8 risk adjustment jobs at 5 companies in Boston, MA
3w
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Senior Manager, Corporate Compliance - Risk Adjustment
Scottsdale or Northbrook or Irving or Hartford or Woonsocket
$75k-$166k/yr HybridFull Time
7+ YOE5+ Mgmt7+ years Medicare Advantage/Risk Adjustment/compliance experience, 5+ years leadership, CMS/RADV/HCC expertise, CPMA/CRC/CPC/CCS required, bachelor's in related field, willingness to travel up to 10%.
3mo
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Risk Coder
Boston, Massachusetts, United States
$50k-$58k/yr RemoteFull Time
0+ YOECRC required; knowledge of ICD-10-CM, Medicaid/Medicare risk adjustment, outpatient coding and billing compliance; familiarity with Epic/NextGen/Centricity/eCW and Excel; 0-5 years coding or billing experience.
ICD-10-CM, Epic, NextGen, Centricity, eCW, Microsoft Excel
1d
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Clinical Review Specialist
Somerville, Massachusetts, United States
$64k-$93k/yr RemoteFull Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
3+ YOEBachelor's degree in nursing or related field, or equivalent experience; 3+ years of CDI or risk adjustment experience; 2+ years of EMR chart review and quality improvement experience.
Electronic Medical Records (EMR), Teams Video
2w
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Specialist, Health Plan Provider Engagement (Remote in MA)
Waltham, Massachusetts, United States
$52k-$102k/yr RemoteFull Time
2+ YOE2+ years improving HEDIS/quality and risk adjustment via provider engagement, data analysis, relationship building, and process improvement. Proficiency with Excel and Power BI; strong communication and critical thinking.
Microsoft Office, Microsoft Excel, Power BI, Microsoft PowerPoint
1mo
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Business Development Executive (MedInsight)
Seattle or Atlanta or Appleton or Boise or Wakefield or South Burlington or Chicago or Dallas or Windsor or Houston or Indianapolis or Little Falls Township or Pasadena or Brookfield or Eden Prairie or Omaha or Irvine or Berwyn or Phoenix or Portland or Portland or San Diego or San Francisco or St. Louis or Salt Lake City or Tampa or Walnut Creek
$105k-$199k/yr RemoteFull Time
8+ YOE8+ years enterprise new-business development in consultative sales, experience selling to health plans/providers, knowledge of risk adjustment and reimbursement landscape, strong executive selling and territory planning skills.
Salesforce
1mo
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Senior Analyst, Value Based Care
Somerville, Massachusetts, United States
$80k-$116k/yr HybridFull Time
Mass General Brigham: Provides integrated medical care, research, and clinical training services.
5+ YOE5+ years data analysis experience with SQL, relational databases, data visualization (Tableau), Microsoft Office; experience with EMR/claims data, mentoring, and knowledge of value-based care and risk-adjustment models preferred.
SQL, Tableau, EMR, Epic, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2w
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Sales & BizDev Manager - healow Insights (Pharma + Life sciences sales)
Westborough or United States
$140k-$160k/yr RemoteFull Time
5+ YOEBachelor's degree, 5+ years healthcare sales including pharma/life sciences, experience selling to health plans/ACOs/MSOs/CINs, risk-adjustment and quality program expertise, strong communication and enterprise sales skills.
eClinicalWorks, Epic, Cerner, Athenahealth, NextGen
2w
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Sales & BizDev Manager - healow Insights
Westborough, Massachusetts, United States
$100k-$140k/yr RemoteFull Time
5+ YOEBachelor's degree,5+ years healthcare sales experience selling to health plans/ACOs/MSOs/CINs,expertise in risk adjustment/HCC/Medicare Advantage/Medicaid,experience managing enterprise sales cycles and meeting quotas.
EMR, eClinicalWorks, Epic, Cerner, Athenahealth, NextGen