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- ...Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and...Risk
- Sales Director - Risk Adjustment & Retrieval (Healthcare BPO) Colorado Springs, United States | Posted on 06/06/2025 Job Title: Sales Director... ...and Legal Chart Support Services . Since 2017, we've helped Medicare Advantage and Medicaid payors drive accuracy, compliance, and...RiskRemote workShift work
- Overview: The Prospective Risk Adjustment Operations team is seeking a Program Manager to lead the planning, execution, and oversight of strategic initiatives that support prospective Medicare risk adjustment efforts. This pivotal role will be responsible for coordinating...RiskContract workLocal area
- Associate Director, Risk Adjustment Data and Analytics 2 days ago Be among the first 25 applicants Ready to help us transform healthcare?... ...colors to blue. Under the direction of the Senior Director of Medicare Risk Adjustment and Analytics, the Associate Director of Risk...RiskFull time
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role manages the development and maintenance of the risk adjustment...RiskFull time
- ...more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast Region, specifically in GA/Gulf States. This role will have responsibility...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours
- Ready to help us transform healthcare? Bring your true colors to blue. Under the direction of the Senior Directory of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan...RiskShift work
- Risk Adjustment Business Analyst with strong expertise in CMS regulations, Medicare Advantage, and compliance-driven program execution. The ideal candidate will combine regulatory knowledge, data analysis, and process improvement skills to enhance risk adjustment...RiskContract work
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve...Risk
- ...transform healthcare and enable smarter care for millions of people. Job Summary The Sr Risk Adjustment Analyst will assist our organization as a subject-matter-expert in Medicare Advantage, Affordable Care Act (ACA), Medicaid, and Accountable Care Organization (ACO)...RiskRemote jobFor contractors
- Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive models...RiskWork experience placementLocal area
- Join to apply for the Director, Risk Adjustment (Hybrid) role at CareFirst BlueCross BlueShield Join to apply for the Director, Risk Adjustment... ...operations of risk adjustment across the organization within Medicare Advantage, Medicaid & ACA markets. The Risk Adjustment...RiskFull timeWork experience placementImmediate start2 days per week
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage the process of developing and maintaining the...RiskWork experience placementShift work
- ...caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and... ...efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...a time. What is this role about? Gather Health is seeking a Risk Adjustment Coding Specialist to join our growing team. This role is critical... ...documentation and coding to support value-based care under Medicare Advantage and ACO REACH contracts. The ideal candidate has a...RiskFull timeWork at officeLocal areaRemote work
- Join to apply for the Sr Risk Adjustment Analyst - Remote role at Veradigm Welcome to Veradigm, where our mission is transforming health... ...Risk Adjustment Analyst serves as a subject-matter expert in Medicare Advantage, ACA, Medicaid, and ACO risk adjustment. Responsibilities...RiskRemote job
- Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive models...RiskWork experience placementLocal area
- ...Neil Machhar—and inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern.... ...Greenbrook Medical is looking to hire a full-time Medical Risk Adjustment Specialist for our growing primary care organization that serves...RiskHourly payFull timeLocal areaRemote workLive inMonday to Friday
- ...part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's... ...efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,...RiskFull timeTemporary workApprenticeshipRemote work
- ...STP operations + Identify process gaps, risks, and opportunities for efficiency or quality... ...preferably with exposure to MRA or risk adjustment + Strong understanding of financial... ...better quality of life for people with Medicare, Medicaid, families, individuals, military...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
