- Molina Healthcare (Cincinnati, OH)
- …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 (Columbus, OH)
- …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 (Cincinnati, OH)
- …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 (Columbus, OH)
- …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 (Bedford, OH)
- …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 (Columbus, OH)
- …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 (Monroe, OH)
- …the cross functional operations teams, and influence change through providing comprehensive risk assessments and safety data analysis. To do so, you must be an ... you will be responsible for partnering with a regional operations team to execute company WHS policies and ensure...lead continuous improvement initiatives to reduce conditional and ergonomic risk to ensure a safe and healthful working environment… more
- Amazon (Rossford, OH)
- …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
- Amazon (West Jefferson, OH)
- …Office products and applications at an advanced level - 6+ years of compliance, audit or risk management experience - Bachelor Degree in the Environmental ... area. The REM travels up to 50%. Key job responsibilities --Utilize risk assessments and compliance evaluations, to lead continuous improvement initiatives to… more
- Humana (Columbus, OH)
- …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
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