- Centene Corporation (Jefferson City, MO)
- …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 + Risk Adjustment /HCC coding… 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
- Centene Corporation (Jefferson City, MO)
- …recommendations; design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... Skills and Abilities (KSAs)** + Deep knowledge of regulatory compliance and risk adjustment program...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… 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
- Point32Health (Canton, MA)
- …identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted ... The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior leaders and external… 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
- 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
- Amazon (Mountain View, CA)
- …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
- Amazon (Atlanta, GA)
- …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