Risk manager • wichita falls tx
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Finance Manager | Grubbs Family of Dealerships.Grubbs Family of Dealerships is a multi-brand, family-owned automotive group with deep roots across the DFW Metroplex and the state of Texas.We’ve bui... Show more
Are You Craving A Career With An Industry Leader?.Panda Express is searching for experienced leaders to join our store management team.Panda is 100% committed to the professional and personal devel... Show more
QXO is a leading distributor and installer of building products serving an $800 billion market.The company's mission is to modernize the building products industry through advanced technology and a... Show more
Coordinate the district program for students in at-risk situations.Collaborate with district staff and outside personnel to provide educational and career opportunities for students in at-risk situ... Show more
The Signal Hill power plant is strategically located in Wichita County, Texas, near the rapidly expanding Dallas/Fort Worth metropolitan area.This 77 MW electric power generation facility utilizes ... Show more
Requisition Number: STORE023809.Sign-On Bonus Opportunity of up to $1,000*.Lucrative incentive sales plans, bonuses and sales contests.No Cold Calling- We have a high volume of inbound sales leads ... Show more
Salary: $55,000 - $60,000 per year to start.Paid Group Term Life & Short Term Disability Plans.The Assistant Manager performs and/or supervises employees in the following job set-up positions: fron... Show more
Looking for a career where you can expand your knowledge in the restaurant industry with opportunity for management and leadership growth? At McAlister's Deli, we want to hire, work with, and devel... Show more
Work Where You Matter: At Dollar General, our mission is Serving Others! We value each and every one of our employees.Whether you are looking to launch a new career in one of our many convenient St... Show more
Manage accounts to achieve guest satisfaction and to solicit past and new business ensuring all revenue goals are achieved or exceeded.Your growth path includes: Senior Sales Manager, Director of S... Show more
Respiratory Manager in Wichita Falls, TX.Are you a passionate respiratory care leader ready to make a meaningful impact? Sage Specialty Hospital is looking for an experienced Respiratory Manager to... Show more
At RMC, the Assistant Manager role is a high-impact sales position responsible for driving revenue, growing accounts, and maximizing branch performance.This role is ideal for individuals who are mo... Show more
Responsible for managing the overall operations of a Jack in the Box unit.Uses discretion in daily management decisions with accountability to ensure effective execution of the Service Profit Chain... Show more
We are seeking an experienced Project Manager to oversee a large-scale industrial construction project based in Wichita Falls, Texas.This position offers the opportunity to lead complex projects fr... Show more
Responsible for managing the overall operations of a Jack in the Box unit.Uses discretion in daily management decisions with accountability to ensure effective execution of the Service Profit Chain... Show more
Location: Witchita Falls, TX, US, 76301 Career Area: General Management.Job Description: As a General Manager you will plan, manage, and guide multiple contracted services for a client normally gen... Show more
Hungry for a sales role where your work will make a meaningful difference? Join our team! At Brookdale, you will find opportunities that recognize your success and help advance your career.Our most... Show more
The Grubbs Family has been in the automobile business since 1948.Now managed by the fourth generation, The Grubbs Family of Dealerships proudly represents a variety of brands stretching across mult... Show more
There are two kinds of people in this world: SONIC employees and those who wish they were SONIC employees.This elite group gets to work with awesome people, earn great pay, and sport the cool unifo... Show more
The average salary range is between $ 95,057 and $ 164,899 year , with the average salary hovering around $ 124,182 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
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