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- ...differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description The Risk Adjustment Coder I provides support and coding expertise to all programs supporting risk adjustment and data validation efforts for Medicare...RiskWork at office
- ...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskFull timeRemote workFlexible hours
- Program Manager III - Risk Adjustment/Chart Review The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support the management and...RiskContract workLocal area
- ...do it all with heart, each and every day. CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours
- ...Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government...RiskFor contractorsWork at officeLocal area
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...professional, educational and life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of analytics capabilities that power Datavant's risk...Risk
- **Become a part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support for business segments and the company at large. The Director, Risk Adjustment Strategy...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...reports, meetings, and status updates, etc.). + Identify project risks that impact the quality of our product and services delivery to... ...on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse...Risk
- ...required degree or diploma._ + HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **PREFERRED EXPERIENCE AS...RiskFull timeWork at officeShift workWeekend work
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, with a focus on risk adjustment operations. The role involves varied...RiskFull timeTemporary workApprenticeshipRemote work
- ...MRA programs and related STP operations + Identify process gaps, risks, and opportunities for efficiency or quality improvement +... ...healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, cost...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
- ...Claims or Insurance experience. + Must obtain and maintain required adjuster licenses. + Solid understanding of insurance regulations,... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeApprenticeshipWork at officeRemote workVisa sponsorship
- The Security Risk Lead is responsible for identifying, assessing, and mitigating risks related to the organization's information technology and cybersecurity practices. This role involves developing and implementing cybersecurity risk management strategies, ensuring compliance...RiskShift work
Cox Automotive
Fair Oaks, CA4 days ago - ...Technology Group. Monitor vulnerability mitigation progress and partner with engineering teams to provide recommendations for efficient risk remediation or mitigation. Provide regular reporting on the current state of vulnerabilities and configurations throughout the...Risk
Cox Automotive
Fair Oaks, CA4 days ago - ...experience in Claims or Insurance + Must obtain and maintain required adjuster license(s) + Knowledge of insurance regulations, markets, and... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a...RiskFull timeTemporary workApprenticeshipWork experience placementWork at officeLocal areaRemote workVisa sponsorship
- ...Handling or Insurance + Ability to obtain and maintain required adjuster licenses + Proficiency in Microsoft Office + Knowledge of insurance... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship
- ...Litigation Management areaAND + Must obtain and maintain required adjuster license(s) + Microsoft Office experience + Knowledge of... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeTemporary workApprenticeshipLocal areaRemote workVisa sponsorship
