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Risk Adjustment Remote Jobs

56 fresh jobs found

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+

Risk Adjustment Coder
Remote-FL, United States

Centene Corporation

HCC Outpatient CMS guidelines Abstracting ICD-10 codes Guidelines Risk Adjustment Medical Records ICD-10 +10

USD 77K+

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+

Coder 2
Remote, United States

Anatomy and physiology HCC coding Risk Adjustment Coding Payment accuracy Clinical coding Payment ICD Physiology ICD-10-CM +41

USD 42K+

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+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Quality Initiatives Provider experience Health coaching Health administration Telephonic Outreach NCQA HEDIS Provider Relations +35

USD 52K+

Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)
Portland, OR, United States

Cambia Health Solutions

Service provider contracts Claims processes DO Risk Adjustment Quality improvement Microsoft Office Suite Business Microsoft Office Presentation +8

USD 57K+

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+

Medical Records Coordinator II (Must live in Wisconsin)
Wisconsin WFH, United States

Phone Etiquette Critical Listening Risk Adjustment Resolution Certification MS Office Suite Network Business Analysis Microsoft Office Suite +23

USD 35K+

Vice President, Corporate Actuarial
Remote

Reinsurance strategies Affordable care act Actuarial modeling Statistical techniques Models Business Insights Technology Platform Risk Adjustment Actuarial science +33

Exec Senior Full Time

USD 255K+

Medical Records Coordinator II (Must live in Indiana)
Indiana WFH, United States

Medical records retrieval Information requests EMR retrieval Report Documentation Medical record audits Claims data analysis Data Research Phone Etiquette Critical Listening +30

USD 35K+

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+

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+

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+

Clinical Risk Adjustment Lead
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Clinical risk adjustment Abstraction Data Retrieval Submissions Software utilization Pharmacology Anatomy Risk Adjustment Data Validation +19

Senior Full Time

USD 65K+

Risk Adjustment Compliance Director
Remote US, United States

Risk Identification Regulatory Guidance Performance Reporting Risk Adjustment Control Internal Audit Strategic direction Oversight Consumer Experiences +48

Exec Senior Full Time

USD 150K+

Medical Records Coordinator II (Must live in Wisconsin)
Dayton, OH, United States

Phone Etiquette Critical Listening Risk Adjustment Resolution Certification MS Office Suite Network Business Analysis Microsoft Office Suite +22

USD 35K+

Project Coordinator I - Risk Adjustment
Renton, WA, United States

Cambia Health Solutions

DO Healthcare operations Data-driven solutions Risk Adjustment Facilitation Microsoft Office Suite Monitoring Communications Planning +11

Senior Mid Full Time

USD 68K+

NP/PA - Virtual Health Assessments (1099)
Remote

Virtual health assessment Preventative care DNP Healthcare delivery system Risk Adjustment Coding Treatment Patient interaction Healthcare Delivery Risk Adjustment +10

USD 140K+

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+

Risk Adjustment Coding Auditor II (CPC required)
Dayton WFH, United States

Risk Adjustment Coding ICD-10 Coding Facets Risk Adjustment Medical Coding ICD-10 Certification CMS Regulatory requirements +20

USD 53K+

Program Manager (Provider Engagement)
Remote-OH, United States

Centene Corporation

Clinical improvements Managed healthcare Value-based contracting Health care operations Provider engagement Risk Adjustment Provider Relations Utilization Health Plan +31

USD 86K+

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+

Senior Software Engineer
Work at Home - Kentucky, United States

Risk Adjustment Modeling Modular Code Development Azure Data Ecosystem Healthcare quality Risk Adjustment Predictive Modeling Risk Data Structures BI +46

Senior Mid Full Time

USD 106K+

Medical Coding Auditor - Risk Adjustment
WA Western Telecommuter, United States

Premera Blue Cross

Documentation standards ICD Healthcare Compliance Risk Adjustment Medical Coding ICD-10 Auditing Quality Assurance Networking +10

USD 57K+

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+

Senior Director, Market Chief Financial Officer
Michigan WFH, United States

Health analytics Strategic support Accounting Concepts Budget Forecasting Financial Oversight Problem identification Reimbursement methodologies Critical Listening Risk Adjustment +24

Senior Full Time

USD 132K+

Project Coordinator III - Risk Adjustment
Portland, OR, United States

Cambia Health Solutions

Automated scheduling software DO Risk Adjustment Facilitation Budgeting Change Management Monitoring Planning Analysis +12

Senior Mid Full Time

USD 78K+

Senior Learning Design Professional-2
Remote US, United States

Training curriculum development Healthcare quality reporting Online learning development Cognitive psychology Education facilitation Performance assessments Collaborative tools Team culture Coding certification +53

Senior Full Time

USD 71K+

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+

Senior Data Engineer
Remote US, United States

Data movement Cloud-native platforms ADF STARS Data optimization Software Development Best Practices Data Orchestration Visualizations Healthcare quality +86

Senior Full Time

USD 106K+

Sr. Stars Improvement Professional
Remote US, United States

Provider performance Stars performance Team Engagement Clinical Management STARS Data Sharing Collaborative relationships HEDIS Provider engagement +63

Senior Mid Full Time

USD 86K+

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+

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+

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+

Individual & Family Plans (IFP) Quality Review & Audit Senior Supervisor - Remote - Cigna Healthcare
Tennessee Work at Home, United States

The Cigna Group

Quality audit HCC coding Quality review ICD Risk Adjustment ICD-10-CM Coding Guidelines Medical Coding EHR +25

Senior Full Time

USD 68K+

Data Analyst II Medical Economics
Remote-FL, United States

Centene Corporation

Claims pricing Clinical outcomes Claims payment Data verification Contract Analysis Healthcare Analytics Risk Adjustment Actuarial Actuarial science +44

USD 55K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Clinical Relationship Management Cphq Documentation standards Risk Adjustment Coding Medical record documentation NCQA Provider education Health Plan HEDIS +23

USD 52K+

Actuarial Analyst
Remote US, United States

Tables Healthcare quality Risk Adjustment Actuarial Actuarial science Predictive Modeling Consumer Experiences Risk Collaborative +36

Entry Mid Full Time

USD 80K+

Vice President of Provider Sales
United States - Remote

Quality of care Network development Risk Adjustment Value-based care Strategic Relationships Enterprise solutions Consultative sales C CRM +6

Exec Senior Full Time

USD 150K+

HCC Physician Coding Auditor
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Education Development Physician coding Coding and Billing Technical resource Provider education Risk Adjustment Color Guidance Revenue Cycle Management +17

USD 51K+

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