Jobs in the United States

25+ jobs

Save this search

Added 8 mins ago
Technical Program Manager, Knowledge Systems
Coinbase
Honolulu, HI
…self-service, internal tools, and AI-assisted support. As Technical Program Manager, you will translate knowledge strategy into technical execution. This is a systems-focused role bridging…
Added 8 mins ago
Principal Portfolio Manager, Infrastructure Development
Meta
Honolulu, HI
Our data centers are the foundation upon which our rapidly scaling infrastructure efficiently operates to deliver our innovative services. Meta's Infrastructure team is seeking an…
Added 8 mins ago
Principal Aftermarket Technical Product Manager
GE Aerospace
Honolulu, HI
As Principal Technical Product Manager – Aftermarket, you will own the product vision, strategy and roadmap for the digital solutions that support the Service & Repair value streams in…
Added 8 mins ago
C
Test Analyst - QNXT
Cognizant
Honolulu, HI
- $70,000 to $92,000 USD / year
Manager testing across QNXT Provider and Claims modules, validating claims adjudication, provider data integrity, and billing workflows.
Added 8 mins ago
Manager Strategic Risk Adjustment Programs
Highmark Health
Honolulu, HI
…Chief Actuary, and Vice President, on project status including program strategy, performance, timelines, risks, and…
Added 8 mins ago
OneStream Lead Analytics and Insights Engineer II Manager
Deloitte
Honolulu, HI
…regulatory considerations to unlock value. Your work may span strategy, operations, process design, and technology as we partner with clients to transform…
Added 8 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Honolulu, HI
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 8 mins ago
Data Center Facility Operations Area Director
Meta
Honolulu, HI
Meta is seeking a Senior Director to lead Data Center Facility Operations across a multi-area region, including operating campuses and future sites that are yet to be announced or built.…
Added 16 mins ago
FLEX Senior Program Manager, Corporate Systems
Marriott
Bethesda, MD
Marriott is seeking an experienced FLEX Senior Program Manager, Corporate Systems to lead the end-to-end integration of the Vertex tax engine with Oracle ERP cloud (Payables & Receivables)…
Added 16 mins ago
FLEX Senior Product Manager, Corporate Systems Procurement
Marriott
Bethesda, MD
Marriott is seeking an experienced FLEX Senior Product Manager, Corporate Systems Procurement to own the strategy, roadmap, and delivery of indirect tax integrations across our procurement…
Added 20 mins ago
Senior Sales Strategy Analyst
Teva Pharmaceuticals
Weston, FL
…included in other related duties or assignments. Reporting to Manager, Product Portfolio & Customer Strategy, the key responsibilities will…
Added 21 mins ago
Director of AI Adoption and Workforce Enablement
AdventHealth
Altamonte Springs, FL
…Human Resources, enterprise Learning, Corporate Communications, Strategy, Platforms, Governance, operational leaders, and Engineering without assuming their broader enterprise…
Added 21 mins ago
Propulsion Engineering Manager 2
Northrop Grumman
Palm Beach Gardens, FL
Northrop Grumman Defense Systems is seeking a Propulsion Engineering Manager 2 for our product design engineering group. This position is located at the Palm Beach Gardens, Florida facility…
Added 22 mins ago
Senior Manager, Program Finance
L3Harris
Melbourne, FL
The Assured Mission Networks (AMN) Division is seeking a Senior Manager, Program Finance to play a visible leadership role supporting a critical business area within a fast-paced defense…
Added 22 mins ago
Clinical Specialist II
Abbott
Fort Lauderdale, FL
…performing work; monitors performance and reports status to…
Added 22 mins ago
M
Director of Sales Enablement
Microsoft
United States
- $130,900 to $272,300 USD / year
Define and scale a compelling vision for Account Team Unit (ATU) and Solution Team Unit (STU) Manager and Leader excellence aligned to Microsoft’s enterprise strategy and MCAPS priorities.
Added 22 mins ago
Sr Manager Strategic Capacity Management
J&J Family of Companies
Jacksonville, FL
The Sr Strategic Capacity Manager is responsible for developing and maintaining the long-range capacity strategy for the Vision Care manufacturing network. This role translates Integrated…
Added 22 mins ago
Clinical Specialist II, CPT - Jacksonville, FL
Abbott
Jacksonville, FL
Provides technical, clinical, and programming assistance, primarily in support of 1-2 Territory Manager(s).
Added 22 mins ago
Clinical Associate
Abbott
Jacksonville, FL
…performing work; monitors performance and reports status to…
Added 22 mins ago
Senior Program Manager, Cybersecurity & Technology Risk
Citigroup
Jacksonville, FL
Develop and communicate a risk-based, data-driven governance strategy for the Quantum Readiness Program in partnership with architecture, engineering, operations, and information security…
Added 22 mins ago
Traveling Superintendent 1- Healthcare
J.E. Dunn Construction Company
Tampa, FL
May be responsible for tracking and monitoring project budget and costs by using the project management system’s cost reports and data from the project manager.
Added 22 mins ago
M
Product Marketing Manager
Microsoft
WA · Redmond, WA · Redmond
- $86,100 to $187,400 USD / year
The Microsoft 365 for Individuals Marketing Team is looking for a Product Marketing Manager to lead growth activation for Copilot in Microsoft 365 apps. Microsoft 365 helps individuals and…
Added 22 mins ago
M
Senior Program Manager - Cloud Planning
Microsoft
WA · Redmond, WA · Redmond
- $119,800 to $261,000 USD / year
Bachelor's Degree AND 4+ years experience in engineering, product/technical program management, data analysis, or product development OR equivalent experience.
Added 22 mins ago
M
Principal Technical Program Manager
Microsoft
WA · Redmond, WA · Redmond
- $142,800 to $304,200 USD / year
We are looking to hire a Principal Technical Program Manager to join Cloud Operations + Innovation (CO+I). CO+I is the organization behind one of the world's largest cloud infrastructures,…
Added 23 mins ago
Senior Manager, Client Excellence, Global Consulting Services
Deloitte
Tampa, FL · Jacksonville, FL
Own the strategy and execution of GLCP support programming across four dimensions: Account Leadership, GLCP Development, Account Growth initiatives, and Performance Management.

Closed listing

Elevance Health

Risk Adjustment Administrative Representative

Grand Prairie, TX, United States
Wilmington, DE, United States
Miami, FL, United States
Tampa, FL, United States

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

Posting language: English
Posted: Nov 5, 2026

Similar jobs hiring now

Search current openings

Original job description

Archived listing. The details below describe a past opening.

Risk Adjustment Administrative Representative

Location: Any Elevance Health PulsePoint.

Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Risk Adjustment Administrative Representative will be responsible for obtaining accurate healthcare information from providers to ensure appropriate clinical care for members and maintain accurate payment levels. Performs highly specialized administrative, operational and/or customer support duties.

How you will make an impact:

Conducts analysis of data, provider or member outreach, and/or record retrieval.
Assists in the acquisition of medical records.
Loads medical records into coding system and links records to appropriate chart IDs.
Facilitates transfer of data and information in support of risk adjustment programs between providers and the company.
Downloads medical records from Electronic Medical Record (EMR) systems remotely and in person.
Assists with the medical record quality assurance process as necessary.
Performs or participates in special projects as directed.
Manages, maintains, and tracks ad hoc retrospective projects as assigned.
Provides medical record retrieval process service to value-based groups and providers/groups new to the company.
Prioritizes work across providers and/or external vendors including coordinating work activities and monitoring progress towards retrieval scheduling to meet weekly/ yearly goals, and/or is the primary administrative owner of a main process, program, product, or technology.
Travels to worksite and other locations as necessary.

Minimum Requirements: Requires H.S. diploma or equivalent and a minimum of 2 years of experience performing medical records retrieval, in a provider office, hospital, insurance or healthcare administration; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

BA/BS in healthcare, business or other similar discipline preferred.
Proficiency in Microsoft Office applications, including Word and Excel strongly preferred.
Strong knowledge of ICD-9/10 codes preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

About employer

More about this job

Skills

Customer service
EMR
Quality assurance
Scheduling
Microsoft Office
Microsoft Word
Microsoft Excel

Report this job