- Avera (Sioux Falls, SD)
- …initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist will work closely with the Director of ... Quality and Risk Services, Manager of Risk Adjustment...providers to ensure that proper clinical documentation. The QRA Specialist will be responsible for ensuring that medical records… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan ... Administrator thru AHIMA** + **Must be certified or obtaining certification for Certified Risk Adjustment Coder thru AAPC. If not obtaining, must obtain within… more
- Corewell Health (Grand Rapids, MI)
- About the Position The Population Health RN - Risk Adjustment Specialist will play a critical role in improving clinical documentation for Hierarchical ... clinical expertise with health technology to ensure documentation supports accurate risk adjustment , quality reporting, and optimal patient care outcomes.… more
- Centene Corporation (Jefferson City, MO)
- …design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert guidance on CMS ... findings to business stakeholders to support the integrity and quality of risk adjustment data....and + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required + NP or PAN preferred +… more
- Ascension Health (Elk Grove Village, IL)
- …Candidates must have the following certification thru AAPC (credentialing board): **Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED** + **Hybrid ... **Details** + **Department:** Population Health Quality Department + **Schedule:** Full-time Hybrid - 1-2 days of onsite work required + **Hospital:** Ascension… more
- Bristol Myers Squibb (Princeton, NJ)
- …critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management. Provide quality and compliance consultation to ... and/or ASSET and TA level, to document the end-to-end risk -based quality management for CtQ data, processes...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- UMB Bank (Kansas City, MO)
- …+ Assist manager with daily workflow assignment, monitoring productivity, training, maintaining quality metrics and resolving incidents. + Participate in quality ... not limited to account or file reconciling, prep work for processing, post adjustment entries, research and resolve or escalate operational or transactional issues +… more
- Good Samaritan (Sioux Falls, SD)
- …the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the ... experience. Experience and knowledge of accreditation and regulatory agency standards preferred. Quality , medical coding, and/or risk adjustment experience… more
- Amazon (Nashville, TN)
- …holistic, scalable solutions A day in the life The primary task of the Quality Specialist is to review the casework of Operations Specialists, ensuring that ... protecting the overall health of the network and mitigating risk to Amazon. DSP Performance Ops partners with multiple...casework adheres to the standard operation procedure. The Quality Specialist provides feedback about best practices… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities… more
- Bluestone Physician Services (Stillwater, MN)
- …thorough patient chart reviews to identify opportunities for providers to capture risk adjustment diagnostic codes accurately. The successful candidate will play ... reviews of patient charts to identify gaps in documentation and opportunities for risk adjustment coding improvement. + Collaborate with Bluestone providers and… more
- Bristol Myers Squibb (Devens, MA)
- …Maximo, Infinity, etc.). + Should be familiar with GMP-related systems including Quality Risk Management, Document and Data Governance, Monitoring and Reporting. ... Quality Control and other supporting teams. The Senior Specialist , Shop Floor QA, is accountable to monitor and...and approve deviations as applicable. + May serve as quality subject matter expert for risk assessments,… more
- Bristol Myers Squibb (Devens, MA)
- …Maximo, Infinity, etc.). + Should be familiar with GMP-related systems including Quality Risk Management, Document and Data Governance, Monitoring and Reporting. ... Manufacturing, Quality Control laboratories, and Warehouse Operations. The **Senior Specialist , Quality Assurance Shop Floor, Cell Therapy** position will… more
- Actalent (Providence, RI)
- Job Title: Senior Quality Assurance Specialist Job Description We offer an exciting opportunity to join our team as a Senior Quality Engineer. You will play ... NCRs, OOTs, PMs, etc., for monthly operations and management review meetings. + Perform risk assessments for quality observations. + Support process risk … more
- Molina Healthcare (Iowa City, IA)
- …Practice Transformation implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective ... Practice Transformation plan is in place and carried out to meet annual quality & risk adjustment performance goals.** **Job Duties** + Ensures assigned Tier… more
- Actalent (Kenosha, WI)
- Job Title: Technical Quality Specialist Job Description The Technical Quality Specialist is a pivotal role that intersects quality assurance, ... analysis, root cause, and disposition, with support from Engineering, R&D, Service, Quality Control, and production teams. + Document product disposition with proper… more
- Bristol Myers Squibb (Indianapolis, IN)
- …investigations, interpreting results, and generating technical conclusions consistent with Quality risk management principles + Detail-oriented with demonstrated ... aims to be the global leader in radiopharmaceuticals. **Summary** The Senior Specialist , External Manufacturing Quality Assurance is responsible for quality… more
- Molina Healthcare (Rock Hill, SC)
- …Specialist , role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider ... Tier 2 and Tier 3 providers have engagement plans to meet annual quality and risk adjustment goals. Drives coaching and collaboration with providers to… more
- Amazon (Pflugerville, TX)
- …Amazon smile. Come join us on our journey! About the Role: As the Regional Quality & Benchmarking Specialist , you will build and implement quality systems ... defect rates and build a standard work around parts quality management - Establish a forward looking risk...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Actalent (Newport News, VA)
- Quality Compliance Specialist Job Description As a Quality Compliance Specialist , you will be responsible for ensuring vendor compliance with company ... will assist in the implementation and improvement of global quality and food safety programs, providing valuable support to...and lab work + Experience in regulatory compliance and risk management + Data entry proficiency Additional Skills &… more