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Risk Adjustment Remote Jobs

59 fresh jobs found

Executive Assistant
Minneapolis, Minnesota, United States - Remote

Work Under Pressure Workplace Etiquette Board Support Ad hoc support Ambiguity management Proactivity Meeting coordination Project Support Follow-up +39

Senior Mid Full Time

USD 104K+

Summer Internship - Program Manager
Remote, United States

Project Management Software Exchange Smartsheet Oral communication SharePoint Multitasking Scheduling Microsoft Office Suite Program Management +20

Entry Internship Full Time

USD 36K+

Summer Internship - Enterprise Reporting & Data Visualization
Remote, United States

Design and Layout Office Environment High-Speed Internet Access Requirement Gathering Exchange Data interpretation Self-Motivation Agile Methodology User Experience Design +16

Entry Internship Full Time

USD 60K+

Integration Solutions Engineer
Remote, United States

Architectural Ecosystem Team Guidance Refinement High-Quality Output Design Decisions Cross-Environment Integration Reference Implementations Architectural Principles Reusability +70

Senior Full Time

USD 100K+

Sr. Implementation Program Manager
Remote, United States

Customer Satisfaction Monitoring Enterprise Application Deployment Cross-Functional Team Collaboration Solution delivery Business Requirements Gathering Program Coordination Program Planning Customer feedback analysis Implementation management +42

Senior Full Time

USD 153K+

Software Engineer
Remote, United States

Bit bucket Microsoft .Net MS SQL MS Access SSIS .NET Core Functional programming Agile practices Research and development +30

USD 84K+

Intern - System Automation
Remote, United States

Work Independently Work in Teams Azure AI Studio Co-Pilot Dataverse AI Builder Requirement Gathering Microsoft Power Platform Power Automate +26

Entry Internship Full Time

USD 42K+

Implementation Consultant
Remote, United States

Software Lifecycle Methodologies EDI Analysis Oracle JCAPS Oracle Glassfish Build and Deployment EDI Mapping Oracle WebLogic Tibco BusinessWorks IBM WebSphere +48

Senior Mid Full Time

USD 76K+

Sr Operations Engineer
Remote, United States

Integration software Intersystem Ensemble Support case management Utilities development ESB software Tibco EMS Test environment management Bug documentation Server installation +82

Senior Full Time

USD 101K+

Principal Cloud Security Engineer
Remote, United States

Enterprise Applications CD CI Science NIST SAFe Deployment Cloud Security Computer Science +25

Senior Full Time

USD 163K+

Senior Solution Architect
Remote, United States

High-level architecture Solution cost estimation Solution planning Complex system integration Solution execution Testing solutions Invoicing systems Solution vetting Statement of work review +61

Senior Full Time

USD 145K+

Product Analyst
Remote, United States

Epic creation Claims corrections HIPAA X12 271 Claims editing HIPAA X12 837 HIPAA X12 270 HIPAA X12 834 Claims integration Agile ceremonies +53

Entry Mid Full Time

USD 101K+

Regional Vice President Payer Sales
Remote, United States

Health insurance sales Enterprise software sales Exchange Middleware Value-based care Data Transformation Software Sales Cross-selling MS Office Suite +24

Exec Senior Full Time

USD 120K+

Senior Investigator (Healthcare FWA)
Remote, United States

Exchange Healthcare Compliance Prioritization Multi-tasking Investigation Access Computer Written communication Compensation +10

Senior Full Time

USD 64K+

Auditor I Contract Compliance
Remote, United States

IDEA Audit tools Audit Procedures Payment accuracy Payment Contract Compliance Knowledge Sharing Exchange VBA +32

USD 58K+

VP Total Rewards
Remote, United States

Benchmarking surveys Compensation governance Global market trends Recognition programs Salary structure design Total rewards strategy Market benchmarking Incentive Programs Market pricing +26

Exec Senior Full Time

USD 190K+

Data Scientist II - AI/ML
Remote, United States

Mistral HuggingFace Nltk Big Data Solutions Llama Exploratory Data Analysis Payment Integrity Payment Data Pipeline +52

USD 110K+

Delivery Manager/ Project Manager- Public Sector
Remote, United States

Healthcare Software Implementation management Process Analysis Change Control Enterprise Applications Test plans Exchange Lifecycle Management Project management tools +37

Senior Mid Full Time

USD 101K+

Senior Revenue Cycle Specialist
Remote, United States

Audit Resolution Spreadsheet Applications Yield management Payment Adjudication Audit Support Exchange Invoicing Word Processing +38

Senior Full Time

USD 48K+

Payment Accuracy Specialist (Coordination of Benefits)
Remote, United States

Client dispute resolution Coordination of benefits Audit tools Large data sets Payment accuracy RMS Claims analysis Payment Audit Support +36

Entry Full Time

USD 40K+

Senior Database Administrator
Remote, United States

.NET Development SQL Tuning Oracle database PL/SQL Database Administration Enterprise Applications RDBMS Science Oral communication +24

Senior Full Time

USD 110K+

Investigator (Fraud, Waste & Abuse)
Remote, United States

Healthcare fraud investigation Statistical sampling Medical claims Exchange Healthcare Compliance Report Writing Healthcare Data Interviewing Prioritization +14

USD 56K+

Sales Executive (Provider Network) - Midwest Market
Dallas, Texas, United States - Remote

Quality solutions Provider network Network development Risk Adjustment Value-based care Contracting Salesforce.com Multitasking Consultative Selling +10

USD 80K+

Clinical Care Analyst
United States

Healthmap Solutions

Chart auditing Social Determinants of Health Medical necessity Clinical assessment Utilization Review Healthcare services Care management Multitasking Critical thinking +5

USD 70K+

Client Engagement Manager
Alpharetta, Georgia, United States - Remote

Quality of care Risk Adjustment Client Engagement Multi-tasking Decision making Time Management Microsoft Office Customer service Healthcare +5

Senior Mid Full Time

USD 95K+

Revenue Cycle Specialist
Remote, United States

Cash application Payment Account Reconciliation Adjudication Healthcare Analytics Revenue Cycle Reconciliation Collection Revenue Cycle Management +21

Entry Mid Full Time

USD 44K+

VP Audit Operations (Contract Compliance Recovery Audit)
Remote, United States

Service Assurance Financial auditing Client relationship Audit Procedures Market trend analysis Contract Compliance Knowledge Sharing Contract Review Audit Support +51

Exec Senior Contract Full Time

USD 200K+

Director Audit Operations (Contract Compliance Recovery Audit)
Remote, United States

Service Assurance Audit concepts Financial auditing Audit Procedures Contract Compliance Knowledge Sharing Contract Review Audit Support Renewals +40

Exec Senior Contract Full Time

USD 175K+

Senior Payment Accuracy Specialist
Remote, United States

Contract Knowledge Claims Validation Audit concepts Audit Procedures Business optimization Audit tools Payment accuracy Payment Integrity Report development +35

Senior Full Time

USD 78K+

Senior Support Engineer-PPM
Remote, United States

Training and Mentoring Octopus VBScript JBOSS Oracle SQL Exchange OpenShift CD Scripting Languages +49

Senior Mid Full Time

USD 100K+

Senior Support Engineer-CCV
Remote, United States

Training and Mentoring Octopus VBScript JBOSS Oracle SQL Exchange OpenShift CD Scripting Languages +49

Senior Mid Full Time

USD 100K+

Auditor II Contract Compliance (Retail)
Remote, United States

IDEA Audit tools Audit Procedures Payment accuracy Payment Contract Compliance Knowledge Sharing Exchange VBA +33

USD 65K+

Software Developer III
Alpharetta, Georgia, United States - Remote

Dapper RWD HL7 v2.x FHIR R4 .NET 8+ SMART on FHIR SQL Server 2022+ LINQ SPA +24

USD 120K+

Medical Billing Manager
Alpharetta, Georgia, United States - Remote

Claim denial analysis Healthcare Software Hcpcs coding CPT coding Chronic care management Healthcare administration Medical Billing Value-based care ICD-10 +9

USD 60K+

Product Director
Remote, United States

Payment accuracy Product Discovery Claim adjudication Payment Integrity Payment Dashboarding Adjudication Exchange Solution Development +70

Exec Senior Full Time

USD 135K+

Provider Engagement Coordinator
Alpharetta, Georgia, United States - Remote

NPS Provider engagement Multi-tasking Remote work Adaptability Relationship Management Account management Cross-functional Collaboration Salesforce +7

USD 60K+

Clinical Consultant I
Remote, United States

Coding validation Appeals management Medical payment policy Payment policy Payment CMS guidelines MicroStrategy Adjudication Claims Adjudication +45

USD 75K+

Medical Director
Remote, United States

Medical payment policy Payment policy Client relationship Clinical Medicine Health Plan Operations Medical policy Payment Integrity Payment Adjudication +30

Exec Senior Full Time

USD 190K+

QA I Coding Operations
Remote, United States

Medical record auditing Data storage program Clinical Validation HCC coding Internal Audits Coding accuracy Anatomy and physiology Coding Guidelines Physiology +29

Entry Mid Full Time

USD 62K+

Sales VP, Coordination of Benefits & Data Mining
Remote, United States

Coordination of benefits Payment Integrity Payment Technology Trends Market Penetration Market development Segmentation Data Mining Software Sales +27

Exec Senior Full Time

USD 166K+

Clinical Care Analyst
New York City, New York, United States

Healthmap Solutions

Medical Records Review Social Determinants of Health Clinical assessment Utilization Review Care management Multitasking Critical thinking Microsoft Office Presentation +3

USD 105K+

Registered Nurse - Chronic Care Management (CCM RN)
Buffalo, New York, United States - Remote

Health coaching Population health Chronic care management Electronic Health Records Technology Proficiency Care Coordination Quality improvement Patient Education Nursing +8

Senior Mid Full Time

USD 65K+

Client Policy Manager I
Remote, United States

Medical payment policy Payment policy Healthcare Claims Clinical coding Reimbursement methodologies Medical policy ICD CMS guidelines Payment +32

USD 75K+

Interoperability Strategy Analyst
Remote, United States

EMR systems Health Information Management Healthcare Sales Medical Records Healthcare services Information Technology Supervision Prospecting Implementation +15

USD 108K+

Power Platform Developer CCV
Remote, United States

AI Builder Co-Pilot Azure AI Studio Dataverse Microsoft Power Platform Agile Environment Power Apps OCI Power Automate +32

USD 88K+

Senior Power Platform Developer CCV
Remote, United States

AI Builder Co-Pilot Azure AI Studio Dataverse Microsoft Power Platform Agile Environment Power Apps OCI Power Automate +32

Senior Full Time

USD 110K+

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+

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+

Manager Audit Operations (Retail Payment Accuracy)
Remote, United States

Retail Payment Accuracy Audit concepts Payment accuracy Customer Orientation Revenue Optimization Payment Staff training Knowledge Sharing Audit Management +41

USD 115K+

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