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Risk Adjustment Data Processor Jobs

Risk Adjustment Coder- Remote
By ConnectiCare At , Farmington, Ct $55,000 - $65,000 a year
Relevant Work Experience, Knowledge, Skills, and Abilities
Maintain industry coding knowledge, required certifications.
Report all diagnosis code findings (supported, add, edit, delete) and submit to HCC Risk Adjustment Coding Manager.
Meet with Risk Adjustment Coding Manager to share results of specific coding activities.
Report any coding outlier trends to Risk Adjustment Coding Manager for corrective action to maintain coding
2 – 3+ years of related, professional work experience required
Client Services Account Manager (Risk Adjustment Must)
By Episource At United States
4 to 6 years of account management or client project management experience
Strong time management skills, highly organized, self-motivated, and able to work under strict timelines with minimal day-to-day supervision
Proactively identify and manage opportunities to expand the scope of Episource solutions used by client organizations
Work collaboratively with internal departments and external vendors to coordinate project delivery and provide clients with a superior client services experience
Manage a high volume of client communication and manage the timely resolution of all outstanding client issues
Previous health care experience highly preferred, particularly in the Risk Adjustment space
Manager, Risk Adjustment Jobs
By agilon health At Dayton Metropolitan Area, United States
Responsible for team assignments, workload, and performance management
Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
6+ years, of experience in managed care or the health care industry
Manages the coding program in the market regardless of whether coders are agilon badged or leased from provider groups
Bachelor’s degree: or equivalent work experience required.
Accountable for the hiring and onboarding of all new Risk Adjustment team members (reviewers, coders, coordinators, etc.)
Risk Adjustment Business Analyst Consultant - Remote
By UnitedHealth Group At , Minneapolis, 55421, Mn $85,000 - $167,300 a year
Proven superior customer/consultant relationship management and collaboration skills
Provides business analysis support to the project management function from initiation through delivery in alignment with client expectations and business needs
Demonstrated solid leadership skills with proven ability to foster and manage senior-level relationships in a highly matrixed environment
Proven ability to influence with and without direct management/authority
Proven ability to manage medium sized teams across remote locations
Receives a moderate level of guidance and direction and uses previous experience to identify solutions
College Coop: Risk Adjustment Data Quality Analyst (Huynh)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Working experience of Microsoft applications (PowerPoint, Excel, and Visio)
Working experience with SQL required
Experience with Power BI required
Experience with Tableau or other data visualization software programs preferred
Excellent oral/written communication skills required
Medicare HCC Risk Mitigation efforts
Coder - Risk Adjustment
By Prominence Health Plan At , Reno, 89502, Nv $22.84 - $34.27 an hour
Minimum one (1) year experience in CMS HCC risk adjustment coding preferred
Successful completion of coding certification program (CCS,CPC, CRC, or RHIT through AHIMA/AAPC)
Will need to be well grounded in sound medical coding practices. Knowledge of HEDIS data collection is required
Excellent written and oral communication skills
Experience with NCQA HEDIS programs and data collection preferred
High School Diploma, GED or equivalent required
Risk Adjustment Data Processor
By Blue Cross Blue Shield of Massachusetts At , Hingham, 02043, Ma

***This position is eligible in the following persona(s):

5. Perform processing tasks such as: