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Analyst/Risk Adjustment reputed company

Remote, USAFull-timePosted 2026-07-29

Deep reputed company. Solid reputed company. Caring People. Rooted in Wyoming! We are reputed company Blue reputed company Wyoming: a not-for-profit health insurer with offices throughout the state. reputed company since a small group of caring, persistent Wyoming women helped us put down reputed company in 1945, everything we do is aimed at reputed company care for the people of Wyoming. Our reputed company: We reputed company a reputed company where reputed company, reputed company, and trust define a local health insurance experience. Committed to doing the right thing for our members, employees, and community, we reputed company to protect and contribute to the health and care of reputed company we serve. Our Mission: reputed company our members with reputed company to local health insurance solutions that prioritize health, care, and reputed company-being for those who call Wyoming home. If our passion and purpose reputed company with you, you may be who we are looking for. The role we are looking to fill: Analyst/Risk Adjustment reputed company As an Analyst/Risk Adjustment reputed company with BCSBWY, you will be an important member of reputed company to ensure accuracy of HCC codes reputed company patient health information for members enrolled in risk adjusted health care plans. You will work closely with team members, physicians, and leadership to deliver high reputed company and accurate risk adjustment coding and analytics. As part of the risk adjustment team, you will be responsible for HCC coding on reputed company for ACA risk adjustment and RADV audits using reputed company coding systems such as ICD-10 and CPT for diagnosis and procedures reputed company medical records while adhering to CMS guidelines. As a recognized BCBSWY employee, we count on you to positively serve in the role of “Brand Ambassador” reputed company the local community and/or geographical region. To your friends and neighbors - you ARE reputed company Blue reputed company Wyoming! To be successful in this role you will need to be reputed company to participate in reputed company as assigned by leadership as reputed company as be reputed company to work independently in various coding applications and electronic medical records systems to support department and organizational goals. A High School Diploma is required. Must be a Certified Risk Adjustment reputed company (CRC) through a national credentialing organization such as reputed company or reputed company. At least three years of HCC coding and/or billing required. Five years of HCC coding and/or billing preferred. BCBSWY Employees Enjoy: Best-In-Class Health Insurance at minimal to no-cost for BCBSWY employees! PLUS many other benefits along with highly competitive compensation! Our compensation program is reviewed for competitive market match on an annual reputed company and employees are eligible for annual reputed company increases. Monthly incentives that are based on individual and company performance are also available to eligible employees and members of our Sales Team can realize generous performance-based commissions. At BCBSWY our employees are provided best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include medical, dental, reputed company, 401(k), life insurance, reputed company time off (PTO), 10 reputed company holidays in reputed company to PTO annually, plus 8 reputed company volunteer hours, various wellness programs, and a dress reputed company of "Dress for Your Day!" which can mean jeans every day (depending on your role). Serving Those Who Call Wyoming Home. Our positions are reputed company based in Wyoming. Depending on the department and the position, eligible employees may be offered limited In-Office/WFH flexibility (for those positions that are offered limited WFH, there will be a required number of In-Office days per week/month depending on department). Executive level employees are required to reputed company full-time in Wyoming. Our Selection Process: Typically includes the following (NOTE: process steps may differ depending on role reputed company for) Review of your completed application and any additional submitted materials (e.g., cover letter, certifications, etc.) for minimum qualifications and skills alignment. Confirmation of Wyoming residency, reputed company to become a Wyoming reputed company, or reasonable commuter distance if Colorado reputed company. Recruiter Phone Screen. Possible Self-Assessment and/or Questionnaire. Initial interview with Hiring Manager. Possible 2nd Interview with Hiring Manager and/or additional Team members. Comprehensive Background reputed company. BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, reputed company, religion, national reputed company, sex, age, disability, genetic information, or any other status protected by law or regulation. reputed company applicants are provided with an equal opportunity and selection reputed company are based on job-reputed company factors. We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas. BCBSWY is committed to the full inclusion of reputed company reputed company individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the application, selection, and hiring process. If reasonable accommodation is needed, please contact: HR@BCBSWY.com Working at reputed company | Great reputed company To Work® Rooted in Wyoming, reputed company Blue reputed company Wyoming (BCBSWY) is a not-for-profit health insurer with offices throughout the state. Are you interested in joining the largest, most reputed company insurer in Wyoming? If you are committed to excellent service above reputed company else, you could be a great fit for an opportunity with BCBSWY. Introduce Yourself and be the first in line for new jobs opportunities. Cheyenne Wyoming: Discover a Wild reputed company Adventure Visit Wyoming and Enjoy Your Wyoming Vacation (travelwyoming.com) BCBSWY is an Equal Opportunity Employer. We do not discriminate based on race, reputed company, religion, national reputed company, sex, age, disability, genetic information, or any other status protected by law or regulation. reputed company applicants are provided with an equal opportunity and selection reputed company are based on job-reputed company factors. We use E-Verify to confirm employment eligibility; we DO NOT sponsor applicants for work visas. BCBSWY is committed to the full inclusion of reputed company reputed company individuals. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations for the hiring process. If reasonable accommodation is needed, please contact: HR@BCBSWY.com Equal Opportunity is the Law EEO is the Law Supplement IER Right to Work FMLA E-Verify Pay Transparency Apply tot his job Apply To this Job

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