Adjustment jobs in Berkeley

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

UCSF Health

*Job Description** *Employment Duration:** 3 months *Location:** Fully Remote *Openings:** 2 The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT, and HCPCS classification systems to code across various healthcare settings, including o

UCSF Health

Job Description Employment Duration: 3 months Location: Fully Remote Openings: 2 The Health Information Coder I is an entry‑level coder with a basic knowledge and skill set to utilize ICD‑10‑CM, CPT, and HCPCS classification systems to code across various healthcare settings, including outpatient, e

Datavant

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life

Highmark Health

A leading healthcare company is seeking a Director of Strategy for Risk Adjustment in Concord, NH. This pivotal role involves overseeing strategic initiatives, key project management, and team coordination within the Risk Adjustment Accuracy Management department. The candidate will drive operationa

Highmark Health

Company : Highmark Inc. Job Description : GENERAL OVERVIEW We are seeking an enthusiastic and detail-oriented Program Manager to join our team, focusing on government programs related to risk adjustment activities. In this role, you will be instrumental in managing programs for external providers on

Blue Shield Of California

Job Description Your Role The Risk Adjustment Prospective Program team focuses on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment. In this role you will provides essent

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage throu

Job Summary: The Actuarial Analyst IV Commercial Risk Adjustment will be instrumental in running and understanding how to interpret the results of the various commercial risk adjusting models being employed, as well as represent, discuss Kaiser Permanente's interests when talking to external large g

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding aud

A healthcare organization in California is seeking a Senior Risk Adjustment Consultant. This role involves supporting the Prospective Programs team and requires strong project management and interpersonal skills. Candidates should have a college degree and at least 4 years of experience, along with

Datavant

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life

A leading healthcare company is seeking a Director of Strategy for Risk Adjustment in Concord, NH. This pivotal role involves overseeing strategic initiatives, key project management, and team coordination within the Risk Adjustment Accuracy Management department. The candidate will drive operationa

Your Role The Risk Adjustment Prospective Program team focuses on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment. In this role you will provides essential support to t

North East Medical Services

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conduct

Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only. Overview: This role will provide reporting insights to drive performance and support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustmen

*Job Description Summary** ‎ The Senior Project Manager Vendor Management & Risk Adjustment Programs leads and facilitates complex, cross-functional initiatives that support CareMore’s Risk Adjustment strategy. This role is accountable for program planning, vendor coordination, execution, and pe

*Job Description Summary** ‎ The Director, Risk Adjustment Coding (Certified) provides strategic and operational leadership for CareMore’s Risk Adjustment coding function. This role is accountable for the accuracy, integrity, and performance of all Risk Adjustment coding activities across internal t

Your Role The Risk Adjustment Prospective Program team focuses on transforming health care by making it more accessible, affordable and customer centric. The Risk Adjustment Consulting, Senior will report to the Senior Manager of Risk Adjustment. In this role you will provides essential support to t

Job Description Summary ‎ To scrub patient charts prior to appts to surface chronic conditions for providers review ‎ How will you make an impact & Requirements ‎ Pre-visit risk adjustment chart review for HCC's. Required certification: CPC-A, CPC or CRC Beware of fraudulent job postings: While Mosa