https://jobs.kaporcapital.com/companies/devoted-health/jobs/62885988-risk-adjustment-encounter-submissions-manager
Risk Adjustment Encounter Submissions Manager @ Devoted Health | Kapor Capital Job Board
Search job openings across the Kapor Capital network.
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https://anewhealthrx.com/insights/tag/risk-adjustment/page/24/
Risk Adjustment Archives - AnewHealth
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https://csscoperations.com/internet/csscw3.nsf/DIDC/DGXXVX3TFV~Encounter%20and%20Risk%20Adjustment%20Program%20(Part%20C)~User%20Group%20Presentations
CSSC Operations - Risk Adjustment for EDS and RAPS User Group - May 17, 2018
Submission DeadlinesRisk score calculation, 11, Submission DeadlinesRAPS deletions PY 2015,16, Chart Review Record Submissions, Diagnosis codes, 22-24, Record...
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https://job-boards.greenhouse.io/strivehealth/jobs/4662310006
Job Application for Lead Analyst, Risk Adjustment Analytics at Strive Health
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https://www.techtarget.com/healthcarepayers/news/366604764/CMS-Finalizes-ACA-Risk-Adjustment-Error-Rate-Calculation-Changes
CMS Finalizes ACA Risk Adjustment, Error Rate Calculation Changes | TechTarget
CMS has made changes to the way that HHS will conduct risk adjustment data validation and assess and apply error rates.
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https://www.kisacoresearch.com/events/risk-adjustment-mitigation-summit
Risk Adjustment & Mitigation Summit 2025
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https://www.slideserve.com/josephbarber/risk-adjustment-user-group-powerpoint-ppt-presentation
PPT - Risk Adjustment User Group PowerPoint Presentation, free download - ID:9125667
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https://jobs.hiringourheroes.org/jobs/459765471-sr-manager-medical-risk-adjustment-analytics
Sr. Manager, Medical Risk Adjustment Analytics at CareSource - Hiring Our Heroes Job Board
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https://experts.umn.edu/en/publications/taking-health-status-into-account-when-setting-capitation-rates-a/
Taking health status into account when setting capitation rates: A comparison of risk-adjustment...
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https://www.cms.gov/medicare/payment/medicare-advantage-rates-statistics/risk-adjustment
Risk Adjustment | CMS
Risk adjusment models and parameters for Medicare Advantange rates and Prescription Drug rates.
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https://careertraining.ed2go.com/wfsdallas/training-programs/certified-risk-coder-outline/
Online Certified Risk Adjustment Coder (Voucher Included) from Workforce Solution Greater Dallas...
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https://careertraining.und.edu/training-programs/certified-risk-coder/
Online Certified Risk Adjustment Coder (Voucher Included) from University of North Dakota
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https://www.aoa.org/news/practice-management/perfect-your-practice/medicare-advantage-risk-adjustment-audits-are-overwhelming-optometry-practices
Medicare Advantage Risk Adjustment audits are overwhelming optometry practices
How AOA member doctors are managing the burden and negotiating for better terms.
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https://www.wolterskluwer.com/en-au/expert-insights/preparing-for-a-risk-adjustment-audit-tips-from-the-oig-work-plan
Preparing for a risk adjustment audit: Tips from the OIG work plan | Wolters Kluwer
The OIG has published the 2024 work plan for Medicare audits, here are some tips your team can use to prepare.
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https://careers.molinahealthcare.com/employment/columbus-georgia-united-states-quality-and-risk-adjustment-jobs/21726/8679728/6252001-4197000-4211716-4188985/4
Quality and Risk Adjustment Jobs in Columbus at Molina Healthcare
Quality and Risk Adjustment Jobs in Columbus at Molina Healthcare
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https://www.edoxi.com/studyhub-detail/how-to-become-crc
Steps To Become Certified Risk Adjustment Coder | EDOXI
If you are thinking how you can become a successful Certified Risk Adjustment Coder, then this comprehensive guide can help you with all the assistance.
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https://edubirdie.com/docs/boston-university/cas-ma-555-numerical-analysis-i/81696-cross-validation-methods-for-risk-adjustment-models
Cross-Validation Methods for Risk Adjustment Models | Boston University - Edubirdie
Understanding Cross-Validation Methods for Risk Adjustment Models better is easy with our detailed Research and helpful study notes.
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https://www.benefitspro.com/2017/08/14/aca-risk-adjustment-program-chokes-remaining-aca-c/
ACA risk-adjustment program chokes remaining ACA CO-OPs
Managers of the ACA CO-OPs that survived in 2017 have argued that the risk-adjustment program rules discriminate against smaller, newer, cheaper plans.
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https://metapress.com/national-health-plan-achieves-17-1-roi-through-strategic-risk-adjustment-services-by-3gen-consulting/
National Health Plan Achieves 17: 1 ROI Through Strategic Risk Adjustment Services by 3Gen...
Apr 24, 2025 - In this case study, a national MSO managing ACOs and MA plans partnered with 3Gen Consulting to overhaul their risk adjustment operations. The result? A
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https://hitconsultant.net/2026/01/12/penguin-ai-snowflake-native-app-automate-hcc-risk-adjustment/
Penguin Ai Launches Snowflake Native App to Automate HCC Risk Adjustment
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https://oig.hhs.gov/reports/work-plan/browse-work-plan-projects/trends-patterns-and-key-comparisons-related-to-cms-hcc-risk-adjustment-2020-model-v24-and-2024-model-v28/
Trends, Patterns, and Key Comparisons Related to CMS-HCC Risk Adjustment 2020 Model (V24) and 2024...
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https://www.acturhire.com/jobs/lead-actuarial-analyst-ma-risk-adjustment
Lead Actuarial Analyst, MA Risk Adjustment at Strive Health | Acturhire
Senior health actuarial analyst focused on Medicare Advantage risk adjustment based in Washington, DC (hybrid). You will analyze CMS and claims data, reconcile...
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https://www.wellcare.com/en/georgia/providers/medicare/risk-adjustment-programs
Risk Adjustment Programs | Wellcare
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https://www.secondwaveds.com/
Home | Making Waves in Risk Adjustment | Secondwave Delivery Systems
Explore Secondwave's risk adjustment and quality measure improvement solutions, leveraging high-touch provider engagement and technology.
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https://www.prweb.com/releases/dynamic_healthcare_systems_to_co_present_session_at_risk_adjustment_forum/prweb12678217.htm
Dynamic Healthcare Systems to Co-Present Session at Risk Adjustment Forum
Irvine, CA (PRWEB) April 28, 2015 -- Dynamic Healthcare Systems, a provider of enterprise technology solutions for government-regulated health plans, today...
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https://www.contentfreelance.com/outsourcing-to-a-risk-adjustment-coding-company-can-improve-healthcare-reimbursement-accuracy/
Outsourcing to a Risk Adjustment Coding Company Can Improve Healthcare Reimbursement Accuracy |...
Oct 17, 2025 - Healthcare organizations face growing challenges when it comes to accurate reimbursement. With regulation changes, increasing patient populations, and
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https://www.johnsnowlabs.com/john-snow-labs-launches-martlet-ai-setting-new-standards-for-risk-adjustment-with-healthcare-large-language-models/
John Snow Labs Launches Martlet.ai, Setting New Standards for Risk Adjustment with Healthcare Large...
Mar 6, 2026 - John Snow Labs launches Martlet AI, setting new standards for risk adjustment with healthcare large language models to improve coding accuracy and outcomes.
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https://us.milliman.com/en/insight/How-employers-can-address-plan-selection-bias-with-risk-adjustment
How employers can address plan selection bias with risk adjustment
Employers should adjust health plan options for morbidity in order to reduce the selection bias.
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https://www.upmchealthplan.com/providers/medical/announcements-updates/announcements/2025-announcements/2025-02-aca-risk-adjustment-claims-submission-announcement
2025 02 ACA Risk Adjustment Claims Submission Announcement | UPMC Health Plan
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https://theincidentaleconomist.com/wordpress/competitive-risk-adjustment-another-try/
Competitive risk adjustment (another try) | The Incidental Economist
Jan 8, 2014 - I don't think I did a good job in my post this morning of explaining my idea of competitive risk adjustment. So, I'll try again. Before I do, I want to point...
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https://www.tableau.com/learn/webinars/optimizing-revenue-opportunity-with-raf-hcc
Optimizing Revenue Opportunity with Risk Adjustment Factor and Hierarchical Condition Category...
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https://www.newswire.com/news/raapid-team-on-risk-adjustment-and-the-best-practices-to-avoid-legal-21662641
RAAPID Team on Risk Adjustment and the Best Practices to Avoid Legal Complication | Newswire
The team highlights the potential legal penalties associated with an incorrect risk score and provides insight as to how to avoid such complications.
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https://brandnews24.us/press-release/2025-01-18/14871/raapid-raises-series-a-from-m12-microsoft-venture-fund-to-transform-healthcare-risk-adjustment
RAAPID raises series A from M12, Microsoft Venture Fund to Transform Healthcare Risk Adjustment
Louisville, KY - RAAPID, a Louisville-based healthcare technology company, raised its Series A funding round from M12, Microsoft Venture Fund. The inv...
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https://app.clearpol.com/document/93505/
Attachments : Deadlines for the Submission of Risk Adjustment Data for Risk Adjustment Data...
The following document is from the HPMS Memos released on 05/30/2025.
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https://acasignups.net/22/04/28/nbpp-2023-part-5-qis-standards-risk-adjustment-and%C2%A0hhs-radv
NBPP 2023 Part 5: QIS standards, Risk Adjustment and HHS-RADV | ACA Signups
Apr 28, 2022 - The Affordable Care Act includes a long list of codified instructions about what's required under the law. However, like any major piece of legislation, many...
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https://www.ispor.org/vih-articles/Volume-15--Issue-4/PRS51-Comparison-of-Risk-Adjustment-Models-in-Predicting-Disease-Specific-and-Total-Health-Care-Expenditure-for-Copd
PRS51 Comparison of Risk Adjustment Models in Predicting Disease Specific and Total Health Care...
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https://careers.redpoint.com/companies/strive-health/jobs/74375403-lead-actuarial-analyst-ma-risk-adjustment
Lead Actuarial Analyst, MA Risk Adjustment @ Strive Health | Redpoint Ventures Job Board
Search job openings across the Redpoint Ventures network.
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https://metaldevastationradio.com/accesshealthcarephysicians/youtube/126943/medicare-risk-adjustment-tip-toxic-effects-of-alcohol-ethanol
Medicare Risk Adjustment Tip: Toxic Effects Of Alcohol Ethanol - Accesshealthcarephysicians | Metal...
Stay up to date with the latest metal news, album reviews, band interviews, and underground scene updates on the Metal Devastation Radio Blog. Discover the...
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https://www.hks.harvard.edu/publications/prevalence-formal-risk-adjustment-health-plan-purchasing
The Prevalence of Formal Risk Adjustment in Health Plan Purchasing. | Harvard Kennedy School
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https://www.brookings.edu/articles/comments-on-risk-adjustment-policies-in-the-2024-payment-rule/
Comments on risk adjustment policies in the 2024 payment rule
Matthew Fiedler and Timothy Layton provided comments to the Department of Health and Human Services on risk adjustment policies in the 2024 payment rule.
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https://researchwith.njit.edu/en/publications/performance-status-of-health-care-facilities-changes-with-risk-ad/
Performance status of health care facilities changes with risk adjustment of HbA(1c) - New Jersey...
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https://careers.wvos.org/jobs/21248955/clinical-documentation-integrity-specialist-medicare-advantage-risk-adjustment-hybrid
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) in Los...
Exciting opportunity in Los Angeles, CA for UCLA as a Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
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https://careers.cacrs.com/jobs/21634440/certified-coder-risk-adjustment
Certified Coder-Risk Adjustment in North Kansas City, MO for NKC Health
Exciting opportunity in North Kansas City, MO for NKC Health as a Certified Coder-Risk Adjustment
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https://www.leadingageny.org/providers/managed-long-term-care/pace-and-map/pace-organizations-register-for-cms-call-on-risk-adjustment-submission-changes-by-june-7/
PACE Organizations: Register for CMS Call on Risk Adjustment Submission Changes by June 7th -...
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https://bub.blicio.us/raapid-series-a
RAAPID Secures Series A Funding from M12, A Leap Forward in Healthcare Risk Adjustment -...
Exploring AI, Startups, and Innovation in the Digital Economy
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https://business.optum.com/en/insights/improve-medicaid-risk-adjustment-accuracy.html
Improve Medicaid Risk Adjustment Accuracy
Learn how you can establish best practices for Medicaid risk adjustment that may improve accuracy.
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https://www.therowanreport.com/tag/risk-adjustment-data-validation/
risk adjustment data validation Archives - The Rowan Report
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https://www.ncqa.org/hedis/measures/hedis-2018-standard-pricing-and-risk-adjustment-tables-usage-agreement/hedis-2018-risk-adjustment-tables/
HEDIS 2018 Risk Adjustment Tables - NCQA
Jan 15, 2019 - Below are the risk adjustment tables for the Risk-Adjusted Utilization measures. Please note that the Shared Risk Adjustment Tables are used for all risk...
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https://www.verahealth.ai/news/medicare-advantage-star-ratings-social-risk-adjustment-shifts-bonuses-but-preser
Medicare Advantage Star Ratings: social risk adjustment shifts bonuses but preserves the gradient -...
In a fixed-effects cohort of 339 MA contracts from 2014 to 2025, CAI adjustments made 46% bonus eligible at least once, yet highest social risk deciles still...
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https://www.highergov.com/it-program/cms-risk-adjustment-data-analysis-tool-nm-10522/
CMS Risk Adjustment Data Analysis Tool (NM)
Details, projects, and contract awards for IT program CMS Risk Adjustment Data Analysis Tool (NM) managed by the Centers for Medicare and Medicaid Services
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https://compliancy-group.com/tag/oig-risk-adjustment-audit/
oig risk adjustment audit - Compliancy Group
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https://careers.greatersatx.com/companies/cvshealth/jobs/73353472-risk-adjustment-outreach-manager
Risk Adjustment Outreach Manager @ CVSHealth | greater:SATX Job Board
Search job openings across the greater:SATX network.
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https://www.topplanetinfo.com/risk-adjustment-data-validation/
Understanding Risk Adjustment Data Validation (RADV) - TopPlanetInfo.Com
Jun 6, 2023 - Reimbursement is one of the big issues for the health provider as they can overpay or underpay. It becomes crucial to ensure the accuracy and integrity of data...
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https://usthealthproof.com/insights/pay-now-pay-later-whistleblower-risk-adjustment
Pay Now or Pay Later: Whistleblower Lawsuits and Risk Adjustment | UST Healthproof
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https://iin.instructure.com/courses/21332/pages/pdf-risk-adjustment-documentation-and-coding-2nd-edition-by-sheri-poe-bernard-ccs-p-cdeo-cpc-crc
[PDF] Risk Adjustment Documentation & Coding, 2nd Edition by Sheri Poe Bernard Ccs-P Cdeo Cpc CRC:...
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https://cme.utsouthwestern.edu/content/js1418-north-texas-specialty-physicians-risk-adjustment-factor-raf-university-050714
JS1418 North Texas Specialty Physicians: Risk Adjustment Factor (RAF) University (050714) | UT...
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https://library.vbcexhibithall.com/ai-inferred-risk-adjustment-in-lead-a-quiet-but-consequential-shift/
AI-Inferred Risk Adjustment in LEAD: A Quiet but Consequential Shift | VBCExhibitHall Library
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https://www.healthicity.com/blog/topic/risk-adjustment
Blog | Healthicity | risk adjustment
risk adjustment | Welcome to the Official Healthicity Blog, your resource for tips and strategies related to healthcare compliance, medical auditing and coding.
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https://us.hitleaders.news/tag/risk-adjustment-data-validation/
Risk Adjustment Data Validation Archives - HIT Leaders and News
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https://careers.oregondental.org/jobs/21424677/risk-adjustment-coder-ii
Risk Adjustment Coder II in Houston, TX for Harris Health
Exciting opportunity in Houston, TX for Harris Health as a Risk Adjustment Coder II
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https://careertraining.georgiasouthern.edu/training-programs/certified-risk-coder/
Online Certified Risk Adjustment Coder (Voucher Included) from Georgia Southern University
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https://wellbeingmagazine.com/top-10-risk-adjustment-platforms-for-smarter-value-based-care/
Top 10 Risk Adjustment Platforms for Smarter Value-Based Care - Wellbeing Magazine
May 1, 2026 - This is my hands-on evaluation of 10 risk adjustment platforms for value-based care teams preparing for 2026 Medicare Advantage
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https://careers.340bemployed.org/jobs/21184679/medicare-advantage-risk-adjustment-performance-improvement-consultant
Medicare Advantage Risk Adjustment Performance Improvement Consultant in Los Angeles, CA for UCLA
Exciting opportunity in Los Angeles, CA for UCLA as a Medicare Advantage Risk Adjustment Performance Improvement Consultant
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https://klasresearch.com/best-in-klas-ranking/risk-adjustment-coding-retrieval-and-compliance-solutions/2026/415
2026 Best In KLAS Risk Adjustment: Coding, Retrieval & Compliance Solutions
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https://www.datavant.com/blog/managing-the-risks-of-risk-adjustment-coding-how-ai-reduces-human-error
Managing the Risks of Risk Adjustment Coding: How AI Reduces Human Error | Datavant | Datavant
Dec 30, 2025 - Learn how Datavant's AI-powered solutions help healthcare organizations minimize human error in risk adjustment coding, improving accuracy and reducing...
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