- Molina Healthcare (Austin, TX)
- …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
- Datavant (Austin, TX)
- …vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution ... on identifying and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review).… more
- Molina Healthcare (Austin, TX)
- …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
- Centene Corporation (Austin, TX)
- …and management of department overseeing compliance with regulations and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of ... assessments oversight and the monitoring work plans pertaining to Risk Adjustment . Partners with business areas to...to responsibilities of the team and compliance of business operations for which you oversee. + Educates, encourages, and… more
- Molina Healthcare (Austin, TX)
- …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
- Datavant (Austin, TX)
- …key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Amazon (Austin, TX)
- …and compliance in healthcare domains. - 5+ years of information security governance, audit , risk management or related client service or consulting experience. - ... existing businesses at Amazon, and will regularly conduct deep dives into critical risk areas. If you enjoy working in a rapidly changing environment and influencing… more
- Amazon (Austin, TX)
- …Basic Qualifications - 4+ years of compliance program management, legal, governance, audit , risk /loss prevention, or equivalent experience - Bachelor's degree or ... for handling new issues that arise in a business-centric way while addressing risk . Typical transactions will range from standard claims settlement to complex high… more
- Humana (Austin, TX)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the… more
- Amazon (Austin, TX)
- …principles of airflow distribution, a deep knowledge of HVAC sequence of operations strategies and an understanding of building codes and standards across multiple ... designs & drawings, inspection and maintenance documentation and perform vendor audit for reliability, safety and regulatory compliance. * Develop, implement, and… more