Are you a business? Hire medicare risk adjustment candidates in United States
To provides psychosocial assessment and intervention for clients and caregivers receiving care through Home Health Services. To provides counseling, continuity of care planning, resourcing, and referral services in order to facilitate recovery and maximize benefits from home care.Ensures quality ...
Atrium Health is seeking a Registered Nurse (RN) Manager, Clinic for a nursing job in Charlotte, North Carolina. Job Description & Requirements Specialty: Clinic Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff Overview Job Summary The Advocate Health Cond...
Minimum Qualifications Possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure clinical nursing experience. One year of this experience must have been primarily working in the development, implementation, or administ...
Under the supervision of the Manager, Data and Reporting, this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment submissions to CMS, internal data reconciliations, data transfer between Point32Health...
HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation)....
The Manager of Clinical Operations leads and manages the Clinical Operations teams in multiple Metropolitan Service Areas (MSAs) to ensure their efficiency, productivity, and effectiveness. The Manager of Clinical Operations collaborates with and reports to the Senior Director of Clinical Operati...
DescriptionJob Summary:The VP, Medicare Duals/SNP Programs will develop and execute the Duals and DSNP (Dual Special Needs Program) development plan across the Enterprise, as KP increasingly serves individuals who are eligible for both Medicare and Medicaid. This plan will include a single, enter...
Position Overview:** The Associate Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations.This position leverages available tools and knowledge of ...
Essential Responsibilities:** .Manage end-to-end revenue optimization initiatives for PacificSource Medicare Advantage plans and Commercial Exchange plans.Lead cross functional revenue teams.Oversee contracted vendor activities and overall performance in the areas of risk adjustment, coding impro...
Director of Risk Adjustment and Coding Operations page is loaded. Director of Risk Adjustment and Coding Operations. Expertise in Medicare programs and regulations including fraud and abuse and Medicare Hierarchical Condition Coding Risk Adjustment. ...
Position Overview:** The Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations.This position leverages available tools and knowledge of the applic...
Position Overview:** The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations.This position leverages available tools and knowledge of the...
Expertise in Medicare programs and regulations including fraud and abuse and Medicare Hierarchical Condition Coding Risk Adjustment. ...
Req ID: 249360 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Health Plan Consulting Practice Lead - Flexible ...
About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our par...
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