2 auditor risk adjustment jobs found

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description JOB SUMMARY: The CDA Analyst supports enterprise risk adjustment and quality initiatives by collecting, validating, and analyzing clinical and claims data. This role develops reporting solutions that improve clinical data capture, support RADV/CDA activities, and assist HEDIS and quality teams with audit readiness, rate tracking, and intervention monitoring. The analyst transforms complex datasets into actionable insights that guide operational decisions...

Job Title: Systems Administrator Job Description: As a Systems Administrator, you will be responsible for ensuring the availability and integrity of both physical and virtual infrastructure for Machinery Control Systems at the Naval Surface Warfare Center Philadelphia Division. Success in this role requires significant experience with virtualized environments and technologies. Responsibilities: Provide administrative support and ensure operating systems are fully patched and updated. Become a subject matter expert to support the VDI and any MCS development activities. Provide engineering support for virtual and physical enterprise servers and sustain the VDI. Monitor system performance, configuration, maintenance, and repair of physical/virtual server and storage systems. Maintain records of system downtime and equipment inventory. Apply revisions to host system firmware and software. Collaborate with vendors to assist in support...