• Sr. Program Delivery Professional, IHWA…

    Humana (Richmond, VA)
    …of experience in root cause analysis, inner working of provider office and systems, or risk adjustment . + Proven ability to compare, read, and report on claims ... related field. + Python, SQL, Databricks, or Power BI experience. + Risk adjustment background or knowledge. + Experience in provider office environments and… more
    Humana (12/26/25)
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  • Coding Auditor Sr

    Elevance Health (Norfolk, VA)
    …hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** Virtual: This role enables associates to ... both revenue project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates and represents the department in… more
    Elevance Health (12/22/25)
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  • Senior Network Performance Professional

    Humana (Richmond, VA)
    …advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies + Recommends execution strategies and monitor ... Health Care/Administration, RN or a related field + Experience with Medicare Risk Adjustment + Progressive experience with interoperability solutions in… more
    Humana (12/20/25)
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  • Coding Data Quality Auditor

    CVS Health (Richmond, VA)
    …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient in abstraction and assignment of… more
    CVS Health (12/28/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Richmond, VA)
    …(CPC(R)) credential or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) **EXPERIENCE:** + Experience with Cerner and ... eClinicalWorks (eCW) is strongly preferred. + Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred. + Minimum 5 years health care management/leadership experience required. **Benefits** HCA Healthcare offers a… more
    HCA Healthcare (12/27/25)
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  • IHWA Data and Reporting Professional

    Humana (Richmond, VA)
    …**Preferred Qualifications** + Bachelor's degree in business administration/information systems + Medicare Risk Adjustment background and knowledge. + 1 or more ... years of experience in SQL, databricks, or Power BI + Experience in designing, developing, and maintaining visually appealing reports and dashboards in Power Bi, Microsoft PowerPoint, or similar applications. + Automation experience. + Proficiency in… more
    Humana (12/25/25)
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  • Medical Records Retrieval Specialist

    Humana (Abingdon, VA)
    …community and help us put health first** The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region ... to retrieve medical records and upload into a secure system. Live in the Virginia - Washington County, Abingdon and Bristol area Live in Tennessee- Bristol City, Sullivan County, Washington County The Medical Records Retrieval Specialist + Properly supported… more
    Humana (12/24/25)
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  • Senior Services Executive- Public Sector

    ServiceNow, Inc. (Vienna, VA)
    …enables revenue to be recognized in a timely and consistent fashion with minimal risk of detrimental revenue adjustment **7+ years of experience in selling ... to be recognized in a predictable and timely fashion and with minimal risk of revenue being withdrawn or reduced versus initial contract expectation. The role… more
    ServiceNow, Inc. (12/30/25)
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  • Risk Manager, Denied Party Screening, DPS…

    Amazon (Arlington, VA)
    Description Amazon is seeking a Risk Manager to join our Denied Party Screening (DPS) team, focusing on new business onboarding risk assessments and sanctions ... screening processes. As part of the DPS CAC Risk Management team, you will lead comprehensive risk...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
    Amazon (12/19/25)
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  • Senior Compliance & Monitoring Manager, Middle…

    Amazon (Arlington, VA)
    …driven people. We are looking for an organized self-starter to join the Transportation Risk and Compliance (TRC) team at Amazon. The US Amazon Freight Partner (AFP) ... team of highly-skilled individuals. The successfully candidate will also have strong risk management experience, preferably in transport, and be able to apply their… more
    Amazon (12/13/25)
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