- CVS Health (Springfield, IL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder). + Computer proficiency including experience with… more
- Catholic Health Initiatives (Little Rock, AR)
- …quality and risk for the value hub. + Through Risk Management/ Auditor Manager, implements a risk adjustment coding department in appropriate Arkansas ... and guidelines for these new processes. + Support the Risk Auditor Manager of closely working with...Health Management experience required + Must have experience with risk adjustment coding and value based reimbursement… more
- Johns Hopkins University (Baltimore, MD)
- …such as claims processing, premium billing, encounter data, utilization management, risk adjustment , provider contracting, quality metrics, and related ... and administrative control procedures, and good business practices; ability to assess risk relative to the proper application of internal controls. Reports To +… more
- Amazon (Nashville, TN)
- …shared responsibility model as they migrate to the cloud. Are you a Governance, Risk , and Compliance leader who can address the challenges of migrating systems and ... cloud? Are you skilled at helping executives address their enterprise risk management requirements using highly scalable computing architectures? The AWS Security… more
- New York State Civil Service (Latham, NY)
- …senior team members within the Chief Information Security Office/Governance, Risk , & Compliance/Governance, Compliance, Awareness, & Training (GCAT)/Governance & ... control, data protection, incident response, vulnerability management, and third-party risk .* Conduct thorough research on emerging threats, vulnerabilities, and… more
- New York State Civil Service (Latham, NY)
- …senior team members within the Chief Information Security Office/Governance, Risk , & Compliance/Governance, Compliance, Awareness, & Training (GCAT)/Governance & ... with the established exception request process and submission guidelines.* Facilitate Risk Assessment and Approval Workflow: Route exception requests to the… more
- Amazon (Seattle, WA)
- …financial and risk analysis. -Support ongoing actuarial support for outside auditor review of financial estimates and results. -Design studies to monitor the ... reporting and ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement an actuarially sound… more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... Performs as a vital member of the interdisciplinary care team member, an auditor , and an educator ensuring medical records are complete and clinical documentation… more
- AIG (Atlanta, GA)
- …of the unit's field operations. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs ... the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information… more
- Amazon (Redmond, WA)
- …throughout the manufacturing process. We achieve this by conducting risk -based assessments at each location, aggregating findings, managing remedial actions ... Basic Qualifications - 5+ years of auditing business processes, risk mitigation, program compliance or internal audits experience -...CPI, CISM, or PMP Certification - . TAPA Certified Auditor (FSR, TSR) Amazon is an equal opportunity employer… more