- Centene Corporation (Tallahassee, FL)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... , Legal or related field; or equivalent experience required + 3+ years Audit, risk adjustment and/or compliance required + Previous experience in risk … more
- Ankura (New York, NY)
- …of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance , audit, and investigation projects for ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director...8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Senior Director of Risk Adjustment is responsible for the execution ... demonstrated and proven success in government & state sponsored risk adjustment program operations, the Senior...vendor management and performance models). + Policy and Regulatory Compliance - Advise senior leadership of economic… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … is a key leader responsible for shaping risk adjustment strategies, delivering executional excellence, ensuring regulatory compliance , and leveraging ... and Blue Shield of Minnesota Position Title: Director of Risk Adjustment Location: Hybrid | Eagan, Minnesota...to facilitate accurate and complete coding, reporting, and regulatory compliance with CMS, HHS, and state guidelines. Leads efforts… more
- University of Utah Health (Murray, UT)
- …position will collaborate cross-functionally with clinical, coding, and IT teams to ensure compliance , optimize risk adjustment revenue, and help drive ... health system. **Responsibilities** + Performs retrospective and prospective risk adjustment analytics to drive revenue optimization and compliance . +… more
- Providence (Portland, OR)
- …remotely in the states of WA, OR and CA. **The Role:** As the Director of Risk Adjustment and Strategic Accounts at Providence Health Plan, you will be the ... cornerstone of our strategic vision. You will oversee risk adjustment programs, spearhead provider education, and enhance engagement to support value-based… more
- Amazon (Arlington, VA)
- …largest cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party ... detailed risk reports, offering strategic recommendations to leadership to enhance risk management and compliance practices. The ideal candidate will have… more
- Citigroup (Tampa, FL)
- …that contribute to the definition of the Enterprise Data Governance Strategy, and/or Data Risk and Control Framework and Data Risk Taxonomy, and plays a critical ... role in leading activities to support implementation of the Data Governance Policy/Data Risk and Control framework. The role will play a critical leadership role in… more
- Citigroup (Tampa, FL)
- …will lead a key execution component of a critical program focused on Adjustment Reduction and Data Automation, directly tied to key regulatory concerns. This ... to effectively manage relationships with internal audit, central Transformation teams and senior leadership across Data, Technology, and second and third lines of… more
- Amazon (Jersey City, NJ)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... with automation and scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills with the ability… more
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