- Molina Healthcare (Cedar Rapids, IA)
- …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 (Des Moines, IA)
- …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 (Sioux City, IA)
- …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 (Davenport, IA)
- …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 (Des Moines, IA)
- …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 (Davenport, IA)
- …with the operations team and influence change through providing comprehensive risk assessments and safety data analysis. The Senior Site WHS Manager must be ... Manager will be responsible for partnering with site level operations team for their assigned site in order to...lead continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and… more
- Amazon (Davenport, IA)
- …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
- Humana (Des Moines, IA)
- …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
- Actalent (West Des Moines, IA)
- …assurance process and close gaps identified in audits. + Participate in High Risk Activity L2 planning meetings related to Energy Isolation. + Ensure approval ... of personnel performing the work. + Liaise with MS Operations where energy isolation activities may impact data center...+ Spend 80% of time in the field completing audit walks of LOTO activities and electrical quality installation.… more
- Amazon (Davenport, IA)
- Description Operations is at the heart of Amazon's business. We are known for our speed, accuracy, and exceptional service. Our buildings deliver tens of thousands ... around parts quality management - Establish a forward looking risk -based interface to assist site leaders in prioritizing work...develop tools, processes and automation to track the new audit and parts mechanisms to roll out across the… more