General Summary: * Under general supervision and in accordance with established policies and procedures, is responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and
*Position Summary:** The Risk Adjustment Data Analyst will support The Health Plan’s risk adjustment management program with regard to risk adjustment models and guidance. This position will be involved in gathering, analyzing and reporting on data from multiple sources (e.g. member data, provider d
*Position Summary** The Risk Adjustment Data Analyst will support The Health Plan’s risk adjustment management program with regard to risk adjustment models and guidance. This position will be involved in gathering, analyzing and reporting on data from multiple sources (e.g. member data, provider da
The Analyst Fraud, Level 2 works with warranty accounts through email and phone communication to assist in claim entry, claim processing, contract purchasing, assist in audit reviews of claims, answer phone calls through warranty queue, work with HOS agents to assist customers, and any other tasks a
*Salary Range:** $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly oper
General Summary: * Under general supervision and in accordance with established policies and procedures, is responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and
**This is a fully REMOTE position** JOB SUMMARY VSolvit is seeking a highly analytical and detail-driven Rate Adjustment Analyst to support government contract billing and annual indirect rate true-up processes. This role plays a critical part in ensuring the financial accuracy and compliance of cos
Candidates from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only. ** PLEASE NOTE: Salary ranges are geographically based and the posted range reflects the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL Overview: The Prospective Risk Adjustment
Razor is looking for a Data Engineer with experience in clinical data who designs and builds scalable data ingestion pipelines to normalize clinical data supporting quality reporting, risk adjustment, and regulatory programs. Education & Certification Requirements Bachelor's degree in Computer Scien
Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range displayed has not been adjust
Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. The salary range displayed has not been adjust
*Salary Range:** $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly opera
What you'll be doing: Review risk exposures and coverage alternatives and evaluate policy submissions for completeness. Investigate and research inquiries to make appropriate decisions and determine and calculate pricing for insurance coverages. Review and verify information to process transactions
*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 Adj
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
*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 Ad
JOB DESCRIPTION Job Summary The Data Analyst role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions. Knowledge/Skills/Abilities Assist Risk Adjustment Data Anal
The Business Marketing Teacher will provide instruction in marketing, business management, entrepreneurship, and related fields to high school students. This role prepares students with practical skills, academic knowledge, and career readiness for success in postsecondary education and the workforc
a { text-decoration: none; color: #464feb;}tr th, tr td { border: 1px solid #e6e6e6;}tr th { background-color: #f5f5f5;} Razor is looking for a Data Engineer with experience in clinical data who designs and builds scalable data ingestion pipelines to normalize clinical data supporting quality report
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad foo