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Risk Adjustment Remote Jobs

26 fresh jobs found

Medical Coding Specialist, Amazon One Medical, Billing and Collections Senior Health
US, Virtual

Risk Adjustment ICD-10-CM Medical Coding Spreadsheets HCPCS Microsoft Suite CPT Google Suite Reports +12

Senior Mid Full Time

USD 37K+

Medical Coding Specialist, Amazon One Medical
US, Virtual

Risk Adjustment ICD-10-CM Medical Coding Spreadsheets HCPCS Microsoft Suite CPT Google Suite Reports +12

USD 37K+

Healthcare Analytics Data Analyst II
Remote-TX, United States

Centene Corporation

Claims payment Data verification Healthcare Analytics Risk Adjustment Microsoft Power BI Healthcare administration Actuarial science Actuarial Trend Analysis +40

USD 55K+

Risk Adjustment Auditor Educator
Remote-FL, United States

Centene Corporation

Medical record audits Managed care experience Cms data validation Quality assurance auditing Icd-9 coding Mra data analysis Practice coding patterns Risk Adjustment Coding Quality of care +21

USD 55K+

Operations, Data Analyst
Remote

Periscope Quality of care Healthcare Analytics Risk Adjustment Contract negotiations Technology Platform Models Google Sheets BI +22

USD 72K+

Member Risk Adjustment Coordinator II
Remote-MO, United States

Centene Corporation

Medical office Medical record retrieval Claims reimbursement Member Outreach Risk Adjustment Data Reporting Medical Records Claims Health Insurance +12

USD 44K+

Vice President of Provider Engagement
United States - Remote

Provider engagement strategy Consultative conversations Network development Provider engagement Risk Adjustment Value-based care KPI Tracking Clinical operations Performance Optimization +18

Exec Senior Full Time

USD 180K+

Principal Product Manager, Data & Analytics
United States - Remote

Healthcare Analytics Risk Adjustment KPI Monitoring Clinical operations Stakeholder Collaboration BI Conflict Resolution Cloud platforms Financial modeling +22

Senior Full Time

USD 150K+

Principal Product Manager, Platform Solutions
United States - Remote

Customer Feedback Utilization Lean Canvas Business Process Design Risk Adjustment Technical Specifications Cross-functional Team Leadership KPI Monitoring Roadmap Development User Acceptance Testing +21

Senior Full Time

USD 150K+

Population Health Director
United States - Remote

Clinical decision support Quality of care Provider engagement Risk Adjustment Population health Value-based care Roadmap Development Clinical operations Resource Management +19

Exec Senior Full Time

USD 110K+

Quality and Risk Adjustment Analyst
Remote-TX, United States

Centene Corporation

Risk Adjustment Microsoft Applications HEDIS Microsoft Access Quality improvement Statistical analysis Health Insurance Power BI Microsoft Excel +10

Entry Mid Full Time

USD 55K+

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

The Cigna Group

CMS guidelines Quality review ICD Risk Adjustment Provider education Coding Guidelines ICD-10-CM Medical Coding Adobe Acrobat +45

Senior Full Time

USD 56K+

Contract Manager, Vendor Operations
Remote, United States

Datavant Remote-first

Risk Adjustment Healthcare Industry Knowledge Real-world data Healthcare industry Operational Efficiency Contract management Procurement Vendor Management Decision making +15

USD 100K+

Manager, Risk Adjustment
Remote

Risk Adjustment Coding Continuity of care Clinical documentation improvement Risk Adjustment ICD-10-CM Data Validation Technology Platform Electronic Health Records Medical Records +22

USD 88K+

Senior Specialist, Risk Adjustment Coder
Remote

Electronic medical record systems Risk Adjustment Coding Medical Record Review Risk Adjustment ICD-10-CM Technology Platform Data Validation ICD-10 Efficiency +12

Senior Mid Full Time

USD 65K+

Director, Market Finance
Remote US, United States

Provider Contracting Provider engagement Network Analysis Medicare products STARS Functional strategies Business Insights Risk Adjustment Valuation +52

Exec Senior Full Time

USD 168K+

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

Centene Corporation

ICD10 coding Claims knowledge Health administration Risk Adjustment Coding Medical record documentation Risk Adjustment Provider education Medical Records Healthcare Knowledge +16

USD 93K+

Data Quality/Integrity Lead
Remote US, United States

Data procurement Data audit Data feeds Provider engagement NCQA STARS CPT codes HEDIS Risk Adjustment +55

Senior Full Time

USD 106K+

Senior Data Quality/Integrity Engineer
Remote US, United States

Provider engagement NCQA STARS HEDIS CPT codes Risk Adjustment HCPCS Control Data manipulation +57

Senior Full Time

USD 89K+

Senior Program Manager
Remote, United States

Enterprise project management Risk Adjustment Exchange Claims processing Interpersonal Communication Client Management Accountability Coding Program Management +21

Senior Full Time

USD 118K+

Financial Analytics Lead - HQRI Finance
Remote US

Financial analytics STARS Modeling techniques Healthcare quality Healthcare Analytics Risk Adjustment Medicare Advantage Risk Detail oriented +34

Senior Full Time

USD 95K+

Senior Financial Analytics Professional - HQRI Finance
Remote US

Financial analytics STARS Healthcare quality Modeling techniques Risk Adjustment Medicare Advantage Risk Detail oriented Healthcare services +33

Senior Mid Full Time

USD 78K+

Clinical HEDIS Manager
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

NCQA guidelines Interdisciplinary communication Member Management Submissions Abstraction Data Retrieval Medical Record Review HEDIS Risk Adjustment +23

Senior Mid Full Time

USD 100K+

Senior Market Consultation Professional
Remote US

Market consultation Provider education STARS EMR systems Risk Adjustment Business Consulting Articulate Analyzing Alteryx +40

Senior Mid Full Time

USD 76K+

Associate General Counsel (Medicare)
Remote-MO, United States

Centene Corporation

Health law Provider dispute resolution Preventative law Grievances Healthcare Policies Appeals Corporate law Risk Adjustment Government relations +12

Senior Mid Full Time

USD 178K+

CenterWell PCO, Senior Compliance Professional - Remote
Remote US

Large data sets Metrics and reporting Articulate Risk Adjustment M&A Healthcare Compliance Risk Investigations Risk Analysis +50

Senior Mid Full Time

USD 84K+

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