- Molina Healthcare (Albuquerque, NM)
- …and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations , and clinical teams-to ensure accurate ... Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in...team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of… more
- Molina Healthcare (Albuquerque, NM)
- …chart retrieval, file transmissions, and adherence to applicable timelines * Support all risk adjustment audit related projects to ensure goals, objectives, ... the daily operations of all aspects of risk adjustment data validation related activities, including,...adjustment payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external… more
- Molina Healthcare (Albuquerque, NM)
- …for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This ... * Experience developing performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation… more
- Amazon (Los Lunas, NM)
- …the cross functional operations teams, and influence change through providing comprehensive risk assessments and safety data analysis. To do so, you must be an ... will be responsible for partnering with the site level operations team for your designated site in order to...lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and… more
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