- Humana (Sacramento, CA)
- …+ A strong understanding of clinical metrics and data (eg Quality measures, Risk Adjustment ratings, chronic condition management, PCP visit rates and ... effectiveness, and member engagement strategies). + Identifying and implementing initiatives to address total cost of care drivers. + Championing condition-based interventions. + Leading clinical strategies to manage unique populations, such as unattributed… more
- Sutter Health (Sacramento, CA)
- …HS Diploma or General Education Diploma (GED) **CERTIFICATION & LICENSURE:** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA or ... AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **TYPICAL EXPERIENCE:** + 1 year recent relevant experience. **SKILLS AND KNOWLEDGE:** + Advanced knowledge of ICD-10 diagnosis coding conventions and requirements, knowledge of Quality Coding Program… more
- Evolent (Sacramento, CA)
- …decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience ... with healthcare analytics** and population health management platforms is preferred **Healthcare Domain Knowledge That Matters** + Deep understanding of clinical workflows, value-based care models, and healthcare economics + Knowledge of healthcare regulatory… more
- Amazon (CA)
- …balance, we invest in mechanisms which allow us to accurately identify and mitigate risk , and to quickly correct and learn from our mistakes. This strategy includes ... continuously evolving enforcement policies, iterating our Machine Learning risk models, and exercising high‐judgement decision‐making where we cannot apply… more
- Amazon (Sunnyvale, CA)
- …individual contributor who is creative, and passionate about delivering Governance, Risk and Compliance solutions to meet Kuiper's regulatory and external assurance ... the world. The ideal candidate is technically experienced and innovative security, risk , compliance, and audit professional who has the ability to understand… more
- Amazon (San Diego, CA)
- Description As a Senior Risk Manager, you will spearhead operational excellence and automation initiatives within our Compliance and Safety program. This pivotal ... reducing operational expenses (OpEx), and implementing automation solutions to enhance our risk management capabilities. The Senior Risk Manager will develop and… more
- Amazon (San Diego, CA)
- …identify and neutralize new and emerging fraud threats? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online. ... As such, BRP designs and builds the software systems, risk models and operational processes that minimize risk...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (San Diego, CA)
- …experienced Threat Intelligence Security Engineer to partner with Amazon's Payment Risk threat intelligence team (VIPER) in identifying and disrupting sophisticated ... fraud syndicates. You will drive critical initiatives across upstream risk evaluation, bad actor network analysis, and coordinated abuse prevention to protect… more
- Amazon (San Diego, CA)
- Description The Risk Manager plays a crucial role in driving the organization's risk management initiatives and ensuring compliance across global function. Think ... tools and programs that fortify our compliance efforts, conduct comprehensive risk assessments on existing processes and new product assortments, identify potential… more
- Amazon (San Diego, CA)
- …within Regulatory Intelligence Safety and Compliance (RISC) is seeking an experienced Risk Manager to support our global scope of managing inventory for regulations ... and recalls. The Risk Manager will be responsible for managing global ...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more