Risk Adjustment Specialist jobs in Florida

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SUPERVISOR, RISK ADJUSTMENT, QUALITY AND CODING

Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...

CompanyWellvana Integration Partners, Llc
AddressOrlando, FL
CategoryManufacturing
Job typeFull-Time
Date Posted 4 weeks ago See detail

Supervisor, Risk Adjustment, Quality and Coding

Wellvana Integration Partners, Llc

Orlando, FL

Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...

Supervisor, Risk Adjustment, Quality and Coding

Wellvana

Orlando, FL

Oversee and improve the various Quality andRisk Adjustment processes. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government and re...

Risk Adjustment Coding Educator

Wellvana

Orlando, FL

Educate providers on Risk Adjustment: its purpose, CMS-HCC coding rules and guidelines, open condition reporting, identifying unreported conditions, proper documentation for MA, MSSP, ACO Reach, and DCE patients. Able to perform a...

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...

Sr Vendor Relation Risk Specialist, Linga

Pnc Financial Services Group

Lorida, FL

Identifies and manages risks associated with products or services that are essential to the bank with the goal of mitigating risk, improving vendor performance, and compliance with applicable regulations. Focused engagement popula...

Employment Specialist, At-Risk Youth Development Program

Gang Alternative Inc

North Miami Beach, FL

$45,000 - $50,000 a year

Health Insurance 100% paid for employee only Medical Gap Insurance 100% paid for employee only Dental Insurance 100% paid for employee only Vision Insurance 100% paid for employee only Life and AD&D 100% paid for employee only Sup...

Risk & Regulatory Compliance - Compliance Specialist - AML

Genesis Corp./New Journey Ai Llc

Lake Mary, FL

Alert Review / Closure. QSS. fircosoft. Excellent verbal and written communication skills. Ability to manage through confrontational issues successfully and tactfully. good analytical skills; good judgment; strong work ethic; abil...

Specialty Risk Complex Claims Adjuster - Auto Warranty

Amtrust Financial Services, Inc.

Boca Raton, FL

Claims Adjustment: Efficiently process and adjust claims over authority and claim audits, ensuring accuracy and adherence to company policies. Third-Party Administrator Oversight: Collaborate with external administrators, providi...