Remote Risk Adjustment Auditor

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves - one that behaves...

JOB DESCRIPTION Job Summary Provides analyst support for Molina enterprise risk adjustment predictive analytics activities. Designs and develops suspect, targeting, and tracking system to support Molina’s prospective and retrospective interventions. Essential Job Duties Assists risk adjustment data analytics leaders in prospective and retrospective...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s...

Company : Highmark Inc. Job Description : JOB SUMMARY This job supports leadership of the Risk Adjustment Accuracy Management (RAAM) department with a range of activities essential to RAAM’s program strategy and operational goals. Provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business issues; 2)...

Risk Adjustment Accuracy Management Department Leadership Support This job supports leadership of the Risk Adjustment Accuracy Management (RAAM) department with a range of activities essential to RAAM's program strategy and operational goals. Provide analytical/strategic-thinking and leadership support that enables project teams to: 1) isolate business...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's...

Job#: 3052972 Job Description: Risk Adjustment Audit Reviewer Location: Phoenix, Arizona (Remote) Alternate Location: California, Colorado, Nevada, Nebraska, Wyoming Role Overview This position will serve as a coding compliance resource for Risk Adjustment initiatives. The role involves

Oscar Health is hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment team. This remote role supports audits, code abstraction accuracy, and QA initiatives across ACA and MA lines. You will report to the Manager, Risk Adjustment and work from home with occasional travel for meetings and events. Candidates must reside in AZ, FL, GA, or TX...

Pride Global is hiring a Quality Assurance Coder/Auditor to support risk adjustment, HCC coding quality, auditing, and provider education initiatives. You will review medical records and ensure accurate ICD-10 coding per CMS and Medicare Managed Care guidelines. The role conducts QA audits of provider/vendor data, identifies documentation gaps, and develops...