- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Molina Healthcare (GA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to… more
- Molina Healthcare (Atlanta, GA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program… more
- CenterWell (Atlanta, GA)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- RELX INC (Alpharetta, GA)
- …Management career? Are you ready for a leading role? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...the Role We are seeking a dynamic and experienced Director of Customer Experience, Product Management to join our… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Atlanta, GA)
- …TX Ramp, HIPAA, PCI, etc. Drive communication and upwards reporting of the highest risk initiatives to Director of GRC, VP GRC and other key stakeholders. ... of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of our… more
- Amazon (Atlanta, GA)
- …ability to develop and maintain a comprehensive security strategy aligned with risk tolerance and business goals. The candidate will have demonstrated experience ... incident response, threat intelligence, modeling, and response, compliance audits, and risk assessments. A sales background to drive pursuit engagements and strong… more
- AdventHealth (Calhoun, GA)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The...of health into transitions of care planning and applies risk mitigation interventions to meet the individual needs of… more