Jobs in the United States

25+ jobs

Save this search

Added just now
Residential Services Team Leader
BrightPath Human Services
Mount Pleasant, PA
…programs. This position serves as a supervisor/mentor to Direct Support Professionals (DSPs), providing guidance, training, and oversight to ensure that each individual supported receives…
Added just now
SJ
Group Home Manager- Newark/Bear, DE (37234)
ST JOHNS COMMUNITY SERVICES
Newark, DE
- $50,000 USD / year
Develop and lead a strong, collaborative team of residential support specialists to operate high quality, multi-dimensional residential services in assigned departments. Ensure routine…
Added just now
MG
User Experience Research Intern
Match Group
Los Angeles, CA
- $30 USD / hour
Take the Lead: We don't ghost our work or each other. Just as users don't leave their matches hanging, we don't let each other down.
Added just now
MG
Social Marketing Intern
Match Group
Los Angeles, CA
- $30 USD / hour
Take the Lead: We don't ghost our work or each other. Just as users don't leave their matches hanging, we don't let each other down.
Added just now
MG
Product Marketing Intern
Match Group
Los Angeles, CA
- $30 USD / hour
Take the Lead: We don't ghost our work or each other. Just as users don't leave their matches hanging, we don't let each other down.
Added 1 min ago
Product Development Engineer- Power Conversion EVSE D&R
Ford Global
Dearborn, MI
We are looking for someone who can work effectively with various functions of a vehicle program team, that is proactive, self-motivated, and pays attention to detail. They must also have…
Added 1 min ago
M
Deployment Strategist
monday.com
New York, NY
- $130,000 to $180,000 USD / year
…an enterprise from AI ambition to AI running in production, support the sale of that work alongside the Account Owner, and orchestrate the consultants and engineers who deliver it. You will…
Added 1 min ago
U
Specialist, Global Systems & Standards
UPS
BENSENVILLE, IL
- $26.25 to $49 USD / hour
…help you become better every day. We know what it takes to lead UPS into tomorrow - people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself…
Added 1 min ago
Seasonal Helper Coordinator
UPS
BEDFORD PARK, IL
…help you become better every day. We know what it takes to lead UPS into tomorrow - people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself…
Added 1 min ago
A
Continuous Improvement: Entry Level
Aerotek
Monee, IL
- $21 to $23 USD / hour
Support and help lead team members on the floor in following established Lean, 5S, and continuous improvement practices.
Added 1 min ago
K
Full-Time Beauty Team Leader
Kohl's
South Elgin, IL
- Full-time
As Beauty Team Leader, you will lead the team to drive sales and department initiatives through an authentic passion for beauty and engage the team and clients by identifying their needs…
Added 1 min ago
Sr. Solutions Consultant
Sprinklr
Remote, United States
Lead discovery sessions to understand client goals, challenges, and desired outcomes across marketing, social media, customer care and CX.
Added 1 min ago
TH
Representative I, Patient Access-full time-Nights-Silvis
Trinity Health
Silvis, IL
- Full-time
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Added 1 min ago
EW
Assistant Site Manager II - Moo Moo Express Car Wash
Express Wash Concepts LLC
Columbus, OH
- $22 USD / hour
…career or looking to take it to the next level, we’re here to support your…
Added 1 min ago
Electrical Design Engineer
Caterpillar, Inc.
Mossville, IL
…powertrains and key engine systems. LPSD products and solutions support customers across power generation, industrial, marine, oil & gas, rail, services and Cat® machine applications…
Added 1 min ago
TH
Patient Access Rep
Trinity Health
Berwyn, IL
- $16.5 to $24.44 USD / hour
Support performance improvement efforts to enhance patient experience and program efficiency.
Added 1 min ago
Assistant Superintendent - Taylorville, IL
ADM
Taylorville, IL
…Superintendent will be responsible for helping to train and lead hourly employees in operations, safety, food safety, and facilities maintenance. This individual will help establish and…
Added 1 min ago
UiPath Lead
CGI Technologies and Solutions, Inc.
IL
Join CGI's Intelligent Automation practice as the technical and governance lead for a greenfield enterprise UiPath program. You will design and stand up a production UiPath environment from…
Added 1 min ago
Senior Performance/Simulation/Application Engineer
Caterpillar, Inc.
Mossville, IL
This role will serve as a software lead for aftertreatment development, providing technical direction and coordinating software and calibration activities across programs. The engineer will…
Added 1 min ago
W
(USA) Member Team Lead
Walmart
EVERGREEN PARK, IL
- $22.5 to $30.5 USD / hour
…purchasing decisions locating merchandise providing guidance and support to members regarding selfservice technology assisting members with transactions utilizing registers or selfcheckout…
Added 1 min ago
TH
Representative I, Patient Access-part time-Nights-Silvis
Trinity Health
Silvis, IL
- Part-time
Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
Added 1 min ago
Regional Clinical Affairs Manager - Electrophysiology
Abbott
Abbott Park, IL
…space. Key responsibilities include clinical and strategic support to the Clinical Affairs Organization, with a specific focus on BU technologies and therapy areas. This role directly…
Added 1 min ago
Senior Embedded Product Analytics Engineer
Caterpillar, Inc.
Mossville, IL
Support small projects and lead appropriate projects with coaching from experienced team members.
Added 2 mins ago
E
Sr Engineering Tech Specialist
Exelon
OAKBROOK TERRACE, IL
- $88,800 USD / year
Performs assignments while acting independently and may lead multi-discipline teams. 5%
Added 2 mins ago
AN
Research Scientist – Neutron and X-ray Scattering
Argonne National Laboratory
Lemont, IL
- $116,250 to $215,280 USD / year
This position offers an opportunity to establish and lead an independent research program while collaborating closely with colleagues in the NXRS Group, the Materials Science Division, and…

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