Remote Risk Adjustment Analyst jobs

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RISK ADJUSTMENT AUDITOR III - REMOTE FLORIDA

Periodic travel up to 10% for quarterly onsite meetings.The Key Responsibilities:* Performs medical record validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarc...

CompanyBlue Cross And Blue Shield Association
AddressLorida, FL
CategoryAccounting/Finance
Job typePermanent
Date Posted 3 days ago See detail

Risk Adjustment Auditor III - REMOTE FLORIDA

Blue Cross And Blue Shield Association

Lorida, FL

Periodic travel up to 10% for quarterly onsite meetings.The Key Responsibilities:* Performs medical record validation audits and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarc...

Senior Medicare Risk Adjustment Analyst

Reveleer

Remote

$140,000 - $160,000 a year

Perform end-to-end analysis on data in tabular format or natural language. Independently: find problems, architect solutions and conduct analysis. Collaborate with product managers, data scientists and data engineers, in an Agile...

Government Programs Risk Adjustment Analyst

Capital Blue Cross

Harrisburg, PA

$68.2K - $86.3K a year

Assist and/or develop new reports or analysis, enhance key existent reports and/or analysis processes, and methodologies of the Risk Adjustment Program operations and initiatives. Support the implementation and on-going activities...

Risk Adjustment Coding Analyst

Centene Corporation

Las Vegas, NV

Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records. Review and identify trends in coding discrepancies and notif...

Supervisor Risk Adjustment and Coding *Remote*

Providence

Beaverton, OR

Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...

Risk Adjustment Specialist - Remote in Southern CA

Optum

Santa Ana, CA

$70,200 - $137,800 a year

Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...

Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)

Florida Blue

Jacksonville, FL

$88,100 - $110,100 a year

Oversee the staff who is primarily focused on, but is not limited to, establishing, and nurturing collaborative relationships Provider Initiatives for Risk Adjustment programs including provider quality coding chart reviews, char...

Risk Adjustment Specialist - Remote in Southern CA

Optum

Los Angeles, CA

$70,200 to $137,800 per year

Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...

Quantitative Risk Analyst Lead-Catastrophe (remote)

Usaa

San Antonio, TX

Applies expert analytical knowledge to use advanced analytics to assess future risk and/or new risks, opportunities, and effectiveness. Translates results into meaningful solutions to enhance decision making. Presents findings to...

Book Portfolio Credit Risk Analyst - Associate (Open to Remote)

Fannie Mae

Washington, DC

$67.3K - $85.2K a year

Assist team with monitoring and identifying risks to our portfolio through data analysis. Assist with coordinating risk activities across groups. Report on risks and participate in developing solutions. Support team with risk miti...

Risk Management GRC Analyst (Remote Eligible)

Busey Bank

Missouri, United States

$73.3K - $92.8K a year

Plays a key role in the Second Line of Defense by ensuring critical information used in the identification, measuring, monitoring, and controlling of risk is appropriately captured in the Archer platform. Translates business requi...