Jobs: director of risk adjustment

** Director, Risk Adjustment** **Job Category****:** Accounting & Finance **Requisition Number****:** DIRRI01579 Showing 1 location **Job Details** **Description** **Job Summary** The Director, Risk Adjustment drives corporate success in achieving outstanding quality of care for our members by providing sharp and timely analytics and insight....

Our client, a leading healthcare organization dedicated to improving the health and well-being of our community is looking for a dynamic and experienced individual to join our team as Senior Director of Risk Adjustment.Job Description:The Senior Director of Risk Adjustment will be responsible for overseeing all aspects of the risk adjustment program. This...

Our client, a leading healthcare organization dedicated to improving the health and well-being of our community is looking for a dynamic and experienced individual to join our team as Senior Director of Risk Adjustment.Job Description:The Senior Director of Risk Adjustment will be responsible for overseeing all aspects of the risk adjustment program. This...

The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to ensure performance of the assigned region. The...

Job DescriptionJob DescriptionUnder the direction of the Manager Risk Adjustment, will support The Health Plan’s risk adjustment and coding management goals with regard to the risk adjustment models. The position will be involved in developing, coordinating, and analyzing the impact of various activities used to support risk adjustment optimization. This...

Job DescriptionJob DescriptionPosition Summary:The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to...

The Medical Director of Risk Adjustment is responsible and accountable for the performance of a specific region in terms of RAF score for all product lines that risk adjust and quality scores for all product lines. The Medical Director will be working with internal staff, larger and exclusive PCPs, and CFO to ensure performance of the assigned region. The...

Overview The Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of the organization’s Risk Adjustment Programs to optimize the programs’ clinical benefit, financial accuracy and ensure program compliance with governing bodies’ regulations, including the Center for Medicare and Medicaid Services. This role will...

Job Summary **Hybrid Work Environment - Must reside in Hawaii ** The Manager, Medicare Risk Adjustment has organization level responsibilities for the administration of all provisions/requirements of HMSA's Medicare Risk Adjustment program. They are responsible for managing the development and implementation of successful activities that improve the...

Description: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our elevated value-based care programs, we're revitalizing an antiquated system that's far too long relied on misaligned incentives that reward quantity of care not the quality of it. Our...

SUMMARY: Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Reports to: AVP, STARs & Risk Adjustment Location: Houston, TX EDUCATION: • High School Diploma or GED Required LICENSES/CERTIFICATIONS: A...

Job DescriptionJob DescriptionSUMMARY:Risk Adjustment Coder is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements.Reports to: AVP, STARs & Risk AdjustmentLocation: Houston, TXEDUCATION:• High School Diploma or GED...

** Business Analyst, Risk Adjustment** **Job Category****:** Accounting & Finance **Requisition Number****:** BUSIN001595 Showing 1 location **Job Details** **Description** **Job Summary** The Business Analyst, Risk Adjustment has expertise in all aspects of risk adjustment data submissions, ensures encounter submission completeness and accuracy and...

Job Type Full-timeDescriptionThe Why Behind Wellvana: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to...

** Risk Adjustment Analyst** **Job Category****:** Accounting & Finance **Requisition Number****:** RISKA001587 Showing 1 location **Job Details** **Description** **Job Summary****:** At CHPW, analytics translate healthcare data into actionable insights. This role leads the analytic effort for various risk adjustment programs, ensuring a highly...

Job DescriptionJob DescriptionWe're partnered with a large HMO headquartered in Los Angeles to find a Full-Time Medical Director to lead a team of 10 As the leader of the Risk Department, you'll oversee a mixture of project managers and physician trainers, provide documentation education to contracted physicians, and ensure appropriate reimbursement to the...

Working Each Day to Make a Difference At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care. More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents. We continue that pledge today by...

**Risk Adjustment Analyst Advanced** Requisition ID: Risk Analyst 2 Department: 500618 Risk Adjustment Facility: Hometown Health Management Schedule: Full Time Shift: Day Category: Professional Location: Reno,NV Position Overview Benefits This position develops and coordinates the risk adjustment improvement and reporting efforts, for Hometown Healths...

**Risk Adjustment Coding Specialist** at New England Quality Care Alliance (NEQCA) NEQCA Central ****I. GENERAL SUMMARY:**** The Risk Adjustment Coder/Auditor works under the direct supervision of the Coding Manager and collaboratively with others in the organization, including ACO support staff, quality specialists, HIS team and clinical staff. The coders...

- Managed Care (Remote, Hybrid, Full-Time, Day Shift) - Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care...