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Added 1 min ago
Learning Experience Designer
University System of Georgia
GA
…college into a Carnegie Doctoral/R2 institution with 149 degree programs at the bachelor's, master's and doctoral levels, serving 31,600 students from all 50 states, Washington D.C., Puerto…
Added 1 min ago
Recruiting Manager
Lincoln Electric
Cleveland, OH
This leader develops scalable recruiting processes, workforce attraction strategies, community partnerships, recruitment marketing programs, and workforce planning initiatives that improve…
Added 3 mins ago
Temporary Recruitment Operations Generalist
Bowery Residents Committee
Manhattan, NY
The Temporary Recruitment Operations Generalist supports recruitment, internal mobility processes, and supplemental workforce management across the organization. Reporting to the…
Added 4 mins ago
Long-Term Disability Claim Manager
New York Life
Remote, United States
…companies. Our work fosters a healthier, happier, and more secure workforce, contributing to New York Life’s legacy of being there when we’re needed most. Here, you'll design, implement,…
Added 4 mins ago
Heat Treat Technician
Magna Powertrain of America Inc.
Sterling Heights, MI
Support preventive and predictive maintenance programs.
Added 14 mins ago
Business Manager C (VDH03480)
Virginia Department of Health
Roanoke, VA
…Independently allocates funding and staffing resources, promotes programs, prepares the budget, manages facilities and finances and human resources based on management input and keeps the…
Added 14 mins ago
PF
Founding Recruiter & Talent Acquisition Lead
Pronto Fulfillment LLC
Manassas, VA
- $85,000 to $100,000 USD / year
University & Community Partnerships: Build robust internship and workforce development programs by partnering with local institutions like George Mason University (SciTech Campus), Northern…
Added 15 mins ago
CC Manager
Turner Construction
Augusta, GA
Position Description: Manage corporate citizenship programs, results, and continuous improvement efforts for local business unit. Manage resources and oversee various team members.
Added 17 mins ago
GI
Retail Sales Associate (63671)
GOODWILL INDUSTRIES OF NORTH LOUISIANA INC
Alexandria, LA
- $10 USD / hour
…and helping maximize revenue from donated goods to support workforce programs and community…
Added 31 mins ago
D
Eligibility Specialist - Case Manager
DFR
Rushville, IN
- $18 USD / hour
…for individuals applying and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid. The Eligibility Specialist staff are responsible for assisting in…
Added 31 mins ago
D
Eligibility Specialist - Case Manager
DFR
Richmond, IN
- $18 USD / hour
…for individuals applying and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid. The Eligibility Specialist staff are responsible for assisting in…
Added 33 mins ago
CI
Jr. Account Manager
CRC Insurance Svcs LLC
United States
- $62,000 USD / year
Euclid Transactional has an exciting opportunity for a professional to join our Issuance Team. In the Junior Account Manager role, the ideal candidate is organized, personable, and takes…
Added 34 mins ago
VH
Administrative Officer
Veterans Health Administration
Wichita, KS
- $50,460 to $80,243 USD / year
…Medical-Surgical Unit (M/S), and Patient Support Services, and other programs including Staffing Methodology. This position is responsible for overall coordination and management of…
Added 34 mins ago
VH
Secretary (OA)
Veterans Health Administration
Wichita, KS
- $50,460 to $72,644 USD / year
Added 34 mins ago
VH
Supervisory Pharmacy Technician
Veterans Health Administration
San Francisco, CA
- $102,818 to $133,671 USD / year
Work Schedule: Sunday-Thursday, 10:30am to 07:00pm or determine by the hiring Manager
Added 36 mins ago
Urban Forester
University of South Carolina
SC
As a working manager, administers and continuously improves the campus urban forest program. Assesses campus trees for health, structural condition, pest and disease concerns, and risk;…
Added 37 mins ago
UA
Program Manager
U.S. Army Corps of Engineers
Chattanooga, TN · Nashville, TN · Grand Rivers, KY · Florence, AL
- $106,437 to $144,102 USD / year
About the Position: Deputy Operations Manager for the Nashville District Navigation Area Office, shares in all aspects of the operation and maintenance of the Operational Area, comprised of…
Added 37 mins ago
VH
Safety & Occupational Health Manager
Veterans Health Administration
Las Vegas, NV
- $108,719 to $141,337 USD / year
The Safety Manager has responsibility for independently planning, designing and implementing programs, projects, studies or other work. Results are considered technically authoritative and…
Added 37 mins ago
VH
Housing Manager
Veterans Health Administration
Tucson, AZ
- $91,205 to $118,569 USD / year
…within walking distance of the treatment facility. The Housing Manager serves as supervisor of the Fisher House…
Added 37 mins ago
VH
Senior Social Worker (BHIP)
Veterans Health Administration
Farmington, MO
- $102,460 to $133,201 USD / year
b) Facilitates liaisons with other health care programs in order to effectively coordinate services.
Added 37 mins ago
VH
Senior Social Worker (BHIP)
Veterans Health Administration
Farmington, MO
- $102,460 to $133,201 USD / year
b) Facilitates liaisons with other health care programs in order to effectively coordinate services.
Added 37 mins ago
VH
Supervisory Health Care Education Specialist
Veterans Health Administration
Bay Pines, FL
- $89,508 to $116,362 USD / year
Manages and uses the computer-based system to enter, track, and report all employee education relating to coordinated training programs.
Added 41 mins ago
DL
Supply Management Specialist
Defense Logistics Agency
Richmond, VA
- $93,499 to $121,551 USD / year
…because of the sensitive nature of reviews. | Serves as team manager for special projects or works independently on assigned special projects. | Participates in system design and…
Added 41 mins ago
VH
Program Specialist
Veterans Health Administration
Marion, IL
- $61,722 to $80,243 USD / year
The incumbent is responsible for the coordination and monitoring of all administrative programs to include Accreditation, Organizational Improvement, Patient Safety, Utilization Review,…
Added 41 mins ago
EE
Human Resources Specialist (Development)
Equal Employment Opportunity Commission
Atlanta, GA · Washington, DC
- $76,463 to $99,404 USD / year
…leadership development, training, and organizational development programs; administering or supporting a Learning Management System (LMS) and training operations; conducting training needs…

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.

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Job details

Posting language: English
Posted: Nov 5, 2026

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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.

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Skills

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

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