risk adjustment representative jobs in Phoenix

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...

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 Description Risk Adjustment Audit Reviewer Client: Banner Health Location: 2901 N. Central Avenue, Phoenix, AZ 85012 Openings: 1 Start Date: October 5, 2026 End Date: October 2, 2027 Assignment Length: Approximately 12 months Work Arrangement: To be confirmed Pay Rate: To be confirmed Position Summary Banner Health is seeking a Risk Adjustment Audit...

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication. You will develop recurring dashboards and reports that support operational...

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 reviewing audit findings, providing education on identified...

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...

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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger -...

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...

CVS Health Corporation seeks a Medicaid Market Manager to lead risk adjustment strategy across markets. You will connect national strategy with market execution, leading executive briefings and territory meetings, and driving actionable insights for senior leadership.You will partner with cross-functional teams to advance risk adjustment priorities, monitor...

As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory...

Guidewire Claims Center experience A client of AlphaStaffHCM™ is searching for an Senior Auto Adjuster- Non-Injury. This insurance client empowers policyholders to achieve financial security through highly competitive products, exceptional service and trusted advice. Job Description As a dedicated Senior Auto Adjuster, you will adjust highly complex auto...

Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977. Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977.  A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to...

Guidewire Claims Center experience A client of AlphaStaffHCM™ is searching for an Senior Auto Adjuster- Non-Injury. This insurance client empowers policyholders to achieve financial security through highly competitive products, exceptional service and trusted advice. Job Description As a dedicated Senior Auto Adjuster, you will adjust highly complex auto...

As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory...

Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as...