- Molina Healthcare (Milwaukee, WI)
- …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 (Milwaukee, WI)
- …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 (Milwaukee, WI)
- …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
- BMO Financial Group (Milwaukee, WI)
- …to audit reports that provides fair and balanced assessment of governance, risk and control processes based on audit work performed. Deliverables must be ... Conducts audit engagements to critically assess management and internal...assurance on the quality and effectiveness of internal control, risk management, and governance systems and processes to support… more
- Amazon (Oak Creek, WI)
- 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