Talent.com
Certified Risk Adjustment Analyst
Certified Risk Adjustment AnalystVirtualVocations • Boise, Idaho, United States
No se aceptan más aplicaciones
Certified Risk Adjustment Analyst

Certified Risk Adjustment Analyst

VirtualVocations • Boise, Idaho, United States
Hace 7 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

A company is looking for a Senior Compliance Risk Adjustment Analyst.

Key Responsibilities

Serve as the point of contact for external audits, managing deliverables and inquiries

Quality review all external audit deliverables for completeness and accuracy before submission

Maintain detailed audit documentation and support the development of Corrective Action Plans

Required Qualifications, Training, and Education

Bachelor's Degree in Audit, Compliance, Legal, or related field; or equivalent experience required

3+ years of experience in Audit, risk adjustment, and / or compliance required

Risk Adjustment / HCC coding experience required

Medicare experience required

Active Coding Credential from AHIMA or AAPC required

Crear una alerta de empleo para esta búsqueda

Analyst Risk Adjustment • Boise, Idaho, United States

Ofertas relacionadas
Risk Adjustment Quality Analyst

Risk Adjustment Quality Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
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...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Risk Analyst

Risk Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo parcial
A company is looking for a Risk Analyst (Part-time, Contract).Key Responsibilities Execute company reviews, payroll monitoring, and related processes with precision Escalate potential fraud inci...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Senior Compliance Analyst

Senior Compliance Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Senior Info Systems Compliance Analyst.Key Responsibilities : Coordinate walkthrough meetings and evidence collection for external audits Perform risk assessments and a...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Fraud Analyst

Fraud Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Fraud Analyst.Key Responsibilities Perform in-depth reviews and investigations of merchant and borrower accounts to manage fraud risks Conduct phone interviews to veri...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Consulting Actuary - Medicare Risk Adjustment

Consulting Actuary - Medicare Risk Adjustment

Blue Cross and Blue Shield of North Carolina • Boise, ID, United States
A tiempo completo
As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic actuarial expertise.You'll lea...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Risk Strategy Analyst

Risk Strategy Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Risk Strategy Analyst.Key Responsibilities Proactively analyze data, identify trends, and generate impactful recommendations to drive business goals Compile trends for...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Certified Risk Adjustment Auditor

Certified Risk Adjustment Auditor

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Quality Review and Audit Senior Analyst.Key Responsibilities Evaluate and audit medical documentation for diagnosis code accuracy and compliance Assign accurate ICD-10...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Risk and Compliance Analyst

Risk and Compliance Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Risk and Compliance Analyst, Contract.Key Responsibilities Assist with the configuration, testing, and deployment of the Lema. AI platform Establish and refine continuo...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
NERC CIP Compliance Analyst

NERC CIP Compliance Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a CIP Compliance Analyst to support the implementation and maintenance of its NERC CIP compliance program. Key Responsibilities Assist in the administration of the NERC CI...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Senior ERM Analyst

Senior ERM Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Senior ERM Analyst (Operational Risk).Key Responsibilities Lead the end-to-end risk events management program, ensuring timely reporting and corrective action tracking ...Mostrar más
Última actualización: hace 2 días • Oferta promocionada
Compliance Analyst

Compliance Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Compliance Analyst (Hybrid or Remote).Key Responsibilities Manage and maintain business and administrative licenses across all U. Assist in complex compliance procedures...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Senior Risk Management Analyst

Senior Risk Management Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Senior Risk Management Analyst to join their Underwriting team.Key Responsibilities Analyze financial documents to assess the financial health of merchants Conduct com...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Merchant Risk Analyst

Merchant Risk Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Merchant Risk Analyst to assess financial and non-financial risks associated with merchants.Key Responsibilities Assess risks and determine credit exposure for new and ...Mostrar más
Última actualización: hace 15 días • Oferta promocionada
Senior DFIR Analyst

Senior DFIR Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Sr Digital Forensics and Incident Response (DFIR) Analyst.Key Responsibilities Protect the organization's IT assets as part of the Cybersecurity Operations Center (CSOC...Mostrar más
Última actualización: hace 1 día • Oferta promocionada
Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Blue Cross and Blue Shield of North Carolina • Boise, ID, United States
A tiempo completo
The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are confidential and are co...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Compliance Documentation Analyst

Compliance Documentation Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Compliance Documentation Analyst to support the management and compliance of organizational documentation and training programs. Key Responsibilities Receive, review, an...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada
Quality Assurance Compliance Analyst

Quality Assurance Compliance Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Quality Assurance & Compliance Analyst.Key Responsibilities Conduct audits of case files, billing, and service delivery for compliance with Medicaid waiver and DMAS reg...Mostrar más
Última actualización: hace 15 días • Oferta promocionada
Risk Adjustment Audit Senior Analyst

Risk Adjustment Audit Senior Analyst

VirtualVocations • Boise, Idaho, United States
A tiempo completo
A company is looking for a Quality Review and Audit Senior Analyst for Individual & Family Plans (IFP), focusing on Risk Adjustment Data Validation (RADV) audits. Key Responsibilities Coordinate d...Mostrar más
Última actualización: hace más de 30 días • Oferta promocionada