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Blue Shield of CaliforniaPosted 2 weeks ago

Risk Adjustment Consulting, Experienced

On-siteOakland, California, United States

Full TimeLargeHealthcare Tech

Job Summary

Oversee end-to-end retrospective coding operations, ensuring accuracy, completeness, and compliance of medical record review across all risk-adjusted lines of business. Manage enterprise workflows, vendor performance, coding quality, and audit readiness while maintaining cross-functional alignment with Clinical, Compliance, and Risk Adjustment partners. This role supports the Enterprise Retrospective Chart Review team in delivering precise risk adjustment outcomes.

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