Strategic Risk Adjustment Analyst - Medicare Revenue Cycle
ExactCare Pharmacy
ExactCare Pharmacy is looking for a full-time Client Service Liaison responsible for managing the Medicare revenue cycle for PACE programs. This role requires collaboration with financial teams to ensure accurate payment data and support client needs actively. The ideal candidate will possess at least an Associate Degree and three years of experience in risk adjustment. The position includes a comprehensive benefits package including health coverage and 401(k). #J-18808-Ljbffr ExactCare Pharmacy
$20 per hour
...We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate... ...wide range of expertise, so relevant backgrounds include Revenue Cycle Management & Patient Finance, Pharmacy Operations (Pharm...SuggestedHourly payFull timePart timeFor contractorsRemote workFlexible hours$98.2k - $130.8k
...Performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance with CMS standards and modeling... ...Collaborates regularly with internal departments, including Finance, Medicare Operations, Network Management, Provider Contracting, and...SuggestedWork experience placementFlexible hours- ...people deserve. The Risk Adjustment team at Clover is made... ...of collaborative and strategic thinkers who are excited... ...directly influence revenue accuracy, compliance,... .... As a Senior Data Analyst, Risk Adjustment, you... ...workflow for Centers for Medicare & Medicaid Services (...SuggestedWork at officeRemote workFlexible hours
$70k - $80k
...providers, managed care organizations, and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation or ongoing... ...Experience in troubleshooting and data analysis to identify risks and issues and react timely to implement solutions. ~ Thinks...SuggestedFull timeLocal areaNight shift$66.3k - $78k
...reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Revenue Cycle Optimization Analyst will provide operational and analytical support to revenue cycle optimization initiatives, focusing on collecting,...SuggestedContract workTemporary workWork at officeLocal areaRemote workMonday to Friday- ...Incorporated (CTG) seeks a remote Certified Epic HB Charging Analyst to manage Epic HB Charging processes. This role ensures charge... ...accuracy and compliance while working closely with clinical, IT, and revenue cycle teams. Candidates should have Epic HB Certification, 4-6 years...Remote work
- ...Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary – ACA Risk Adjustment to deliver crucial actuarial and analytical services. This role involves leading pricing strategies, evaluating care management models, and producing actionable insights...
$70.48k - $83.34k
...locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free... ...have an exciting opportunity to join our team as a Revenue Cycle Management Analyst (Revenue Cycle-Initiatives). In this role, the successful...$48.34k - $63.64k
The Physicians' Group is seeking an Associate Revenue Cycle Analyst in New York. This position involves collaborating with Revenue Cycle Operations to analyze data and identify improvement opportunities to manage denials effectively. The successful candidate will have a...$110k - $125k
...We strive to generate attractive risk-adjusted returns for our clients across market cycles. Our strategies include Absolute... ..., Private Equity, Credit, and Strategic Partners), and the team's direct... ...opportunities. The team seeks an Investment Analyst for its fundamental equity team...Local areaFlexible hours$139.8k - $297.9k
...a global leader in insurance broking and risk management, Marsh helps clients succeed by... .... Marsh is searching for an experienced Strategic Risk Advisor role in our Risk Consulting... ...advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000...Minimum wageFor contractorsWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Role :- Revenue Cycle Applications/Business Analyst New York, NY (Hybrid) 6 month $55-65/hr on w2 Visa :- noH1B OPT With a focus on Tax & Revenue... ...IT leadership in optimizing the scope, benefits and risks of actual and proposed projects as well as assist in managing...Work experience placementWork at officeRemote work
- ...United Surgical Partners International seeks an RCM QA Analyst responsible for conducting audits across revenue cycle processes ensuring accuracy and compliance. You will collaborate with both offshore and onshore teams, providing quality feedback and identifying areas...
$57.79 per hour
...Business Intelligence Analyst II - Revenue Cycle Memorial Sloan Kettering Cancer Center is hiring for a Business Intelligence Analyst II - Revenue... ...to support reporting infrastructure. Identify project risks and impediments; advise management; proactively work with...$35.08 - $61.39 per hour
...is seeking a Construction Risk Management Analyst to be based in New York,... ...interests throughout the project cycle. In total, AECOM Tishman... ...Fortune 500 firm that had revenue of $16.1 billion in fiscal... ...Business Group: CM Strategic Business Unit: CM Career...Hourly payContract workFor contractorsInternshipWork at officeLocal areaWorldwideRelocation packageFlexible hours$20 per hour
A healthcare technology firm in Kentucky is seeking a Risk Adjustment Analyst to train AI chatbots in healthcare contexts. The role requires a strong understanding of healthcare to evaluate chatbot logic and ensure accurate model responses. Candidates should have a relevant...Hourly payFor contractorsRemote work- A leading mental health provider in the United States is seeking an experienced Revenue Cycle Operations Analyst. This full-time position involves supporting the setup, maintenance, and optimization of revenue cycle software and systems. Candidates should have an Associate...Full time
$84k - $156k
...Summary... What you'll do... Senior Analyst, Strategic Account Management (Growth Accounts)... ...Entrepreneurial Innovation: Optimize revenue by sourcing products efficiently,... ...continually update skills. Assist associates in adjusting to organizational changes. In this...Full timeTemporary workPart timeShift work- ...ChristianaCare is seeking a Senior Net Revenue Analyst to provide support and calculation for... ...accounts receivable within the Revenue Cycle Analytics (RCA) tool (Kodiak RCA) including... ...revenue impact of RCA calculations and adjustments to finance leadership and other...Local areaRemote work
- ...Senior RCM Analyst Location: Fully Remote Job Type:... ...detail-oriented Senior Revenue Cycle Management (RCM) Analyst... ...flag claims at risk of denial by monitoring... ...accuracy of contractual adjustments, write-offs, and allowances... ...-10, NCCI edits, and Medicare methodologies (DRG,...Permanent employmentFull timeContract workRemote work
$75k - $95k
...vision. POSITION SUMMARY The Revenue Analyst will serve as a key member of the... ...produce actionable insights, and deliver strategic recommendations that support optimizing... ...dynamic and evolving market landscape, adjusting strategies to meet changing business conditions...Work experience placementSummer workWork at officeRemote workFlexible hours- ...experiences across the organization. Strategic Business Acumen: Translate industry and... ...Entrepreneurial Innovation: Optimize revenue by sourcing products efficiently, monitoring... ...update skills. Assist associates in adjusting to organizational changes. Seller Lifecycle...Shift work
$85k - $90k
...across 8 states. Position Summary The Revenue Analyst is responsible for driving pricing strategy... ..., stay restrictions, and tactical adjustments based on demand patterns, seasonality,... ...to optimize performance through both strategic planning and daily execution. You will...Temporary workLocal areaRemote workMonday to FridayShift workNight shift$100k - $110k
...Senior Analyst, Revenue Operations At Magnite, we cultivate an environment of continuous growth... .... Execute quarterly commission cycles using complex, spreadsheet-based models... ...documenting exceptions, disputes, and one-off adjustments. Route payouts through executive...Work experience placementWork at officeLocal areaRemote workMonday to Friday- ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...timeliness, compliance, and quality of work. Provide proactive and strategic thought leadership to improve processes, reduce risks, and...
- ...Title: Senior Actuary - Medicare Strategy Location:... ...product, finance, and risk adjustment teams to ensure... ...financial sustainability and strategic alignment. The role... ...teams to support revenue forecasting, coding accuracy... ...REMOTE - Actuarial Analyst II (ACA) - R9791...Full timeWork at officeRemote work
$80k - $90k
...little about the role: The Compensation and Revenue Analyst is responsible for supporting... ...Responsibilities : Manage the commission monthly cycle and the collaboration with Finance and... ...dashboards for management, offering strategic insights to drive performance. Support...Full timeWork at office- ...to the Manager of Revenue Integrity and working... ...with the CDM Analysts, the Revenue Integrity... ..., Coding, Revenue Cycle Analysts, Claims... ...and/or financial risk. Reviews, develops... ...Established knowledge of Medicare and Medicaid... ...and make frequent adjustments to priorities. Ability...Full timePart timeWork at office
$90k - $112k
...your name on it We are looking for an Analyst to join our team. You will derive... ...KPIs Create and maintain accurate revenue forecasts to support strategic decision-making Participate in presentations... ...need a workplace accommodation or adjustment during the application and hiring...Temporary workLocal areaWorldwide- A prominent healthcare system in Oklahoma seeks a Revenue Integrity Analyst III to lead revenue cycle initiatives and mentor junior analysts. This role requires expertise in billing compliance, strategic insights, and project leadership. The ideal candidate has 7+ years...
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