- 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
- Elevance Health (Atlanta, GA)
- …and claims integrity. This leader brings proven experience in payer and provider risk adjustment initiatives and possesses a deep understanding of end-to-end ... **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to...services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the… 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
- Molina Healthcare (Columbus, GA)
- …+ Coordinates accountabilities between segment and markets to drive performance in network, risk adjustment , and stars; single point of contact for escalations ... including service level agreements. + Works with staff and senior management to mitigate risk and develop/implement...with staff and senior management to mitigate risk and develop/implement improvements across areas that impact Medicare… more
- American Express (Atlanta, GA)
- …quick-to-market. The Senior Capacity Manager will report into the OnBrand Director of Agency Operations as part of the Operations capability, and work ... strategic to executional activities, and the Capacity Manager must flex staffing adjustment decisions accordingly in close support of Director -level colleagues.… 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 ... accountability for delivering results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1 We are committed… 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, ... with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance,… 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