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Jobs in Toulouse, United States

Auditor, Risk Adjustment (Remote)

Auditor, Risk Adjustment (Remote)
Molina Healthcare
Vancouver (WA)
À distance
USD 77 000 - 129 000
Poste urgent
Hier
Je veux recevoir les dernières offres d’emploi à Toulouse

IT Business Systems Analyst - ScriptMed - Remote

IT Business Systems Analyst - ScriptMed - Remote
Prime Therapeutics
Richmond (VA)
À distance
USD 66 000 - 106 000
Poste urgent
Hier

Sr. Legal Counsel - Business Litigation - Remote

Sr. Legal Counsel - Business Litigation - Remote
Prime Therapeutics
Columbus (OH)
À distance
USD 143 000 - 243 000
Poste urgent
Hier

Director, Operational Oversight (Medicare/Duals) - REMOTE

Director, Operational Oversight (Medicare/Duals) - REMOTE
Molina Healthcare
Lexington (KY)
À distance
USD 88 000 - 173 000
Poste urgent
Hier

Public Policy Manager, U.S. State Policy, California

Public Policy Manager, U.S. State Policy, California
Meta
Olympia (WA)
À distance
USD 183 000 - 253 000
Poste urgent
Hier
Découvrez plus d’offres que n’importe où ailleurs.
Trouvez plus de postes maintenant

Senior Analyst, Business (Remote)

Senior Analyst, Business (Remote)
Molina Healthcare
Houston (TX)
À distance
USD 54 000 - 124 000
Poste urgent
Hier

Infrastructure Materials Manager

Infrastructure Materials Manager
Meta
Topeka (KS)
À distance
USD 174 000 - 188 000
Poste urgent
Hier

Deputy General Counsel, Litigation - REMOTE

Deputy General Counsel, Litigation - REMOTE
Prime Therapeutics
Annapolis (MD)
À distance
USD 217 000 - 369 000
Poste urgent
Hier
HeadhuntersEntrez en contact avec des chasseurs de têtes pour postuler à des offres similaires

Director, Operational Oversight - Medicare (Remote)

Director, Operational Oversight - Medicare (Remote)
Molina Healthcare
Phoenix (AZ)
À distance
USD 88 000 - 207 000
Poste urgent
Hier

Licensed/Certified Pharmacy Technician, Clinical/MTM Remote Outbound MST/PST

Licensed/Certified Pharmacy Technician, Clinical/MTM Remote Outbound MST/PST
Molina Healthcare
City of Rochester (NY)
À distance
USD 10 000 - 60 000
Poste urgent
Hier

Director, Operational Oversight - Medicare (Remote)

Director, Operational Oversight - Medicare (Remote)
Molina Healthcare
Scottsdale (AZ)
À distance
USD 88 000 - 207 000
Poste urgent
Hier

Software Engineer, Test & Privacy

Software Engineer, Test & Privacy
Meta
Montpelier (VT)
À distance
USD 194 000 - 230 000
Poste urgent
Hier

Employer Account Executive - Remote in TX

Employer Account Executive - Remote in TX
Prime Therapeutics
Nashville (TN)
À distance
USD 94 000 - 160 000
Poste urgent
Hier

Lead Abstractor, HEDIS/Quality Improvement (Remote in Pacific Time)

Lead Abstractor, HEDIS/Quality Improvement (Remote in Pacific Time)
Molina Healthcare
Houston (TX)
À distance
USD 150 000 - 200 000
Poste urgent
Hier

Principal Architect - Azure

Principal Architect - Azure
SHI
Charlotte Amalie (United States Virgin Islands)
À distance
USD 144 000 - 200 000
Poste urgent
Hier

Manager, Provider Engagement (Remote in WI)

Manager, Provider Engagement (Remote in WI)
Molina Healthcare
Madison (WI)
À distance
USD 73 000 - 143 000
Poste urgent
Hier

Sr. Applied Stars and Quality Analytics Analyst - Remote

Sr. Applied Stars and Quality Analytics Analyst - Remote
Prime Therapeutics
Nashville (TN)
À distance
USD 81 000 - 138 000
Poste urgent
Hier

AVP, Market Share (Remote)

AVP, Market Share (Remote)
Molina Healthcare
Orlando (FL)
À distance
USD 161 000 - 316 000
Poste urgent
Hier

AVP, Market Share (Remote)

AVP, Market Share (Remote)
Molina Healthcare
Dallas (TX)
À distance
USD 161 000 - 316 000
Poste urgent
Hier

Public Policy Manager, U.S. State Policy, California

Public Policy Manager, U.S. State Policy, California
Meta
Harrisburg (Dauphin County)
À distance
USD 183 000 - 253 000
Poste urgent
Hier

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE

Senior Actuarial Analyst (Medicare Risk Adjustment) - REMOTE
Molina Healthcare
Atlanta (GA)
À distance
USD 77 000 - 140 000
Poste urgent
Hier

Sr Director Clinical Strategy and Oncology Specialty Solutions- REMOTE

Sr Director Clinical Strategy and Oncology Specialty Solutions- REMOTE
Prime Therapeutics
Boise (ID)
À distance
USD 143 000 - 243 000
Poste urgent
Hier

Lead Technical Recruiter

Lead Technical Recruiter
Lumen
Austin (TX)
À distance
USD 91 000 - 122 000
Poste urgent
Hier

Principal Compensation Analyst - REMOTE

Principal Compensation Analyst - REMOTE
Prime Therapeutics
Pierre (SD)
À distance
USD 94 000 - 160 000
Poste urgent
Hier

Software Engineer, Systems

Software Engineer, Systems
Meta
Frankfort (KY)
À distance
USD 206 000 - 241 000
Poste urgent
Hier

Auditor, Risk Adjustment (Remote)

Faites partie des premiers candidats.
Molina Healthcare
Vancouver
À distance
USD 77 000 - 129 000
Faites partie des premiers candidats.
Hier
Description du poste

Job Description

The Risk Adjustment Data Validation Specialist develops, recommends, and implements controls and cost-effective approaches to minimize organizational risks. They identify and analyze potential sources of loss, estimate financial consequences, and ensure adequate protection through appropriate insurance coverage.

Knowledge/Skills/Abilities

  • Assist in daily risk adjustment data validation activities, including progress tracking, chart retrieval, file transmissions, and adherence to timelines.
  • Support risk adjustment audit projects to meet goals, milestones, and deliverables.
  • Evaluate audit results to identify barriers, gaps, and opportunities for improvement; implement corrective actions.
  • Act as an audit liaison with departments, health plans, and vendors.
  • Develop and implement processes to ensure accuracy, completeness, and compliance with CMS regulations.
  • Oversee RAPS and EDPS data transmissions; identify issues affecting data integrity.
  • Identify data mining opportunities to minimize data gaps.
  • Apply best practices to ensure accurate risk adjustment payments across markets.
  • Perform monthly audits on internal coding specialists and external vendors.

Job Qualifications

  • Required Education: Associate's degree.
  • Required Experience: 3 years in coding, medical record review, and risk adjustment data validation.
  • Required License/Certification: Active and unrestricted CCS, CCS-P, or CPC certification.

Preferred Education: Bachelor's Degree in Business Administration or Healthcare Management.

Current Molina employees interested in applying should do so via the intranet.

Molina Healthcare offers competitive benefits and compensation. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 annually. Actual pay may vary based on location, experience, education, and skills.

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* Le salaire de référence se base sur les salaires cibles des leaders du marché dans leurs secteurs correspondants. Il vise à servir de guide pour aider les membres Premium à évaluer les postes vacants et contribuer aux négociations salariales. Le salaire de référence n’est pas fourni directement par l’entreprise et peut pourrait être beaucoup plus élevé ou plus bas.

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