- Molina Healthcare (Yonkers, NY)
- …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
- Ankura (New York, NY)
- …an accredited college/university + 8+ years of experience in Medicare Risk Adjustment operations , internal audit , or compliance either within industry or ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit , and investigation projects for… more
- Molina Healthcare (Yonkers, NY)
- …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 (Yonkers, NY)
- …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
- Ankura (New York, NY)
- …Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's ... deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk … more
- Amazon (New York, NY)
- …and customer obsessed Risk Specialist to join the Ads Trust Policy operations team. In this role, you will be an owner, responsible for ensuring that ... leads to realize efficiencies * Assess and evaluate opportunities and potential risk to business operations , including managing operational roadmaps, analyzing… more
- Amazon (New York, NY)
- …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
- Amazon (Maspeth, NY)
- …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 ... partner teams and outside vendors. *Promptly and accurately communicate project status, risk analysis and risk mitigation plans. Effectively answer project… more
- Amazon (New York, NY)
- …Basic Qualifications - 4+ years of compliance program management, legal, governance, audit , risk /loss prevention, or equivalent experience - Bachelor's degree or ... for handling new issues that arise in a business-centric way while addressing risk . Typical transactions will range from standard claims settlement to complex high… more
- Amazon (Staten Island, NY)
- …In this position, you will be responsible for partnering with the network operations team to execute company WHS policies and ensure compliance to all applicable ... you will lead continuous improvement initiatives to reduce conditional and ergonomic risk to ensure a safe and healthful working environment for Amazon's Associates.… more
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