- Datavant (Atlanta, GA)
- …for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Molina Healthcare (Columbus, GA)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. +… more
- Datavant (Atlanta, GA)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Evolent (Atlanta, GA)
- …plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and oversees the ... in health information, healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder) or… more
- Molina Healthcare (Savannah, GA)
- …regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment , disease management, and ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About the Role As the Director of Identity and Access ... About the Business LexisNexis Risk Solutions is the essential partner in the...bad actors, improve quote accuracy, and build trust. The Director , Identity and Access Solutions will also be responsible… more
- NASCO (Atlanta, GA)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below, https:// risk .lexisnexis.com About the Role The Director Product Management will own one or ... About the Business LexisNexis Risk Solutions is the essential partner in the...delighted to offer:* Health Benefits: Comprehensive, multi-carrier program for medical , dental and vision benefits* Retirement Benefits: 401(k) with… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About the Role… more
- Amazon (Atlanta, GA)
- Description As Director of Delivery for AWS Professional Services (ProServe) North America, you'll shape how our consultants deliver solutions to strategic customers ... operations, including both technical practices and program management - Drive risk management and stakeholder engagement to ensure successful customer outcomes -… more