- Point32Health (Canton, MA)
- …and consultation activities supporting the complete and accurate capture of risk adjustment data. To be successful, the Manager will need to rely on ... The Manager will build relationships and drive risk adjustment engagement with senior leaders at...: The Manager will be responsible for risk adjustment program management and key supporting… more
- Avera (Sioux Falls, SD)
- … Specialist will work closely with the Director of Quality and Risk Services, Manager of Risk Adjustment , Manager of Quality, Quality Coordinator - ... where you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information… more
- Catholic Health Initiatives (Little Rock, AR)
- …and risk for the value hub. + Through Risk Management/Auditor Manager , implements a risk adjustment coding department in appropriate Arkansas and ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
- Humana (Salt Lake City, UT)
- …practices in the risk adjustment methodology. This role reports to the Risk Adjustment Manager and will work closely with market operations, finance, ... effectively influence a provider to adopt best practices in the risk adjustment methodology. The successful candidate will possess extensive, in-depth and broad… more
- Elevance Health (West Des Moines, IA)
- ** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ The ** Risk Adjustment Actuarial Analyst II - Advanced...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST** **Location:** Trinity Health PACE Corp Michigan ... client care documentation for billing. + Monitors and informs manager of records that are not completed timely. Monitors,...+ **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... * Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or...Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of… more
- Datavant (Atlanta, GA)
- …mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) ... Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $27-$30 USD To ensure the safety of patients and staff, many of our… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the marketplace… more
- Healthfirst (NY)
- …accredited institution.** + **At least 5 years previous work experience within risk adjustment , grouper analysis or other statistical//clinical analysis** + ... model.** **More about the team, and the role:** **As Manager , Risk Score Accuracy your role will...**Experience with Medicaid//HHS risk adjustment payment methodologies.** + **Proficiency in… more
- Capital One (New York, NY)
- Senior Manager , Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered by our passion for our ... advice and to deliver high-impact results. As the **Senior Manager , Technology Change Risk Oversight** you will...risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies +… more
- City of Lakeland (Lakeland, FL)
- Risk Manager Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/5142649) Apply Risk Manager Salary $89,335.64 - $134,004.00 ... This position has management responsibility for 11 employees. The Risk Manager has wide latitude for independent...all claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured… more
- Amazon (New York, NY)
- … Risk Operations & Resilience (ROR), within Global Realty, is seeking a Sr. Risk Manager to evaluate, analyze, and implement risk mitigation programs for ... Estate, Safety, Engineering, Building Design, and Construction, as well as external risk engineering providers to identify, analyze, and implement risk … more
- Bristol Myers Squibb (Devens, MA)
- …The Senior Manager , Quality Systems - Change Control and Quality Risk Management (QRM) Process Owner is responsible for ownership and oversight of assigned ... Devens Cell Therapy site QRM systems, including maintenance of the site Quality Risk Register. + Establish and drive QRM governance maturity plans to improve site… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR/ MANAGER , RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... **KEY SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with personal computers and Microsoft Word,… more
- Amazon (Arlington, VA)
- …Amazon Workplace Health and Safety (WHS) Operational Excellence (OpEx) is seeking a Risk Manager to drive continuous improvement safety projects. If you have ... future of Amazon. The Workplace Health and Safety (WHS) Risk Manager will oversee complex projects with...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Bellevue, WA)
- Description Amazon is seeking a Sr. Risk Manager for Amazon Shipping, US. This is an exciting opportunity to join a new emerging business in transportation. As a ... Sr. Risk Manager , you will be responsible for...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Boston, MA)
- …AI development, we want to speak with you. Amazon AGI organization is hiring a Sr. Risk Manager to lead risk assessment and policy management throughout its ... the science and engineering teams. Key job responsibilities Lead ongoing risk assessments and corresponding policy management. Recommend opportunities to business… more
- Amazon (Arlington, VA)
- Description Employer: Amazon.com Services LLC Position: Risk Manager III (multiple positions available) Location: Arlington, VA Multiple Positions Available: (1) ... roadmaps to address gaps and improve control design and testing. (5) Communicate risk posture and project information to stakeholders and leadership. (6) Develop the… more
- Amazon (Seattle, WA)
- Description This Sr. Program Manager role will lead a program within Financial Integrity Trust (FIT), a team embedded within the Financial Risk Mitigation (FRM) ... misuse of funds. Key job responsibilities * Mitigate financial risk and stop bad actors from profiting by building...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
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