- Molina Healthcare (Atlanta, GA)
- …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 (Atlanta, GA)
- …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 (Atlanta, GA)
- …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 (Atlanta, GA)
- …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 (Atlanta, GA)
- …change from the front of the pack. As an Amazon Logistics [AMZL] Operations Engineer, you will lead and manage the lifecycle of challenging cross-functional ... teams and outside vendors. * Promptly and accurately communicate project status, risk analysis and risk mitigation plans. Effectively answer project questions… more
- Datavant (Atlanta, GA)
- …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
- RELX INC (Alpharetta, GA)
- …Level I and Level II maintenance and live support for CCaas/Telephony platform for Risk Operations . + Providing on call 24/7 support on rotation with remainder ... About the Business: LexisNexis Risk Solutions is the essential partner in the...2 support for global support teams, ensuring seamless communication operations across all systems. About the Role: The Senior… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Senior Underwriting Assistant to play your part in that transformation. It's an ... a Team Manager, Underwriting Support. This role assists the underwriters by screening risk offerings and with pre- and post-binding processes. The role also performs… more
- Amazon (Union City, GA)
- …experience in the following: security service, loss prevention, asset protection, audit , investigations, law enforcement, risk management, data analytics, ... to the S&LP leader responsible for their area and supports our business operations across the end-to-end supply chain. This position may have direct reports. Key… 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, ... Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the… more