• Risk Adjustment Compliance

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
    Humana (05/22/25)
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  • Director for Quality and Risk

    Robert Half Accountemps (Long Beach, CA)
    Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk ... 4+ and ensure risk score accuracy and completeness in all enterprise risk adjustment activities. Development of strategy includes integrating the Star and … more
    Robert Half Accountemps (05/15/25)
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  • Manager Strategic Risk Adjustment

    Highmark Health (Sacramento, CA)
    …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
    Highmark Health (03/06/25)
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  • Risk Adjustment Coding and Training…

    Dignity Health (Bakersfield, CA)
    **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive training ... programs focused on value-based risk adjustment coding. This role ensures that...plays a critical role in optimizing coding accuracy, enhancing compliance , ensuring financial stability and profitability of the PHSO… more
    Dignity Health (05/15/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Sacramento, CA)
    …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for… more
    Datavant (03/27/25)
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  • Senior Delivery Consultant - Security, Risk

    Amazon (Sunnyvale, CA)
    …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more
    Amazon (05/13/25)
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  • Senior Risk Manager, North America…

    Amazon (San Diego, CA)
    …firms or equivalent - Professional auditing qualification, or similar risk or compliance credentials - Experience working with geographically distributed ... company's bottom line while ensuring the highest standards of compliance and safety. The Senior Risk Manager...Qualifications - Master's degree or equivalent - Project Management Professional (PMP) or equivalent certification - 6+ years of… more
    Amazon (04/25/25)
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  • Senior Risk Manager, North America…

    Amazon (San Diego, CA)
    …ensure product compliance in Amazon's North America marketplace. The Senior Risk Manager supports new tools and programs supporting the store's global ... complying with Amazon quality standards, and maintaining restricted products operations compliance . The Senior Risk Manager will maintain daily, weekly,… more
    Amazon (05/16/25)
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  • Senior Risk Manager, RISC

    Amazon (San Diego, CA)
    …group of stakeholders - Professional auditing qualification, or similar risk or compliance credentials - Experience working with geographically distributed ... directly impacting the company's bottom line while ensuring the highest standards of compliance and safety. The Senior Risk Manager will mentor junior team… more
    Amazon (04/25/25)
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  • Security and Privacy Risk Management…

    Amazon (Sunnyvale, CA)
    …around the world. The ideal candidate is technically experienced and innovative security, risk , compliance , and audit professional who has the ability ... an individual contributor who is creative, and passionate about delivering Governance, Risk and Compliance solutions to meet Kuiper's regulatory and external… more
    Amazon (05/03/25)
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