- Sumitomo Pharma (Baton Rouge, LA)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Humana (Baton Rouge, LA)
- …caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims in accordance ... accuracy and identify potential claim payment risks. The Claims Risk Management Professional is expected to provide...are shared with operational areas to help mitigate organizational risk and support quality -related goals. The incumbent… more
- Highmark Health (Baton Rouge, LA)
- …Procurement, Audit, Compliance, and other teams across the Enterprise to align risk management objectives, practices and procedures. + Interface with business ... safeguards into simplified and high-level terminology and/or process/data flows.Maintains risk management reporting dashboards in RSA Archer applications… more
- Highmark Health (Baton Rouge, LA)
- …to define the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but ... related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years… more
- Datavant (Baton Rouge, LA)
- …of professional, educational and life experiences to realize our bold vision for healthcare . **Role Overview** As a Product Manager, Risk Adjustment Analytics ... Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with strong product management skills, and… more
- Humana (Baton Rouge, LA)
- …Lead Actuary, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with ... controls and cost-effective approaches to minimize risks. The Actuary, Risk and Compliance works on problems of diverse scope...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Datavant (Baton Rouge, LA)
- …. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at... quality of employees' work, process improvements and clear communication… more
- Datavant (Baton Rouge, LA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Baton Rouge, LA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Baton Rouge, LA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
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