...Remote workRiskFull timeContract workTemporary workWork experience placementWork at officeWorldwideFlexible hours- ...and underwriting partnership than capital-risk strategy—the work supports live VBC... ...Senior Health actuarial role supporting value-based care arrangements across Medicare, Medicaid,... ...recommendations to leadership. The position is fully remote within the continental U.S....Remote workRiskContract work
- ...Position Summary: The Quality Value-Based Care (VBC) Coordinator supports... ...based care reports (care gaps, risk patients, hospital discharges... ...specialists, and external services. Educate patients on preventive care... ..., and the ability to adjust focus. Position Type/Expected...Remote jobRiskFull timeWork at officeMonday to FridayFlexible hours
- ...support financial, actuarial, and strategic analytics across its value-based care portfolio. You will work with Finance, Healthcare Economics, Clinical, and Network teams to evaluate performance, support risk analysis, and build analytics capabilities. The role reports to...Remote jobRisk
$130k
...provider groups succeed in value-based and alternative payment models... ...support providers, manage risk and quality, and run our... ...Medicare Advantage, value-based care, claims, risk adjustment, and quality programs, and... ...and engineers. The role is remote. Key Responsibilities...Remote workRiskFull timePrivate practiceLocal area- Accompany Health is seeking a Value Based Care (VBC) Coder to support concurrent review, compliant query generation, and accurate documentation to optimize risk adjustment payments. The role requires CPC or CRC certification and 3+ years of medical coding experience, preferably...Risk
- Centene Management Company LLC seeks a Risk Adjustment Data Validator who will conduct provider medical record... ...audits, analyze coding patterns, and develop education programs to ensure CMS payment accuracy and quality of care. The role includes leading training across...Remote jobRisk
- ...Description Provider Educator - Job Description... ...Location: Remote, with travel into... ...reimagining primary care for women on Medicare... ...we serve. Our values guide how we work... ...documentation, coding, and risk-adjustment opportunities for... ...and education based on identified...Remote workRiskFull timeWork at officeLocal area
$68.81k - $80.85k
...$80,847.00 Annually Location : Remote Organization Summary: Community Care Cooperative (C3) is a 501(c)(3)... ...FQHCs. As an ACO, we negotiate value-based payor contracts on behalf of our... .... Job Summary: The Provider Educator - Risk Adjustment & Value-Based Care serves as a...Remote workRisk- ...strategy related to provider reimbursement and value-based care initiatives. This individual will be... .... This is a highly visible, fully remote leadership opportunity that combines... ...against expectations, identify emerging risks, and communicate findings to leadership....Remote workRiskFull timeContract work
- ...work environment that values the creation of... ...development. We strive to care for each other with... ...performance risks, stalled initiatives... ...programs, and other value-based care priorities.... ...Qualifications Education & Experience Bachelor... ...fast-moving, mixed remote and in-person...Remote workRiskWork from homeHome office
$60 - $65 per hour
...Clinical Pharmacist Cardiology / Value-Based Care A remote clinical pharmacist role optimizing cardiac... ...to improve outcomes for high-risk cardiac patients. This is not a dispensing... ...telephonic medication reviews and patient education. Educate patients on purpose,...Remote workRiskFull timeContract work- ...Health is seeking a Certified Risk Coder to support value-based care by ensuring accurate... ...documentation and CMS risk-adjustment compliance. The ideal... ...communication skills to educate providers and drive performance improvements in a remote US-based environment. #J...Remote jobRisk
- ...Regional Medical Director For Musculoskeletal Value Based Care The Regional Medical Director for... ...the region. Provider Engagement & Education Support development and... ...environment (ACO, Medicare Advantage, risk bearing health system or provider organization...Remote jobRiskContract workWork at officeLocal area
- ...leading specialty risk manager for... ...liability, managed care, and risk... ...of a team that values good judgment,... ...This is a remote role for CST/EST... ...Compensation Claims Adjuster is responsible... ...appropriate reserves based on nature/... ...others Required Education and Experience...Remote workRiskFull timeWork at office
- ...Trinity Health Mission, Values, Vision, Actions &... ...reports & develop educational materials.... ...patterns to identify risks related to... ...training programs based on audit findings,... ...ability to vary / adjust physical position... ..., person-centered care. We are an Equal Opportunity...Remote jobRiskFull timeCasual workLocal areaShift work
$70k - $90k
...or an alternative application process. Value Based Care Analyst Staff South Florida Community... ...focused on provider performance, population risk trends, and value-based program... ...you have experience with financial risk adjustment this is the prime position for you! Essential...Remote workRisk- Department: PCCN | Value Based Network Ops Location: Phoenix Shift... ...Summary Posting Note: Care Coordinator (Remote - AZ Residents Only) Position... ...developmental, behavioral, and educational domains as well as in their... ...& Occupational Exposure/Risk Potential Physical...Remote workRiskFull timeWork at officeShift work
$95k - $106k
...Compensation Claims Adjuster III AvonRisk... ...specialty risk manager for self... ..., managed care, and risk management... ...of a team that values good judgment,... ...Arrangement: Remote or hybrid... ...Qualifications: Education & Experience... ...be determined based on several factors...Remote workRiskPermanent employmentWork at office- Location: Remote, with occasional in-office attendance... ...-Exempt Case Manager, Value Based Location: Remote, with... ...exceptional patient care and improving the... ...identified as having high-risk, chronic, and complex... ...measurable goals. Utilize educational materials, brief...Remote workRiskFull timePart timeWork at office
- ...Health Practice, serving provider clients in Denver or remotely. You'll model Medicare and value-based care arrangements, analyze claims and CMS data, support... ...Experience building benchmarks for CMS/CMMI programs or risk-based arrangements ~ Experience with attribution...Remote workRisk
$56k - $85k
Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians. This remote US‑based role requires CRC credential and 2+ years in risk adjustment...Remote jobRisk- ...Compensation Claims Adjuster I AvonRisk is... ...specialty risk manager for self... ...liability, managed care, and risk... ...of a team that values good judgment,... ...Candidates should be based in Texas but... ...to work fully remote. Claims Investigation... ...: Education & Experience: 1...Remote workRiskTraineeshipWork at office
$60k - $75k
...bringing exceptional care to patients living... ...Using an evidence-based approach focused... ...who work remotely or at our corporate... ...who bring our core values of Dedication, Excellence... ...as a Certified Risk Adjustment Coding Specialist... ...Qualifications: Education/Certification/...Remote workRiskFull timeTemporary workPart timeWork at officeFlexible hoursWeekend workAfternoon shiftWeekday work- Astrana Health, Inc. seeks a Certified Risk Coder to support value-based care and risk adjustment by reviewing records and validating diagnoses per... ...performance improvements. The role emphasizes remote collaboration, education delivery, and ongoing learning in ICD-10-CM...Remote jobRisk
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