- Humana (Providence, RI)
- … audits and regulatory guidance provided by CMS. The Risk Adjustment Director of Compliance will lead a team tasked with ensuring risk adjustment processes are ... centralized risk assessment processes, work-plan development and tracking, quality and risk-based audit processes and reporting . + Collaborate and consult with… more
- Marriott (Newport, RI)
- …subordinates in a clear and precise manner. * Oversees internal, external and regulatory audit processes. * Provides excellent leadership by assigning team ... team goals, etc. * Improves profit growth in operating departments. * Reviews audit issues to ensure accuracy. **Managing Projects and Policies** * Generates and… more
- Citizens (Johnston, RI)
- …proactively reviewing, analyzing, and identifying emerging risks, escalating to the Senior Director / Director of First Line Risk where appropriate. You will work ... with the Senior Director / Director to adhere to internal governance processes...up to date and in compliance with all applicable regulatory requirements. You will play a key role in… more
- Citizens (Johnston, RI)
- …proactively reviewing, analyzing, and identifying emerging risks, escalating to the Senior Director / Director of First Line Risk where appropriate. Additionally, ... you will work with the Senior Director / Director to adhere to internal...is up to date in compliance with all applicable regulatory requirements and will play a key role in… more
- Hartford HealthCare (Norwich, CT)
- …a working knowledge of the healthcare industry that includes Medicare Cost Reporting and State OHS reporting , reopenings/appeals, healthcare surveys and ... Additionally, this position collaborates with leadership in the reimbursement regulatory , operational, and financial impacts of proposed operational decisions… more