Adjustment jobs in Springfield

Baystate Health

Summary: Location: Monarch Place; Springfield MA (MA & CT candidates only) Schedule: Monday-Friday; fulltime; 40hrs. Job Responsibilities: Develops and implements risk adjustment strategy, policies and standard operating procedures Collaborates with physicians, mid-level providers, other personn

Atrius Health

Summary: Location: Monarch Place; Springfield MA (MA & CT candidates only) Schedule: Monday-Friday; fulltime; 40hrs. Job Responsibilities: Develops and implements risk adjustment strategy, policies and standard operating procedures Collaborates with physicians, mid-level providers, other personn

A company is looking for a Supervisor, Risk Adjustment. Key Responsibilities Supervise and support a team of risk adjustment coders, ensuring compliance with coding accuracy and guidelines Manage relationships with vendors and delegated partners, ensuring performance meets standards Lead team develo

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

A company is looking for a Risk Adjustment Auditor Educator. Key Responsibilities Conduct provider medical record audits and analyze coding patterns to ensure accurate CMS payment Educate and train providers on risk adjustment coding and compliance with CMS guidelines Analyze MRA data to identify pa

A company is looking for a Certified Coder (Risk Adjustment) to support medical coding activities remotely. Key Responsibilities Conducts ongoing medical chart reviews and accurately abstracts ICD-10 and CPT codes Documents findings from chart reviews and provides feedback to leadership and provider

Highmark Health

A leading healthcare organization seeks a Director of Strategy for Risk Adjustment in Springfield, IL. This position will manage strategic initiatives, oversee the RAAM department, and optimize risk adjustment accuracy. Candidates should have a Bachelor's in a relevant field, with 3 years of managem

SY26-27 SEZP Middle School Adjustment Counselor Grade Level: 6-8 Full Time Start Date: August 2026 (exact start date TBD) Base Salary: Up to $96,864.45 and commensurate with experience Role Overview Educators in the Springfield Empowerment Zone Partnership are responsible for ensuring that students

Advantmed

A healthcare provider organization in Missouri is seeking a Nurse Practitioner to perform in-home wellness risk adjustment assessments for Medicare members. This PRN role offers flexibility and requires a valid NP License. Ideal candidates will have experience in risk assessment, strong communicatio

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

Baystate Academy Charter Public School

Baystate Academy Charter Public School (BACPS) provides rigorous academic standards and educational opportunities rooted in health sciences to students in grades 6th - 12th. The primary role of the Adjustment Counselor is to help students learn subject matter and skills that will contribute to their

Purpose<br /><br />The Risk Adjustment Administration Representative is responsible for obtaining accurate healthcare and risk adjustment information from Health New England’s (HNE) risk adjustment vendors, HNE data analytics, and/or pre-defined existing reports to ensure appropriate inf

SY26-27 Springfield Legacy Academy Middle School Adjustment Counselor Grade Level: 6-8 Full Time Start Date: August 2026 (exact start date TBD) Base Salary: Up to $96,864.45 and commensurate with experience Role Overview Educators in the Springfield Empowerment Zone Partnership are responsible for e

A healthcare provider organization in Missouri is seeking a Nurse Practitioner to perform in-home wellness risk adjustment assessments for Medicare members. This PRN role offers flexibility and requires a valid NP License. Ideal candidates will have experience in risk assessment, strong communicatio

Job Title Identifies and researches the basis for credit amounts due on the more complex patient health insurance claims. Initiates contractual adjustments on the account and/or processes refunds to patients, governmental agencies, or insurance companies. Embodies the Memorial Health System Performa

A leading healthcare organization seeks a Director of Strategy for Risk Adjustment in Springfield, IL. This position will manage strategic initiatives, oversee the RAAM department, and optimize risk adjustment accuracy. Candidates should have a Bachelor's in a relevant field, with 3 years of managem

Company Highmark Inc. Job Description JOB SUMMARY The Director of Strategy for Risk Adjustment (Risk Adjustment Accuracy Management (RAAM)) plays a pivotal role in driving the strategic planning, operational efficiency, and programmatic execution within the RAAM department. This role is responsible

The Stepping Stones Group, LLC

Job Description Make a Difference Every Day - Join Our Team as a Part Time, School Adjustment Counselor! Do you believe in the power of guidance, encouragement, and support? Are you ready to help students navigate challenges and reach their full potential? The Stepping Stones Group is looking for a

Veritas Preparatory Charter School

What You’ll Do As a School Adjustment Counselor at Veritas Prep High School you’ll partner with teachers, leaders, and staff to ensure our students have the support they need to achieve, grow, and thrive at school. You’ll provide counseling services, develop and facilitate small skill-building group

SY26-27 Springfield Legacy Academy Middle School Adjustment Counselor Grade Level: 6-8 Full Time Start Date: August 2026 (exact start date TBD) Base Salary: Up to $96,864.45 and commensurate with experience Role Overview Educators in the Springfield Empowerment Zone Partnership are responsible for e