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Risk Adjustment Manager, Provider Engagement - Oakland, CA

Oakland, CA 94601

Posted: 12/08/2022 Industry: Health Job Number: 51868 Pay Rate: 160,000

Job Description

Need the peace of mind that comes from working for a well-established company? California Health client has a great opportunity for a Risk Adjustment Manager who will coordinate implementation of client programs designed to ensure all diagnoses are coded according to CMS and risk adjustment coding guidelines. This individual should possess 5+ years of healthcare industry experience, with a thorough understanding of provider relations, clinical metrics, claims/encounters, and analytics. The ideal individual would possess at lest 3 years of management experience as well as knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, provider contracting, provider relations, and/or medical management. Must be proficient in Excel, Word, PowerPoint, and Outlook. (#51868)

Job Requirements

Risk Management/Risk Adjustment/CMS/

Meet Your Recruiter

Arturo Aguilera
Social Media & Marketing Manager

Arturo joined DW Simpson in 2017 and is currently the Social Media Specialist. He is in charge of running and maintaining DW Simpson’s social media presence, increasing brand awareness and improving marketing efforts.

Arturo attended Columbia College Chicago where he graduated with a BFA in Advertising Art Direction. He enjoys attending concerts, dive bars, and art museums.


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