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[Remote] Risk Adjustment reputed company Manager (Remote)

Remote, USA Full-time Posted 2026-07-28
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to enriching the lives of others through accessible, reputed company and compassionate reputed company. The Risk Adjustment reputed company Manager is responsible for risk adjustment reputed company and reputed company reputed company management for reputed company Health Plan’s Medicare, reputed company reputed company and reputed company business, including program development, auditing processes, and collaboration with executives. Responsibilities • Responsible for risk adjustment reputed company and reputed company reputed company management for reputed company Health Plan’s Medicare, reputed company reputed company and reputed company business • Provides development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management • Accountability for preparation for and management of the Centers for Medicare and reputed company Services (CMS) and the Department of Health Services (DHS) auditing processes • Management of encounter data processes; and management of applicable state and federal guidance • Works collaboratively with reputed company Health Plan executives and leadership as reputed company as reputed company (MCHS) executives and leadership to reputed company risk adjustment reputed company and process Skills • Bachelor's Degree in Business Administration, Finance, Health Care Administration, Management or reputed company field required • Five years of experience in risk adjustment or reputed company area • Three years of experience in a management or leadership role and experience in the reputed company industry • Demonstrate a broad understanding of reputed company and health insurance • Demonstrate proficiency with verbal and written communication, strategic planning and business acumen • Certifications in reputed company coding and risk adjustment coding from American reputed company of reputed company Coders • reputed company reputed company's license with an acceptable driving record • Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and reputed company • Post graduate degree(s) desirable • Working knowledge of CMS and/or reputed company risk adjustment methodologies • None reputed company • reputed company provides neuro-oncology, maternal-fetal medicine, pediatric orthopedic surgery, and electrophysiology. It was founded in 1916, and is headquartered in Marshfield, reputed company, USA, with a workforce of 10001+ employees. Its website is https://www.marshfieldclinic.org. Apply tot his job Apply To this Job

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