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Sr. Actuarial Analyst - Risk Adjustment
Centene Corporation
…business leaders and cross-functional teams. The role supports risk adjustment initiatives including data submissions, rate reconciliation, audits, and chart chase programs, with a focus on…
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Senior Risk Analyst - Rev
Mayo Clinic
…Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT),…
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Reporting - Senior Risk Adjustment Analyst PC# 135-2037
CommunityCare
The Senior Risk Adjustment Analyst leads advanced analytics, data governance, and operational processes that support accurate, compliant, and optimized risk‑adjusted revenue across Medicare…
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Risk Management Analyst
Kelly Services
…Kelly® Professional & Industrial comes in. Kelly is seeking a Risk Adjustment Coding Auditor to support a Leading Healthcare client in Eagan,…
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MANAGER OF QUALITY AND POPULATION HEALTH
Charles River Community Health
Coordinate risk adjustment and coding activities with Associate Director of Risk and Compliance to improve accurate diagnosis capture.
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Senior Risk Analyst - Rev
Mayo US
…Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT),…
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Coding Quality Analyst
University of Wisconsin Medical Foundation, Inc.
3 years progressive coding experience (for non-HCC roles) or 3 years of experience in HCC Risk Adjustment (for HCC roles) required
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Revenue Cycle Coding Specialist
HealthPartners
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
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Medical Informatics Analyst, Consultant
BSC
…graphics, and supporting applied clinical study designs such as risk adjustment or provider…
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Revenue Cycle Coding Specialist
HealthPartners
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
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Enrollment and Encounter Data Analyst
Upper Peninsula Health Plan
…expert for audits and compliance reviews. 13. Works with the Risk Adjustment Analyst & Coding Compliance Auditor to interpret and correct errors…
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Revenue Cycle Coding Specialist
HealthPartners
…and payer regulations. Complete all CCI/LCD/NCD edits, Epic coding edits to ensure accurate coding through coding associated charge review work queue strategies and rules. Maintains a…
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Director, Clinical Performance
Pearl Health
- Analyze client-level performance data such as utilization patterns, quality measure gaps, risk adjustment and coding trends and cost drivers to identify the root causes behind a client's…
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Staff Data Scientist, Actuarial
Nourish
Know healthcare claims data inside out: You're fluent in medical and pharmacy claims, eligibility data, and coding (ICD-10, CPT, HCPCS, NDC). You understand PMPM, cost trends, claims…
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Actuarial Analyst II
The Harbor Health Team Inc
Harbor Health is seeking an Actuarial Analyst II to join our growing team. Sitting at the intersection of traditional actuarial science and data analytics, this role offers the unique…
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Medical Informatics Analyst – Business Analyst Advanced
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Provides technical, data and analytical support to customer departments such as Quality, Value Partnerships, Hospital Contracting, Care Management, Risk Adjustment and HCV.
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Software Privacy Engineer, Devices & Services Trust, Privacy, and Accessibility (TPA)
Amazon
5+ years of any combination of the following: threat modeling experience, secure coding, identity management and authentication, software development, cryptography, system administration…
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Sr. Quality Data Analytics & PI Analyst
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
Strong understanding of analytic methodology, including risk adjustment, geometric versus arithmetic methodology
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Data Analyst III Healthcare Analytics, Medical Economics
Centene Corporation
…SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data…
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Senior Risk Adjustment Coding Analyst
CenterWell
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Senior Risk Adjustment Coding Analyst
CenterWell
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Senior Risk Adjustment Coding Analyst
CenterWell
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Senior Risk Adjustment Coding Analyst
CenterWell