• Sr Spc, Provider Quality and Risk

    Molina Healthcare (NY)
    …Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures ... providers in the Health Plan have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to improve… more
    Molina Healthcare (02/23/25)
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  • Associate, Risk Adjustment Coder

    MVP Health Care (Rochester, NY)
    …or CPC-P - Certified Professional Coder (Physician) or CCS-P - Certified Coding Specialist (Physician), and CRC-Certified Risk Adjustment Coding Credential ... Associate, Risk Adjustment Coder Headquarters Office, 625...special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks… more
    MVP Health Care (03/04/25)
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  • Sr. Risk Specialist , AWS Commerce…

    Amazon (Seattle, WA)
    …The Risk , Audit, Accounting, and Compliance (RAAC) team is seeking a Sr. Risk Specialist to support the Commerce Platform organization with government ... SOX and General Data Protection Regulation (GDPR). The Senior Risk Specialist will be responsible for managing...adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (03/15/25)
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  • Principal Risk Management Specialist

    New York State Civil Service (New York, NY)
    NY HELP No Agency Financial Services, Department of Title Principal Risk Management Specialist , SG-29 Occupational Category Financial, Accounting, Auditing ... Services is seeking candidates for the position of Principal Risk Management Specialist in the Banking Division....new products on the operations of regulated institutions;* Provides risk management and capital markets specific support more
    New York State Civil Service (01/16/25)
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  • Security Risk Specialist , Stores…

    Amazon (Seattle, WA)
    …is seeking a Security Specialist with a strong delivery record and proven risk management experience to join our Strategic Risk Insights (SRI) team. Our team ... adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (02/01/25)
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  • Risk Specialist , Work…

    Amazon (Arlington, VA)
    …customer support and process improvements. Within Work Authorization, the Risk & Compliance team is responsible for managing global compliance programs that ... the markets where we do business. The HR Sr Specialist will be an integral team member working with...adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (12/21/24)
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  • Audit Specialist , US ADC Security Audit…

    Amazon (Herndon, VA)
    adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ... Description As an Audit Specialist , you will work with Amazon technical business...internal program reviews, facilitate external audits, and manage security risk . Amazon Web Services (AWS) is the leading cloud… more
    Amazon (02/04/25)
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  • Industry Specialist - Risk

    Amazon (Seattle, WA)
    …Special Projects & Investigations team is looking for an experienced, motivated industry specialist with background in risk , digital fraud, compliance, or cyber ... adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (03/04/25)
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  • Virtual Currency Senior Blockchain Analytics…

    New York State Civil Service (Albany, NY)
    …of Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk ), SG-23) Occupational Category Financial, ... but are not limited to, the following:* Evaluates illicit activity risk leveraging on-chain attribution and direct/indirect exposure associated with DFS-regulated… more
    New York State Civil Service (01/25/25)
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  • Outpatient Clinical Documentation Integrity (CDI)…

    Fairview Health Services (St. Paul, MN)
    …(CCS-P), Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist -Outpatient (CCDS-O), Certified Risk Adjustment Coder ... (CCS-P), Certified Professional Coder - Hospital (CPC-H), Certified Clinical Documentation Specialist -Outpatient (CCDS-O), Certified Risk Adjustment Coder… more
    Fairview Health Services (01/31/25)
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  • HIM Audit and Education Specialist

    Hartford HealthCare (Farmington, CT)
    specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting to ... comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and...6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to… more
    Hartford HealthCare (03/05/25)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Columbus, OH)
    …anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with ... leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient...the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist more
    Highmark Health (03/04/25)
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  • Security Specialist , Security, Compliance,…

    Amazon (Seattle, WA)
    adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ... Description Are you passionate about security and access governance, monitoring and risk management? Buy with Prime and Multi-Channel Fulfillment (MCF) are looking… more
    Amazon (12/31/24)
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  • Security Governance Specialist , Security…

    Amazon (Arlington, VA)
    adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ... we are obsessed with customer trust. The Security Industry Specialist role on our Security Governance team helps to...and integrity of Amazon and customer data. We assess risk , classify data and systems, detect potential intrusions, and… more
    Amazon (03/15/25)
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  • Security Industry Specialist , Security…

    Amazon (Arlington, VA)
    adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ... At Amazon, we are obsessed with customer trust. Security Industry Specialist , Governance enables Amazon business leaders to understand the Information Security… more
    Amazon (02/21/25)
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  • Sr Security Assurance Specialist

    Amazon (Seattle, WA)
    …multiple cross-cutting capabilities such as security at launch, compliance at launch, remediation support , and risk management. This is a hands-on role that will ... Description Are you passionate about security, compliance and risk management? Do you have experience with global...adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (03/17/25)
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  • Security Industry Specialist , TSI

    Amazon (San Diego, CA)
    …fraud, cyber security and compliance risks. We are looking for an experienced risk specialist with industry experience in eCommerce fraud, compliance, or cyber ... Description The Security Industry Specialist is responsible for providing advanced expertise, consultation...adjustment during the application and hiring process, including support for the interview or onboarding process, please visit… more
    Amazon (03/11/25)
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  • Clinical Documentation Specialist , CDS,…

    Ascension Health (Indianapolis, IN)
    …Clinical Documentation Specialist experience specializing in mortality review and risk adjustment . Candidates work regularly with Premier or Vizient ... Integrity, Must have previous or current inpatient CDI experience specializing in mortality risk adjustment + **Schedule:** Full Time Days, Monday - Friday, with… more
    Ascension Health (02/07/25)
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  • Provider Coding Documentation Specialist

    Novant Health (NC)
    …Licensure/Certification: + CPC (Certified Professional Coder), required. + CRC (Certified Risk Adjustment Coder), required. + CDEO (Certified Documentation ... Job Summary The Physician Documentation Specialist (PDS) core functions include assessing, planning and...department-specific skills validation and competence testing. + Completion of Risk Adjustment Coding Certification (CRC) and Certified… more
    Novant Health (02/13/25)
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  • RN-Clinical Documentation Specialist

    SSM Health (MO)
    … an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. + Demonstrates an ... (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the...level. + Conducts follow-up reviews of patients every to support and assign a working or final DRG assignment… more
    SSM Health (02/20/25)
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