Remote HCC Risk Adjustment Auditor

Core Responsibilities:Performs monitoring of Cigna Medicare coders & vendors in order to ensure quality metrics are achieved.Researches IRR disagreements with the purpose of providing substantive feedback to coders.Meets fluctuating production demands in order to reach sampling targets.Maintains a high level of quality, as set by internal standards, to...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

Pharmacy Claims Auditor - Remote At Prime Therapeutics (Prime), we are reimagining pharmacy solutions to provide the care we would want for our loved ones. This purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about...

The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI).Key Job Functions•Conduct...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Pharmacy Claims Auditor - Remote Job Description The Pharmacy Claims Auditor is responsible for identifying and evaluating...

CANDIDATE MUST RESIDE IN CENTRAL FLORIDA AREA AND WILLING TO TRAVEL LOCALLY TO ORLANDO AND TAMPAJob Summary:This role is responsible for supporting Cigna Medicare Advantage’s Risk Adjustment & Stars program for assigned populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment and stars related...