Top 79534 field support specialist Jobs

SENIOR RISK ADJUSTMENT SPECIALIST
VIVANT HEALTH LLC —Sacramento, CA
- $120,000 - $135,000 a year
- Full-time
- Nursing
- Customer service
- 5 years
Senior Traffic Analyst
Aspen Environmental Group —California
- $115,000 - $145,000 a year
- Email
- Remote
- Microsoft Excel
- Data analysis skills
- 11+ years
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Sr. Housing Specialist / Housing Specialist
Palm Beach County Housing Authority —West Palm Beach, FL
- $21.63 - $26.44 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Word processing
- Health insurance
- Dental insurance
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Habilitation Specialist 1
Sunmount DDSOO —Tupper Lake, NY
- $53,764 - $68,630 a year
- Full-time
- Classroom
- OSHA
- Adults
- Paid parental leave
- Paid holidays
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Bilingual Match Support Specialist
Big Brothers Big Sisters of Northern Nevada —Reno, NV
- From $40,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- 403(b) matching
- Mileage reimbursement
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Economic Assistance Benefits Specialist
South Dakota State Government —Mission, SD
- $24.42 an hour
- Online Application
- Mid-level
- Office
- Education
- Paid holidays
- Health insurance
3d
Specialist, Helpdesk
Housecall Pro —Denver, CO
- $57,500 - $71,500 a year
- Hybrid work
- Computer science
- Computer Science
- Mid-level
- Paid parental leave
- Paid holidays
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Pre-Open Enrollment Specialist
Kiddie Academy —Abingdon, MD
- $56,000 - $61,000 a year
- Full-time
- Microsoft Outlook
- Marketing
- Mid-level
- Paid parental leave
- Paid holidays
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Client Support Specialist
Systems & Methods, Inc (SMI) —Georgia
- Full-time
- Computer literacy
- English
- GAAP
- Paid training
- Paid holidays
Operations Specialist
Equipped property —Remote
- $51,567.20 - $62,102.44 a year
- Contract
- Remote
- Google Workspace
- Mid-level
- 3 years
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2d
Safety Specialist 1
Osmose Utilities Services —Mississippi State, MS
- Weekends as needed
- Microsoft Word
- Background check
- Construction site
- Mileage reimbursement
- Health savings account
Human Resources Generalist
MERTZ INTEGRATION LLC —Ponca City, OK
- Full-time
- Background check
- 5 years
- Pass drug screening
Customer Relations Specialist-Ashland, Ohio
COMTEX —Ashland, OH
- $45,000 - $55,000 a year
- Full-time
- Background check
- Hospital
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
FIELD ARCHAEOLOGISTS - (Northern California)
SummitWest Environmental —Sacramento Valley, CA
- $27 - $32 an hour
- Part-time
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
RISK ADJUSTMENT FACTOR SPECIALIST
VIVANT HEALTH LLC —Sacramento, CA
- $28 - $34 an hour
- Full-time
- Nursing
- Customer service
- Mid-level
Field Materials Specialist
Montana Caliber Construction —Helena, MT
- $18 - $22 an hour
- Part-time
- Clean driving record
- Construction site
- Mid-level
Quick Apply
4d
Senior Social Media Specialist
CSS, Inc. —Dresden, TN
- $60,000 - $80,000 a year
- Full-time
- Hybrid work
- Marketing
- Writing skills
- Analysis skills
- Health insurance
- Dental insurance
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Chinese Curriculum & Content Specialist
Nan Hai USA Co Inc. —Millbrae, CA
- $70,000 - $85,000 a year
- Email
- Hybrid work
- Research
- Mid-level
- 3 years
Quick Apply
14d
HSE/DOT Specialist
Texas Specialty Sands, LLC —Wheeling, WV
- From $26 an hour
- Weekends as needed
- Customer service
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Job Coach/Employment Specialist (Coaching experience Preferred)
Life Builders, LLC. —Westerville, OH
- Up to $16.50 an hour
- Full-time
- Working with individuals with disabilities
- Research
- Analysis skills
- Paid training
- Mileage reimbursement
Quick Apply

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SENIOR RISK ADJUSTMENT SPECIALIST

VIVANT HEALTH LLC -
Sacramento, CA

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Job Details

Full-time
$120,000 - $135,000 a year

Qualifications

High school diploma or GED
Driver's License

Full Job Description

Job Summary:

The Senior Risk Adjustment Factor (RAF) Specialist supports Vivant’s risk adjustment initiatives within the IPA’s Medicare Advantage line of business. This advanced role ensures accurate and complete documentation and coding of diagnoses to optimize member Risk Adjustment Factor (RAF) scores, supporting quality patient care and accurate reimbursement under CMS guidelines. The Senior RAF Specialist collaborates closely with providers, coders, and care management teams to identify and implement opportunities for RAF improvement through education, chart reviews, and data analysis.

Responsibilities:

Own coding and Monthly Membership Report reconciliation.
Lead provider education (training, specialty tip-sheets, and targeted on-on-one feedback).
Run/own audit program (sampling, error trending, corrective action, and RADV-readiness support).
Lead audit pass rates, sustained provider documentation improvement, RAF accuracy lift, reduced audit risk, and education completion/impact.
Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC (Hierarchical Condition Category) guidelines.
Monitor and report RAF score trends across assigned providers, physician groups, and Medicare populations.
Conduct retrospective and prospective chart reviews to identify coding gaps, suspected conditions, and missed opportunities.
Partner with provider offices to ensure accurate submission of encounter data and supplemental claims.
Work collaboratively with health plan and IPA coding teams to reconcile risk score discrepancies and validate data accuracy.
Support provider education programs on compliant documentation and coding practices (HCC, ICD-10, and CMS Risk Adjustment methodology).
Compile RAF performance dashboards and support audit and reconciliation processes related to Medicare risk adjustment.
Participate in outreach campaigns to ensure timely completion of annual wellness visits and other risk-capture opportunities.
Stay current with CMS updates, HCC model changes, and risk adjustment regulatory requirements.
Assist in developing workflow improvements for documentation, coding, and data submission.
Performs related duties consistent with the scope and intent of the position.
Regular attendance.
Travel as required

Other Functions

Enforces Company policies and safety procedures.
Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.
Maintain IPA, Health Plan compliance standards.

Competencies

Minimum of 5-8 years of experience in Risk Adjustment, HCC coding, or Medicare Advantage operations.
3-5 years of Independent Physician Association (IPA) or health plan environment preferred.
Cozeva experience preferred.
Strong knowledge of ICD-10, HCC risk adjustment models, CMS guidelines, and Medicare Advantage programs.
Proficiency in EMR/EHR systems, risk adjustment analytics platforms, and Microsoft Office Suite (Excel, Power BI preferred).
Ability to analyze data, identify trends, and develop actionable insights.
Excellent communication, both oral and written, and interpersonal skills for provider education and collaboration.
Excellent attention to detail and ability to document information accurately.
Excellent active listening skills.
Ability to solve advanced-level problems with minimal supervision.
Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
Ability to provide and receive constructive job and/or industry related feedback.
Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
Ability to exercise sound discretion and strict maintenance of confidentiality of all confidential and sensitive communications and information.
Ability to consistently deliver excellent customer service.
Self-motivated with strong organizational, multi-tasking, planning, and follow up skills.
Ability to work independently as well as in a team environment.
Ability to present self in a professional manner and represent the Company image.
Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives.
Demonstrate commitment to the organization’s mission.
Typing speed of 40 wpm or more is a plus.
Must have the ability to quickly learn and use new software tools.
Must have advanced-level skills using e-mail applications.

Education and Certification

High School Diploma or GED required.
Associate’s or Bachelor’s degree in Health Information Management, Health Administration, Nursing, or related field preferred.
Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Medical Auditor (CPMA), or equivalent credential required.
Must have an active and unrestricted California Driver’s license.
Must have auto insurance and reliable transportation.

Travel

The incumbent may travel up to 25% of the time.

Work Environment

This job operates in a professional office environment. This role routinely uses office equipment such as computers, phones, photocopiers, scanners and filing cabinets.

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Refine Your Search

field support specialist jobs

SENIOR RISK ADJUSTMENT SPECIALIST

Senior Traffic Analyst

Sr. Housing Specialist / Housing Specialist

Habilitation Specialist 1

Bilingual Match Support Specialist

Economic Assistance Benefits Specialist

Specialist, Helpdesk

Pre-Open Enrollment Specialist

Client Support Specialist

Operations Specialist

Safety Specialist 1

Human Resources Generalist

Customer Relations Specialist-Ashland, Ohio

FIELD ARCHAEOLOGISTS - (Northern California)

RISK ADJUSTMENT FACTOR SPECIALIST

Field Materials Specialist

Senior Social Media Specialist

Chinese Curriculum & Content Specialist

HSE/DOT Specialist

Job Coach/Employment Specialist (Coaching experience Preferred)

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