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Risk Adjustment Remote Jobs

43 fresh jobs found
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Director, Quality Improvement
Remote-MO, United States

Centene Corporation

Medicare Stars Provider Satisfaction Technological Tools Policy Formulation HOS CAHPS Guidelines Healthcare operations NCQA +24

Exec Senior Full Time

USD 116K+

Sr. Risk Adjustment Administration Professional
Remote US, United States

EMR interoperability Claims Submission Population health management Medical Director Assist Provider education Interoperability Provider Relations Population health +64

Senior Full Time

USD 78K+

Medical Records Retrieval Representative
Work at Home - California, United States

Health benefits Driver safety program Risk Adjustment Articulate HireVue Electronic Medical Records Healthcare experience Risk Medical Records +35

Entry Mid Full Time

USD 25K+

Product Marketing Manager - Provider Solutions
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Messaging frameworks Risk Adjustment Collaboration Tools Asana Market intelligence Healthcare Technology Quality improvement Content Strategy Competitive analysis +15

USD 125K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Performance Data Healthcare Standards Medical record documentation Cphq Risk Adjustment Coding Provider education HEDIS ICD-9 Guidelines +26

USD 52K+

Risk Adjustment Auditor III (Coding Certification Required)
Dayton WFH, United States

Risk Adjustment Coding Facets CPT-4 ICD-10 Coding Provider education CPT codes Risk Adjustment Medical Coding ICD-10 +33

Senior Full Time

USD 70K+

Associate, Operations Analytics
Remote

Dashboard enhancement Models Population health Quality of care Risk Adjustment Technology Platform Contract negotiations Analytical tools Visualization +29

USD 88K+

Senior Data Integration and Operations Specialist
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

T-SQL HEDIS EDI Interoperability MuleSoft FHIR Risk Adjustment Healthcare Regulations Healthcare IT +28

Senior Full Time

USD 120K+

Value Based Care Coder Educator
Linthicum Heights, MD, United States

University of Maryland Medical System

Provider education ICD-10-CM Risk Adjustment Medical Coding Healthcare Compliance Clinical Documentation EPIC Coding Quality Assurance +7

Senior Mid Full Time

USD 66K+

Director, Software Engineering
United States / Glendale, CA-%LABEL POSITION TYPE REMOTE WITHIN%

Cloud-based SaaS Risk Adjustment Healthcare Data Performance Tuning Quality improvement Healthcare Technology Quality Agile methodologies Distributed Systems +21

Exec Senior Full Time

USD 190K+

Coder 2
Remote, United States

HCC coding Anatomy and physiology Clinical coding Payment accuracy Risk Adjustment Coding ICD Payment Coding Guidelines ICD-10-CM +40

USD 54K+

Data Analyst III Medical Economics
Remote-FL, United States

Centene Corporation

Claims pricing Large databases Microsoft powerbi Data verification Claims payment Microsoft Power BI Clinical outcomes Statistical techniques Utilization +57

Senior Mid Full Time

USD 68K+

Senior Medical Economics Analyst
Chicago/Remote

Analytical Infrastructure Advanced Data Tools Healthcare Utilization Medical economics Value-based contracts Actuarial Analysis Cost Containment Financial Forecasting Risk Adjustment +4

Senior Mid Full Time

USD 121K+

Provider Engagement Manager (Connecticut Market)
Hartford, Connecticut, United States - Remote

Provider engagement Risk Adjustment Healthcare Knowledge Performance Management Relationship Management Strategic planning C Account management Cross-functional Collaboration +10

USD 95K+

Sr. Manager, Value-Based Care Operations
Remote, USA, United States

Operational training Payer contracting HIPAA rules and regulations HIPAA Rules Technology-driven Cloud-based technology Strategic Relationships Risk Adjustment Population health +26

Senior Mid Full Time

USD 95K+

Sr. Manager, Field Marketing
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

ROI Optimization Event strategy Multi-channel Marketing Campaign Development Data-driven marketing ABM Event Marketing Risk Adjustment Field Marketing +26

Senior Mid Full Time

USD 125K+

Risk Adjustment Specialist II (non-clinical)
Remote-IA, United States

Centene Corporation

Claims knowledge Risk Adjustment Coding Medical record documentation Provider education Health administration ICD-10 Coding Guidelines Risk Adjustment Health Plan +26

USD 95K+

Quality Practice Advisor
Remote-ME, United States

Centene Corporation

Healthcare Standards Medical record documentation Risk Adjustment Coding Cphq Provider education Documentation standards HEDIS NCQA ICD-9 +25

USD 52K+

Director of Provider Engagement (Mid West Market)
Ohio, United States - Remote

Healthcare Strategy Provider engagement Network development Risk Adjustment Value-based care Resource Management Clinical operations Performance Optimization Budgeting +9

Senior Full Time

USD 161K+

Actuarial Analyst II - Remote (Select States)
Sentara Health Plans Community Care, United States

IBNR calculation Financial evaluation Deadline management Actuarial Analysis Government programs Risk Adjustment Data Modeling Medicaid Medicare +14

USD 74K+

Business Ops Specialist II
Portland, OR, United States

Cambia Health Solutions

Health care operations Business Process Analysis DO Risk Adjustment Business Operations Economics Facilitation Computer Science Tableau +28

USD 86K+

AVP, Market Chief Financial Officer(Must Live in Ohio)
Ohio WFH, United States

Strategic support Accounting Concepts Budget Forecasting Problem identification Financial Oversight Critical Listening Staff management Reimbursement methodologies Risk Adjustment +29

Exec Senior Full Time

USD 150K+

Clinical Documentation Specialist, Second Reviewer
IL-REMOTE WI PLAN, United States

Clinical documentation integrity Mortality reviews Health records Evidence-based practice Patient Safety Risk Adjustment Clinical Documentation RN Nursing +6

USD 73K+

Program Manager Operations (Risk Adjustment)
Remote, United States

Enterprise project management Exchange Risk Adjustment Interpersonal Communication Client Management Accountability Microsoft Outlook Microsoft PowerPoint Coding +21

USD 68K+

Program Manager Operations
Remote, United States

Enterprise project management Exchange Risk Adjustment Interpersonal Communication Client Management Accountability Microsoft Outlook Microsoft PowerPoint Coding +21

USD 68K+

QA Engineering Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Abstraction Data Retrieval Submissions Cypress Risk Adjustment Software testing Selenium Healthcare Data QA +22

Entry Temporary Internship

USD 50K+

Marketing Operations Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Abstraction Data Hygiene Data Retrieval Submissions ABM MS Outlook Risk Adjustment Marketing Operations MS PowerPoint +20

Entry Temporary Internship

USD 50K+

IT Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

MS applications Abstraction Data Retrieval Submissions Azure AD Risk Adjustment IT Support Healthcare Data Active Directory +16

Entry Temporary Internship

USD 50K+

Learning & Development Intern
United States / Glendale, CA / New Albany, OH-%LABEL POSITION TYPE REMOTE WITHIN%

Abstraction Data Retrieval Submissions Design principles Risk Adjustment Canva Talent Development Healthcare Data Project Coordination +19

Entry Temporary Internship

USD 50K+

Engineering Operations Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

MS applications Abstraction Data Retrieval Submissions Data Profiling Risk Adjustment MS Outlook Data Validation MS PowerPoint +17

Entry Temporary Internship

USD 50K+

HR Operations Intern
United States / Glendale, CA-%LABEL POSITION TYPE REMOTE WITHIN%

MS applications Abstraction Data Retrieval Submissions MS Outlook Risk Adjustment MS PowerPoint Healthcare Data Quality improvement +16

Entry Temporary Internship

USD 50K+

Data Warehouse Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

MS applications Abstraction Data Retrieval Submissions MS Outlook Risk Adjustment Data Warehouse MS PowerPoint Healthcare Data +14

Entry Temporary Internship

USD 50K+

Applied Analytics Intern
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

MS applications Data cleanup Abstraction Data standardization Data Retrieval Submissions MS Outlook Risk Adjustment MS PowerPoint +22

Entry Temporary Internship

USD 50K+

Professional Services Manager (HEDIS and Risk Adjustment)
Remote- United States

Data-driven solutions HEDIS Risk Adjustment HIPAA Compliance Quality Management Snowflake HIPAA Tableau Performance +24

USD 95K+

UX Researcher
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Card Sorting Field Studies Heuristic Evaluations Ethnographic Research Abstraction Data Retrieval Submissions User Interviews UX Research +29

USD 80K+

Data Analyst III Healthcare Analytics
Remote-MO, United States

Centene Corporation

Microsoft powerbi Large databases Claims pricing Clinical outcomes Data verification Claims payment Utilization Healthcare Analytics Microsoft Power BI +52

Senior Mid Full Time

USD 68K+

Actuarial Analyst II - Remote (Select States)
Sentara Health Plans Community Care, United States

Financial evaluation Deadline management Actuarial Analysis Risk Adjustment Verification Data Modeling Medicare Medicaid Team Collaboration +11

USD 74K+

Data Scientist
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Abstraction Submissions Data Retrieval AI Technology Risk Adjustment Healthcare Data NLP Natural Language Processing MLOps +16

USD 120K+

Quality Practice Advisor
Remote-OK, United States

Centene Corporation

Risk Adjustment Coding Cphq Documentation standards Medical record documentation Provider education ICD-9 NCQA HEDIS Risk Adjustment +23

USD 52K+

VBC Healthcare Data Analyst
United States - Remote

Database Tools Azure Synapse Risk Adjustment PySpark Microsoft Access Value-based care Relational databases BI Multitasking +15

USD 80K+

Data Scientist II: Risk Adjustment Analytics
Remote

Analytics methods Models Technology Platform Risk Adjustment Statistical modeling Advanced Analytics Data Pipelines Outreach Modeling +24

USD 131K+

Associate Actuary
Remote US, United States

Actuarial methods VB Medicare data MS Power BI Business writing Medicare Advantage Analyzing Risk Adjustment Statistical methods +63

USD 106K+

Actuarial Analyst II (Medicare)
Ohio WFH, United States

Medicare risk adjustment Decision support Pricing models Risk Adjustment Data manipulation Actuarial science Microsoft Suite Relational databases SAS +26

USD 70K+

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