- CRC Insurance Services, Inc. (Atlanta, GA)
- …individuals and groups for medical conditions to determine suitable products and risk adjustment factors on premium rates. + Oversees and evaluates LG sales ... selects, trains and coaches direct reports. In certain Regions the LG Director will be responsible for personal production requirements. + Conducts employee… 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 ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… 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 (Atlanta, 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
- Molina Healthcare (GA)
- …**Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data leaders, ... risk adjustment experts, and developers in the...population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In conjunction with the… more
- Datavant (Atlanta, GA)
- …directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… 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
- 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
- Bristol Myers Squibb (Atlanta, GA)
- …will have no direct reports and report into the Regional NPPA CS Director . The Dermatology Clinical Specialist will have materials created to support them in ... + The NPPA CS role reports to a Regional Director and works with their team of peers and...by your state of residence; and 3) a driving risk level deemed acceptable by the Company. Why You… more
- Humana (Atlanta, GA)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare providers align… more