Risk Adjustment Manager

Job SummaryWe are seeking a highly skilled Risk Adjustment Manager to lead our team in integrating established risk adjustment principles at University Health.Key ResponsibilitiesManage system-level data collection, analysis, and reporting to integrate quality improvement theory and practice into health plan processes.Direct cross-functional teams through...

Job SummaryWe are seeking a highly skilled Risk Adjustment Manager to lead our team in integrating established risk adjustment principles at University Health System- San Antonio.Key ResponsibilitiesManage system-level data collection, analysis, and reporting to integrate quality improvement theory and practice into health plan processes.Direct...

POSITION SUMMARY/RESPONSIBILITIES Leads the integration of established risk adjustment principles at Community First. Manages system-level data collection, analysis and reporting associated with the integration of quality improvement theory and practice into health plan processes. Direct cross-functional teams through improvement projects and facilitate...

Job SummaryWe are seeking a highly skilled Insurance Risk Manager to join our team at Baldwin Risk Partners. As a key member of our commercial insurance team, you will be responsible for managing client relationships, developing insurance programs, and providing risk management consulting services.Key ResponsibilitiesManage client accounts, including policy...

Job SummaryStaffmark is seeking a highly skilled Claims Adjuster - Risk Management Specialist to join our team. As a Claims Adjuster - Risk Management Specialist, you will be responsible for reviewing Workers' Compensation claims, reports, and determining if occupational illness or injury is compensable. You will also authorize and compute benefit payments,...

A company is looking for a Risk Adjustment Auditor Educator to conduct medical record audits and provider education regarding risk adjustment coding. Key Responsibilities Conduct provider medical record audits and analyze practice coding patterns Provide education and training on risk adjustment to improve CMS payment accuracy and quality of care ...

A company is looking for an HCC Risk Adjustment Coder (Clinical Operations Specialist). Key Responsibilities Review medical records and assist clients with backlog and larger chart page counts Maintain accuracy scores of 95% on all coding projects and provide coaching to coders Manage and address questions from coders, ensuring effective...

A company is looking for Clinical Risk Adjustment Medical Coders to join their remote team. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures for insurance claims Analyze and review medical records to verify the completeness and accuracy of coding information Collaborate with internal departments to...

Job SummaryWe are seeking a highly skilled Senior Control Management Specialist to join our team at Wells Fargo.The successful candidate will be responsible for leading initiatives to mitigate current and emerging risks with broad impact. This will involve working closely with cross-functional teams to monitor, evaluate, and measure the impact of decisions...

Job Title: Client ManagerAt Unison Risk Advisors, we are seeking a highly skilled and motivated Client Manager to join our Commercial department. As a Client Manager, you will be responsible for providing exceptional client service, managing client relationships, and driving business growth.About the Role:Assist the Commercial Lines Risk Advisor with client...

Job OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner to join our team in San Angelo, TX. As a Health Risk Assessment Specialist, you will have the opportunity to work with Medicare and Medicaid members in a unique and rewarding way.This part-time position offers a flexible schedule, allowing you to balance your professional goals...

Job SummaryUnder the oversight of the Senior Manager of Consulting and Operations, this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing...

Job OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner to conduct in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the San Pedro, CA area.This unique opportunity offers a flexible schedule, allowing you to balance your professional goals with your personal preferences. As a Nurse Practitioner with Hueman, you...

Job OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner to join our team in San Jose, CA. As a Health Risk Assessment Specialist, you will have the opportunity to work with Medicare and Medicaid members in a unique and rewarding way.This part-time position offers flexibility and autonomy, allowing you to achieve your professional goals...

Job Opportunity OverviewHueman Risk Adjustment is actively seeking qualified Nurse Practitioners to join our team in completing in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the San Angelo, TX area.This unique opportunity offers a flexible schedule, allowing you to balance your professional goals with your personal preferences....

Job SummaryWe are seeking a skilled Coding Auditor to join our team at Sharp HealthCare. As a Coding Auditor, you will play a critical role in ensuring the accuracy and compliance of our coding practices, with a focus on risk adjustment and medical compliance.Key ResponsibilitiesProvide administrative and coding support to management, site support, staff,...

Job SummaryWe are seeking a highly skilled COMSEC Manager II to join our team at Watermark Risk Management International, LLC. As a COMSEC Manager II, you will be responsible for providing day-to-day support for Collateral, Sensitive Compartmented Information (SCI), and Special Access Program (SAP) activities.Key ResponsibilitiesConduct secure equipment and...

Job SummaryRisk Mitigation Consulting (RMC) is seeking a highly skilled Risk Analyst to join our team in San Diego, California. As a Risk Analyst, you will play a critical role in conducting mission analysis and risk assessment functions for military and civilian customers.Key ResponsibilitiesConduct mission analysis and risk assessment functions for...

Job SummaryRisk Mitigation Consulting (RMC) is seeking a highly skilled Risk Analyst to join our team in San Diego, California. As a Risk Analyst, you will play a critical role in conducting mission analysis and risk assessment functions for military and civilian customers.Key ResponsibilitiesConduct mission analysis and risk assessment functions for...

Why USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. USAA's Catastrophe team is seeking experienced Property Adjusters for in-office claim...