- UpvoteDownvoteShare Job
- Suggest Revision
The Risk Adjustment Coder/Auditor works under the direct supervision of the Coding Manager and collaboratively with others in the organization, including ACO support staff, quality specialists, HIS team and clinical staff.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Active, CPC and CRC (Certified Risk Adjustment Coder) License. Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
$66,000 - $77,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
AND a Certified Risk Adjustment Coder certification (CRC). Position responsibilities include overseeing risk capture performance, reporting and assisting with the following: coding, abstracting and analyzing/reviewing medical records for the PHO risk adjustment programs to ensure proper medical diagnoses are coded appropriately and that the members medical record documentation supports the codes accurately in accordance with CMS, CPT and ICD.10 guidelines.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We're looking for a Coding Specialist II- Risk Adjustment Coder to join our team! Preferred: Certified Risk Adjustment Coder (CRC). Preferred: Minimum of 3+ years of diagnosis coding experience Risk adjustment coding experience Knowledge of CPT and E&M Strong ICD-10 knowledge.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
A strong understanding of non- Risk Adjustment functions such as Actuarial, Care Management, Accounting, Provider Contracting, Network Management, Product Development, etc., and how they impact Health Plan operations and financials.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based.
$22 - $29 an hourRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The AVP, Quality Improvement & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality subject matter expert for the health plan.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Hands-on experience with BlackRock's Aladdin, Bloomberg or similar third-party risk and performance systems a plus. Develop and leverage Value-at-Risk (VaR) and other market risk models, including both historical and forward-looking "macro-factor" based models.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Risk Analyst position exists within the Financial Intelligence Unit (FIU) to provide exceptional analysis and expertise in the handling of matters that are referred to the group. We are currently sourcing for a Risk Analyst to work in Merrimack NH, Westlake TX , Covington KY, Raleigh NC, Smithfield RI and/or Salt Lake City UT.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Relevant certifications such as FRM (Financial Risk Manager) or CFA (Chartered Financial Analyst) are a plus. Develop and implement quantitative risk models and methodologies specific to structured credit instruments such as residential mortgage-backed securities (RMBS), asset-backed securities (ABS), and collateralized loan obligations (CLOs.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Enterprise Risk Analyst is expected to leverage their subject matter expertise in ERM when acting as business partner with our colleagues in the first line of responsibility when performing their daily Risk & Control Activities (RCA) in accordance with company policy and procedures.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Certified Professional in Health Care Risk Management (CPHRM) certification is preferred. Your role collects, evaluates, and distributes relevant data concerning patient injuries: aggregate data summaries, monthly trend analyses of incidents, claims profiles, and workers’ compensation trends; provides aggregate analysis of risk data; maintains statistical trending of losses and other risk management data.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Coordinate with the provider Network Management and the Quality Program to implement tactics for risk adjustment optimization, particularly for provider and member engagement activities.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
3+ years of of market risk analysis experience, focused on interest rate risk modeling and/or asset liability management OR an appropriate combination of work experience and advanced education.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Develop the Security Assessment (SA) package documentation to include Security Assessment Plans (SAP), Security Assessment Reports (SAR), ATO Letters, ATO Recommendation Memo, Risk Assessment Memos, CFO Designation Memos, POA&M finding matrices, Executive Data Sheet (EDS), OA artifacts, etc.
Full-timeExpandApply NowActive JobUpdated Today
Title: risk adjustment Company: Bcbsm
FEATURED BLOG POSTS
Resume Job Description Samples - 8 Tips to Follow
When looking for a job, your resume becomes a crucial element. From making a great first impression to showcasing all your achievements and potential, your resume has to portray your professional story in minutes.
Internship Cover Letter Tips with Examples
Until now, college has been about learning, absorbing, and experiencing. It’s not until you become eligible for an internship that things start getting real—real-world experiences using real-life scenarios. Applying for internships takes time, and there’s no college course on “how to apply for jobs.” (We’d sign up immediately if there was, though!) But here's a spoiler alert: most internships require a cover letter. And while this may seem like a burden, it’s actually a blessing.
5 Practical Ways to Remove Bias from your Hiring Process
Many employers think their hiring process is perfect. However, research shows that the hiring processes are generally impartial and unfair, especially if you are part of certain demographics. Women, people of color, people with disabilities, or even people in lower socioeconomic status are more likely to be subject to implicit bias. As diversity and employer branding become major aspects of business, it is important that employers take the lead to identify and remove bias from the hiring process. So, here are 5 practical ways to get you started.
Tips to Get Your First Job Confidently
Whether you’re a recent graduate or you still have a few exams left, you may be itching to put your polished leather shoes on and join the workforce. After all, your first job is an entryway into the professional life you’d lead for the decades to come.
Tips for a Good Character Reference Letter with Examples
Hiring managers love a resume laden with relevant skills and qualifications. Hard skills specific to the role, like SEO strategy or Java programming languages, are easy to qualify using achievements or facts and figures. But how exactly can they verify personality traits, work ethic, relationship management skills, or curious nature during an interview when they barely know you?
How to Dress on the First Day of Work (Men & Women)
You did it! Out of hundreds of applicants and dozens of people interviewed, you’re the one who got a new job. Congrats! Now comes the question of how to dress on the first day of work.
Why College Students Should Work While in College?
College is a special part of our lives. It’s a time when we prepare for our dream job while creating some of the most memorable moments in life. That said, college life can also be stressful. Not only do we have to spend long hours studying, writing and researching, but we also have to deal with increased tuition fees and living expenses.