Risk Adjustment Coder

Job DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....

Job DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...

Company Background As a leading financial technology firm, we leverage cutting-edge technology to deliver liquidity to global markets as well as innovative, transparent trading solutions and industry standard-setting analytics tools to our clients. As a market maker, Virtu provides deep liquidity that helps to create more efficient markets around the world....

Summary Organizational Location: This position is with the Department of Homeland Security, within U.S. Customs and Border Protection, Office of Trade, Trade Regulatory Audit (TRA), located in the following locations.Buffalo, NY Laredo, TX Long Beach, CA Miami, FL Seattle, WA Salary listed reflects the rest of U.S. scale and, if applicable, will be adjusted...

Job DescriptionJob DescriptionJob Summary Molina Segment leaders are responsible for the development and administration of Segment specific departments, programs and services, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulatory requirements. Job Duties ...

Job Description Job Summary Job Duties In collaboration with Health Plan AVP RQS Market Engagement & Performance, supports RQ team improvement plans based on identified problem areas, potential solutions and barrier removal Subject matter expert for risk adjustment, quality, data acquisition and provider engagement across all lines of business. Consults...

Job DescriptionJob Description Job Summary Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings....

Job DescriptionJob DescriptionBe Part of our Growing Team as a Remote Mental Health Counselor!We are a tech-enabled healthcare company. We provide quality mental health care, backed by science, and delivered with humanity. Using an evidenced-based Cognitive-Behavioral Therapy (CBT) counseling approach, our patients complete live video sessions with their...

Job DescriptionJob DescriptionPOSITION SUMMARYWe are seeking an entry level Office Clerk to assist in day-to-day tasks for EDRAY's Destination Management Operational team. You will be responsible for performing various tasks and providing support to our teams of Logistics Analysts. This position is an excellent opportunity for individuals looking to gain...

POSITION SUMMARY We are seeking an entry level Office Clerk to assist in day-to-day tasks for EDRAY's Destination Management Operational team. You will be responsible for performing various tasks and providing support to our teams of Logistics Analysts. This position is an excellent opportunity for individuals looking to gain valuable experience in an office...

Job DescriptionJob DescriptionPOSITION SUMMARYThe Logistics Analyst is an onsite role that will oversee supply chain processes and container delivery by tracking and reviewing shipment data, status, and delivery route activity. We are looking for those who thrive in high growth start-up environments! This role will mainly consist of account management,...

POSITION SUMMARY The Senior Logistics Analyst is an onsite role that will oversee supply chain processes and product delivery by tracking and reviewing invoices, shipment status, and delivery route activity. We are looking for those who thrive in high growth start-up environments! This is a role that would mainly consist of account management, analytics,...

Job DescriptionJob DescriptionJob Summary The Specialist, Member Rights serves as a member advocate within the agency. This position ensures that members are informed of their rights and supports members through mediation and problem solving with interdisciplinary teams (IDTs). Maintains and manages an accessible appeals and grievance system for members to...

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. The pay rate or range for this position is: $$73,500 per year Job Summary Flagship Facility Services, Inc. is looking for an HR Business Partner with a solid generalist skill set and experience including...

Job DescriptionJob DescriptionAbout AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on...

About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and...

Job DescriptionJob DescriptionAbout AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on...

About AdvantmedAdvantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and...