- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Professional , Sr . Risk Adjustment Analyst** to join ... at once while achieving desired results required + Knowledge of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial… more
- Amazon (New York, NY)
- Description Amazon is looking for a Sr . Pre-Construction Manager who will be responsible for project managing building industrial development including new builds, ... (KPI), quality documentation/artifacts, managing project teams (developers, design engineers, professional consultants), influencing internal teams (Design Engineering, Amazon Robotics),… more
- Centene Corporation (Queens, NY)
- …(shared savings/ risk , capitation, bundles), including baseline setting, risk adjustment , performance metrics, and reconciliation logic. ... on business needs. **Position Purpose:** Conduct complex financial analysis, risk assessment, and negotiation support focusing specifically on **Value-Based Care… more
- Humana (Albany, NY)
- …analyze large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, ... with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance,… more
- Molina Healthcare (Yonkers, NY)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. + Chart Collection audit… more
- Amazon (Staten Island, NY)
- …teams while ensuring they are executing to the core competencies of an Amazon WHS professional . As a senior leader in the TOM WHS organization, you will also ... more important. To support this priority, Amazon is seeking an experienced and innovative Senior TOM Workplace Health and Safety (WHS) Manager to join our team. In… more
- Amazon (New York, NY)
- Description We are seeking a dynamic leader to join our team as the Senior Manager of Open Source Strategy & Marketing for AWS. You will spearhead our efforts to ... with Legal, Security, and Engineering teams to ensure proper open source risk management Guide teams on effective community engagement strategies and contribution… more
- Amazon (New York, NY)
- Description At AWS, we are looking for a Professional Services Area Leader with a successful record of leading ISV customers through a variety of transformative ... projects involving IT Strategy, distributed architecture, and hybrid cloud operations. Professional Services engage in a wide variety of projects for customers and… more
- Travelers Insurance Company (Melville, NY)
- …for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other ... Effectively and efficiently manages both allocated and unallocated loss adjustment expenses. + Attends depositions, mediations, arbitrations, pre-trials, trials and… more
- Amazon (New York, NY)
- …run experiments, research new algorithms, and find new ways of optimizing risk , profitability, and customer experience. We're looking for top architects, system and ... other career-advancing resources here to help you develop into a better-rounded professional . AWS Global Services AWS Global Services includes experts from across… more
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