and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP... required Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs...
and continuous improvement. To achieve this, we're looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP... required Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs...
Data Analyst in the United States. The Risk Adjustment Data Analyst will play a key role in managing and analyzing... healthcare data to support accurate risk adjustment calculations and forecasting for Medicare populations. You will work...
to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily...Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only. ** PLEASE NOTE: Salary ranges...
Adjustment Analyst supports the Risk Adjustment Decision Support team by providing professional assistance, project management... for all Risk Adjustment reporting needs. Works with developer to troubleshoot errors and data inconsistencies and communicates...
Adjustment Analyst supports the Risk Adjustment Decision Support team by providing professional assistance, project management... for all Risk Adjustment reporting needs. Works with developer to troubleshoot errors and data inconsistencies and communicates...
UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare... Auditor/Analyst is an integral part of the Risk Adjustment Department and is responsible for reviewing and auditing medical...
improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team... - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...
, and data analysis 3+ years of experience with one or more risk adjustment models (e.g. CMS HCC, CDPS, HHS HCC) including... * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead the end-to-end risk adjustment strategy...
, and data analysis 3+ years of experience with one or more risk adjustment models (e.g. CMS HCC, CDPS, HHS HCC) including... * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Lead the end-to-end risk adjustment strategy...
, performing advanced data modeling, and generating high-quality reporting to support risk adjustment and medical record coding...This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Sr. Data Analyst...
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Data Analyst... I Healthcare Analytics in the United States. We are seeking a detail-oriented Data Analyst to support healthcare analytics...
directly with both the Risk Adjustment department and the broader Data Analytics department to develop the tools, metrics..., we must empower them. The Risk Adjustment Analytics Principal acts as the primary technical resource and business liaison, working...
, fabricated products, sourcing, data analysis and management, and risk assessment. PHYSICAL DEMANDS AND WORK ENVIORNMENT...Onsite Fort Lauderdale position. SUMMARY: The position provides data accuracy and oversite for products...
: Exhibits, Templates, Support Risk Adjustment/Risk Models (HCC, HIX, Commercial Products) Effective writing and oral...Overview: Presbyterian is seeking a Medical Economics Analyst This position will play a consultative role...
: Exhibits, Templates, Support Risk Adjustment/Risk Models (HCC, HIX, Commercial Products) Effective writing and oral...Overview Presbyterian is seeking a Medical Economics Analyst This position will play a consultative role...
of value-based care concepts, including utilization management, quality improvement, and risk adjustment Advanced proficiency... reporting under shared-savings or risk-based arrangements Experience with Arcadia Analytics, AWS Quicksight, or similar data...
. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored... outcomes. Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data...
. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored... outcomes. Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data...
outcomes. Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify... for automation Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions...