- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of ... for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Datavant (Trenton, NJ)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- Datavant (Trenton, NJ)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all… more
- RELX INC (Berkeley Heights, NJ)
- …and translate them into software designs. + Implement development processes, coding best practices, and codereviews. + Thrive in various development environments ... technology developments. Design and work with complex datamodels. LexisNexis(R) Risk Solutions provides customers with innovative technologies, information-based analytics,… more
- Amazon (Jersey City, NJ)
- Description Are you passionate about building high-performance, scalable Governance, Risk , and Compliance (GRC) products that support Amazon's current and future ... AI/ML and automation to drive innovation in areas such as Integrated Risk Management (IRM), Automated Risk Management with AI/ML-Driven Assessment, Approval,… more
- Evolent (Trenton, NJ)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2...biostatistics, mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy… more
- Amazon (Jersey City, NJ)
- …over AWS security assurance, financial data and business processes and reduce risk in financial reporting About the team At Amazon FinTech, you'll have ... financial technology at Amazon. Basic Qualifications - 4+ years of non-internship professional software development experience - 3+ years of non-internship design or… more