- CVS Health (Columbus, OH)
- …of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional ... revenue integrity excellence. This position will require a comprehensive understanding of risk adjustment , with the ability to speak to and present on all… more
- Highmark Health (Pittsburgh, PA)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Medical Mutual of Ohio (OH)
- …delivery approach and assist in the review of provider agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In ... Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance,… more
- VNS Health (Manhattan, NY)
- …for process improvement for ensuring compliance. + Enterprise Wide Risk Adjustment Collaboration Activities and Initiatives and support Manager in driving ... CMS Hierarchical Condition Categories (HCC). Participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding… more
- Elevance Health (Mason, OH)
- **Title: Manager Government Business other revenue programs ( Manager Risk Adjustment Quality Control)** **Location: Chicago IL, Indianapolis IN, Grand ... management experience in a managed care setting with extensive risk adjustment experience with a focus on...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterLight Health System (Stilwell, OK)
- …Coder (CPC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Practice Manager (CPPM) + Certified Risk Adjustment Coder (CRC) ... Additional Requirements: + Be legally authorized (for example, currently licensed, registered, or certified if applicable) to practice in the State in which the healthcare professional will perform the function. + Be medically cleared for communicable diseases… more
- Point32Health (Canton, MA)
- …and Operations, this individual will support the operations and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst ... will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and synthesizing results to develop… more
- UCLA Health (Los Angeles, CA)
- …compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our ... do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is… more
- Elevance Health (Norfolk, VA)
- **Business Change Director - Risk Adjustment Data Quality** **Alternate locations may be considered:** This position will work in a hybrid model (remote and ... Elevance Health PulsePoint locations. The **Business Change Director for Risk Adjustment Data Quality** will serve as...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Auditor works in a collaborative effort directly with physicians, their ... is to ensure that medical documentation and supportive evidence complies with risk adjustment initiatives, improving revenue cycle and denial of payments.… more
- HSBC (New York, NY)
- …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other...City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:… more
- Bank of America (Charlotte, NC)
- Enterprise Financial Risk Manager Charlotte, North Carolina;Jersey City, New Jersey; New York, New York; Chicago, Illinois **Job Description:** At Bank of ... change control reviews + Counterparty/securities spot RWA and manual adjustment testing + Market risk RWA and manual adjustment testing, as outlined… more
- Molina Healthcare (Kenosha, WI)
- …SKILLS & ABILITIES:** * 8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years of experience supporting HEDIS ... engine activity, risk adjustment targeting and reporting systems * 4-6 years of data analysis experience utilizing technical skillsets and resources to answer… more
- Molina Healthcare (NM)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- Amazon (Imperial, PA)
- Description The Sr. Resilience Manager , AMER, enables comprehensive security risk preparedness and response processes, building resiliency capabilities for the ... criminality levels and national, political, social and security complexities. The Sr. Resilience Manager is called upon to support dynamic risk preparedness and… more
- Amazon (Seattle, WA)
- …program support for our key initiatives to catch bad actors. Key job responsibilities * The Risk Manager III is a senior leader for the Risk Mining team ... associated rings of accounts (ROA) at scale * The Risk Manager III is skilled at communications...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Seattle, WA)
- Description The Senior Risk Manager plays a crucial role in driving the organization's risk management initiatives and ensuring compliance across global ... in RISC organization. A key responsibility of the Senior Risk Manager is to meticulously monitor and...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Newark, NJ)
- …them. To us, that speaks volumes. ABOUT THIS ROLE As a Senior Business Information Risk Manager at Audible, you'll be at the forefront of safeguarding our ... integrity of our business. As a Senior Business Information Risk Manager , you will - Play a...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Phoenix, AZ)
- …diverse global risk landscapes. A day in the life As the Senior Risk Manager , you lead critical People Risk Programs, overseeing VCE, StrengthScope ... organization are critical to this role. As the Senior Manager of Risk Management, you will be...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Seattle, WA)
- …as a Senior Program Manager could enhance systems and processes that minimize risk and maximize trust in Amazon.com. Not only do we protect all aspects of the ... the company to determine how we can minimize the risk associated with new initiatives. We are seeking a...associated with new initiatives. We are seeking a Program Manager who can provide leadership to cross-functional teams and… more
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