Managerial Consultant IV, Prospective Medicare Risk Adjustment - Oakland

Job Description — Risk Adjustment Coder · Minimum Hourly Pay Rate: $71.73 · Schedule: Monday–Friday, 8:00 AM – 5:00 PM PST · Location: 100% Remote · Position Summary · The Risk Adjustment Coder is responsible for reviewing and analyzing medical documentation to ensure accurate di ...

Role Description : · Perform risk adjustment medical coding with high accuracy and productivity · Assign appropriate ICD-10-CM, ICD-10-PCS, and CPT codes · Review and analyze clinical documentation in EHR systems · Ensure 95%+ coding accuracy while meeting daily productivity sta ...

Description · Your Role · The Risk Adjustment Compliance team plays a critical role in ensuring that Blue Shield maintains appropriate adherence to federal and state regulations. The Director, Risk Adjustment Compliance will report to the Senior Director, Government Programs Comp ...

The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. · This role involves cross-functional collaboration to analyze data, identify opportuniti ...

+We are seeking a Risk Adjustment Coding Specialist to join our growing team.This role is critical to ensuring the accuracy and completeness of diagnosis documentation and coding to support value-based care under Medicare Advantage and ACO REACH contracts. · +Making sure that cod ...

The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. · ...

The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. · ...

This role is critical to ensuring the accuracy and completeness of diagnosis documentation and coding to support value-based care under Medicare Advantage and ACO REACH contracts. · The ideal candidate has a deep understanding of HCC and CPT coding, is detail-oriented, and has st ...

The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance.Serves as a consultant to ensure alignment, buy-in, and coordination of diverse stakeholde ...

Job Description Summary · ‎ · to scrub patient charts prior to appts to surface chronic conditions for providers review · ‎ · How will you make an impact & Requirements · ‎ · Pre-visit risk adjustment chart review for HCC's · ...

We're building the next generation of risk adjustment platforms used by leading health plans. · We're looking for a hands-on Product Manager who deeply understands risk adjustment operations and can bridge data, product, and client needs with precision. · ...

We're building the next generation of risk adjustment,coding,and analytics platforms used by leading Medicare Advantage,Medicaid,and ACA health plans.This is not a "PowerPoint PM" role.You'll be close to the data,the clients,and the outcomes. · ...

Working Title: Risk Adjustment Coder · Schedule: M-F PST · Location: 100% Remote · REQUIRED QUALIFICATIONS: · High school graduation or G.E.D. · 1-3 years of healthcare coding or related healthcare experience. · Must meet daily production requirement with minimal accuracy rate of ...

· Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around San Francisco, CA. · This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on ...

· Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Martinez, CA. · This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your ...

Lay the groundwork for a dynamic future with an industry leader. · At Kaiser Permanente, you'll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. ...

Lay the groundwork for a dynamic future with an industry leader.At Kaiser Permanente,you'll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. · ...

The Compliance & Risk Consultant supports the development, implementation, and maintenance of the framework for compliance and/or risk management. The primary function will be identifying key controls and performing design and effectiveness testing of those controls. · Collaborat ...

Zurich is currently looking for a to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in the U.S. RCIS offers insurance protection in all 50 states through a national network of about 3,600 licensed agents. RCIS offers a ...

Description · Your Role · The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk A ...