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- ...Blue Cross Blue Shield of Nebraska is seeking a Healthcare Analytics professional to analyze healthcare data for Risk Adjustment programs, evaluate performance, and drive actionable insights for intervention planning and decision‑making. The role supports reporting, forecasts...RiskRemote work
BlueCross BlueShield of Nebraska
Saint Paul, MN2 days ago - ...Manager Risk Adjustment Program At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...RiskFull timeRemote workShift work
BayCare
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
Remote3 days ago- ...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 States5 days ago $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- ...Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across EHR, claims, and external vendor files. The role centers on validation, distribution, and analysis to enable timely performance tracking...RiskRemote work
Sharp Corporation
San Diego, CA1 day ago $31.03 - $36.03 per hour
...degree, an additional 2 years of relevant work experience is required in addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge of diagnosis code validation, coding...RiskTemporary workWork experience placementRemote workCynet Systems
United States3 days ago- CVS Health Corporation is expanding its Medicare strategy and insights team to act as a subject matter expert on Medicare Risk Adjustment for at-risk provider reporting. The role focuses on tracking risk adjustment activities, provider group performance, and collaborating...RiskRemote job
- Virtix Health LLC is seeking a Director to lead Provider Risk Adjustment programs, focusing on risk-based care initiatives and provider documentation quality. This role manages client relationships, ensures SLA adherence, and drives performance across HIM coding activities...RiskRemote job
- 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
- 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
Remote8 hours ago - Datavant Corporation is seeking an experienced HCC Auditor to review medical records and ensure accurate risk adjustment coding for reimbursement. This remote role requires solid ICD-10 knowledge and strong communication skills. You will audit coded charts, maintain a high...RiskRemote job
- 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
- 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
- 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
$100k - $231.54k
Role Description Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and financial valuations. This role is responsible for driving risk score accuracy...RiskHourly payFull timeTemporary workWork experience placementCVS Health
Remote1 day ago- A public agency in California is seeking a Workers' Compensation Claims Adjuster II to join the Risk Management team. This role involves investigating claims, administering benefits, and working closely with legal counsel. The County values a diverse workforce and offers...RiskRemote job
$170k - $225k
Role Description The Director, Risk Adjustment Products will lead the strategy, roadmap, and execution for the product portfolio focused on retrospective risk adjustment solutions. This is a leadership role where you will pair your product development and people management...RiskFull timeRemote workHealthEdge
Remote3 days ago- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...RiskRemote job
- A.G. Risk Management, Inc. is seeking a Senior Claims Adjuster to handle complex latent liability claims (asbestos, environmental, molestation) with remote or on-site options across the United States. The role emphasizes accuracy, timely resolutions, and adherence to client...RiskRemote job
- UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support accurate outpatient CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians and care teams to ensure documentation quality and regulatory compliance while optimizing...RiskRemote job
$99k - $124k
...re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through... ...click here. What You'll DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-performing, insights-driven team....RiskWork at officeRemote workWork from homeFlexible hours2 days per week- ...communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Risk Adjustment Director leading the Risk Adjustment Department. This position can be located in one of our service counties (Mariposa,...RiskFull timeContract workTemporary workPart timeLive inWork at officeLocal areaRemote work
Central California Alliance for Health
Hollister, CA2 days ago - Centene Corporation in the United States is seeking a Senior Actuarial Analyst to support Risk Adjustment Actuarial Services. You will assist in financial analysis, pricing and risk assessment to estimate outcomes and ensure compliant reporting. The role partners with clinical...RiskRemote job
- Astrana Health Management is seeking a Senior Analyst, Risk Adjustment Strategy to lead coding policy and documentation standards. The role reports to the Chief Quality Officer and guides coders, CDI reviewers, and provider education across multiple IPAs. Responsibilities...RiskRemote job
- Centene Corporation is seeking a Senior Actuarial Analyst to support risk adjustment programs through accurate capture, validation, and reporting of member health conditions. You will collaborate with clinical, operational, and coding teams to improve documentation and...RiskRemote job
- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...RiskRemote job
$24.66 - $33.89 per hour
...insurance plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America... .... Zurich North America is hiring an RCIS Claims Crop Field Adjuster II to join our team! We are open to hiring talent in one of the...RiskHourly payFull timeTemporary workSummer workWork at officeLocal areaRemote workVisa sponsorshipFlexible hoursZurich 56 Company Ltd
Indiana, PA5 days ago- Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance...RiskRemote job
$99k - $124k
Strive Health Services LLC is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their Seattle team. In this role, you will evaluate financial performance and translate complex data into strategies that improve patient care and operational efficiencies. The position...RiskRemote job
