Adjustment Processing jobs in Berwyn

Mobile Dental Services of Alabama

From $65,004 /year

*Adjustment Specialist (Traveling – Greater Illinois Area)** *Position Summary** The adjustment specialist role is a traveling role responsible for supporting nursing home facilities throughout the greater Illinois area. This position works closely with Facility Administrators, Social Services Direc

A company is looking for a Risk Adjustment Coder. Key Responsibilities Review patient medical records to identify coding opportunities for risk adjustment Ensure accurate capture of diagnosis codes and educate providers on documentation improvements Develop educational materials and participate in n

Town Square Health

$11,250 - $12,500 /year

Director, Risk Adjustment Location: Remote/Hybrid (Strongly Preferred: Chicago, IL) Reports to: Vice President, Provider Strategy & Population Health Company: Town Square Health About Town Square Health Town Square Health is building a new kind of value-based care model. Our team has come togeth

A company is looking for a Clinical Risk Adjustment Manager. Key Responsibilities Monitor and interpret CMS, state Medicaid, and industry risk adjustment and quality regulations Provide subject matter expert guidance to Product, Sales, and Account Management on risk adjustment policy and program imp

A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst. Key Responsibilities Conduct medical records reviews and accurate diagnosis code abstraction following relevant coding guidelines Utilize the Risk Adjustment Model to ensure accuracy of Hierarchical Conditi

A company is looking for a Clinical Risk Adjustment Manager. Key Responsibilities Monitor and interpret CMS, state Medicaid, and industry risk adjustment and quality regulations Provide subject matter expert guidance to Product, Sales, and Account Management on risk adjustment policy and program imp

A company is looking for a Consulting Actuary - ACA Risk Adjustment. Key Responsibilities Lead pricing strategies and actuarial initiatives for business segments Conduct competitive benchmarking analyses and evaluate advanced care management models Provide reliable actuarial insights and recommendat

Job Title: Client Advisory Manager Position Summary The Client Advisory Manager is responsible for leading the delivery of strategic solutions, analytics, and advisory services to clients, ensuring innovation, quality, and repeatability across all engagements. This individual will bring a strong bal

A company is looking for a Senior Manager / Director, Clinical Operations - Risk Adjustment. Key Responsibilities Build and scale risk adjustment operations, ensuring alignment with care models and payer contracts Improve care delivery workflows and support operational readiness for new markets and