Risk Adjustment Specialist II

5 days ago

Apply Now
Logo of Centene Corporation

Centene Corporation

Contracting • Network Development • Managed Care

10,000+

Description

•Utilize risk adjustment methodologies and principles to increase provider engagement •Drive provider performance through education trainings on systems and programs •Support improvement of risk adjusted coding and medical record documentation •Develop collaborative relationships with providers to enhance coding competencies •Use advanced Excel skills to identify trends and develop strategies

Requirements

•Bachelor's Degree in Health Promotion, Public Health, Health Administration, Business Administration or related field required •3+ years equivalent experience in Health Insurance, Customer Service, Claims, or Provider Office required •Knowledge of healthcare, managed care, and Risk adjustment methodologies •50% in-state travel required

Benefits

•Competitive pay •Health insurance •401K and stock purchase plans •Tuition reimbursement •Paid time off plus holidays •Flexible approach to work with remote, hybrid, field or office work schedules

Apply Now

Similar Jobs

6 days ago

Pfizer

10,000+

Manager role in risk-based monitoring analytics within Pfizer's Global Biometrics and Data Management organization. Focus on creative and impactful clinical trial insights.

🇺🇸 United States – Remote

💵 $99.9k - $166.5k / year

💰 Post-IPO Debt on 2023-05

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

🗽 H1B Visa Sponsor

6 days ago

Volunteer role assisting the Board of Trustees in financial reporting and compliance. Oversee risk management practices while attending committee meetings.

6 days ago

Pfizer

10,000+

Lead risk-based monitoring analytics for clinical trials in Pfizer's Global Biometrics team. Ensure data quality and safety by implementing strategic monitoring processes.

🇺🇸 United States – Remote

💵 $99.9k - $166.5k / year

💰 Post-IPO Debt on 2023-05

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

🗽 H1B Visa Sponsor

6 days ago

Lead Risk & Control Analyst at Coastal Community Bank supporting Fintech Partner audits.

November 14

Newfront

501 - 1000

Coordinate internal service processes for commercial insurance clients at Newfront.

Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or lior@remoterocketship.com