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- ...Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding...Risk
Baptist Health
Florida, NY2 days ago - JOB SUMMARY: Responsible for overseeing the day-to-day execution, performance, and optimization of the risk adjustment program across vendor management, medical record retrieval, coding quality, analytics, reporting, and audit readiness. This role drives process improvement...Risk
$21.28 - $29.32 per hour
...insurance plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America... ...Zurich is currently looking for an RCIS Crop Claims Field Adjuster II to work out of the states of Montana and Wyoming. This incumbent...RiskHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Wyoming State2 hours ago$130k - $150k
Role Description Job Description: Director of Risk Adjustment ~Strategic Client Management: ~Serve as the primary operational partner for multiple external clients across medical groups, health systems, and risk-bearing entities. ~Serve as the trusted advisor and...RiskFull timeWork experience placementIKS Health
Remotea month ago- ...Job Description: This professional position is assigned the responsibility and accountability to manage and coordinate the risk adjustment programs for Cox HealthPlans (CHP). This manager will work with other staff and leaders within CHP to ensure risk-adjusted...RiskShift workDay shift
CoxHealth
Springfield, MO3 days ago $87.9k - $156.9k
...desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)The Clinical Quality Coding Risk Adjustment Manager is responsible for the overall direction of our risk adjustment coding team of the OptumCare Local Care Delivery....RiskWork experience placementLocal area- Massadvantage in Worcester, MA is seeking a Manager of Risk Management to oversee Medicare risk adjustment activities. This role involves driving strategies, ensuring compliance, and interacting with vendors and providers. Ideal candidates will have at least 7 years in...Risk
- ...To support the Burden of Illness department, the full-time Risk Adjustment Coding Specialist will perform medical record reviews, validate ICD-10-CM codes, and collaborate with healthcare providers to ensure accurate documentation and coding in a remote setting. Key responsibilities...RiskFull timeRemote work
Virtual Vocations Inc
United States2 days ago $100k - $231.54k
...is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions. This role transforms complex clinical, operational, and risk adjustment data into...RiskHourly payFull timeTemporary workWork experience placementLocal areaCVS Health
Michigan3 days ago- ...Must Reside in the State of Florida) Status: Full Time, Salaried Shift Hours: M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and...RiskFull timeRemote workShift work
BayCare Health System
United States3 days ago - ...Health, you will connect with people and communities in need to provide your expertise and act as their advocate. You will help them adjust to changes and challenges in their lives and to access services and resources to improve their quality of life.CorporateAs a caring...RiskLive in3 days per week
$170k - $200k
Role Description As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization...RiskFull timeDatavant
Remote3 days ago- ...Job Description Job Description Position:Manager of Risk Adjustment AnalyticsLocation: Hybrid (Must Reside in NY/NJ/CT)Work Schedule: Monday - Friday, 9:00am - 5:00pmCompensation: $135,292.44 - $152,204.00 Annual Salary Our OrganizationVillageCare is a community...RiskContract workMonday to Friday
Village Care
New York, NY3 days ago - ...Supporting the Risk Adjustment team in a fully remote capacity, the Specialist, Risk Adjustment will manage daily operations related to medical record retrieval and provider outreach while ensuring compliance with CMS and HHS deadlines. Key responsibilities: Support daily...RiskWork experience placementRemote work
Virtual Vocations Inc
United States5 days ago - ...range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring, and business insights that drive operational excellence, compliance...Risk
- Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second...Risk
- A healthcare technology firm is seeking a Senior Product Manager to lead the strategy and execution of a risk adjustment product. The ideal candidate should have 5-7 years of experience in product management within healthcare, a strong understanding of Value-Based Care,...RiskRemote job
$118.08k - $154.98k
About the role: The Actuarial Manager will be a key player in helping Oscar to understand the financial implications to the ACA's risk adjustment program. You will support multiple aspects of the actuarial team's risk adjustment work, including supporting monthly financial...RiskRemote jobFull timeWork at office- Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time, Salaried ~Compensation: $152,000-$183,000, 20% bonus ~Location: Fully Remote (must be located in the United States) ~Hours: Full-Time, Days What to...RiskFull timeTemporary workRemote workFlexible hours
Matrix Medical Network
Remote7 days ago - UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote capacity. The role emphasizes clinical judgment, analytical skills, and a commitment to documentation integrity reflecting patient severity and...RiskRemote job
- UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote role. You will validate chronic conditions and ensure documentation integrity across outpatient records, leveraging Epic and OPAs. You’ll work...RiskRemote job
- ...will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage questions in real time, research correct coding guidelines,...Risk
- Greater Good Health in El Segundo, CA, is seeking a Risk Adjustment Coding Specialist to own retrospective CDI chart reviews, strengthen coding compliance, and optimize risk capture for our Medicare-focused care model. You will collaborate with Revenue Cycle, Clinical Operations...Risk
- Elevance Health is seeking a Risk Adjustment Compliance Manager to lead regulatory alignment and audit readiness. You will collaborate with Encounters SMEs, oversee audits and risk assessments, and drive evidence-based improvements across processes. The role emphasizes...Risk
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Chanell Graves Compensation: $70,000 - $85,000 / year Description We are currently...RiskFull timeWork at officeRemote workHome officeAstrana Health, Inc.
Monterey Park, CA1 day ago- ...range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding...RiskWork experience placement
- Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate...Risk
- A leading insurance and risk management firm is seeking an experienced Claims Adjuster to provide exceptional service and manage complex claims while working with clients across multiple jurisdictions. Candidates should have a minimum of 5 years in claims management with...RiskRemote job
- Elevance Health is seeking a Risk Adjustment Compliance Manager to lead regulatory and privacy compliance efforts in a hybrid in-office/remote setting. The role may report to multiple Pulse Point locations (Atlanta, GA or nearby states) with options for alternate sites...RiskWork at officeRemote work
