- Molina Healthcare (Vancouver, WA)
- …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 (Olympia, WA)
- …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 (Spokane, WA)
- …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 (WA)
- …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 (Seattle, WA)
- …computer science or related field - 10+ years of experience in Finance, Audit , Operations , Risk Management, Compliance, Technology or related function ... an experienced Senior Audit Manager to oversee audits and Internal Audit Risk Assessment activities across Amazon's Advertising business and Corporate… more
- Amazon (Seattle, WA)
- …and Experience (FORGE) team. In this role, you'll lead high-impact projects optimizing audit operations and risk management strategies for our global ... will be the go-to expert for project and program management across Finance Operations Risk & Governance (FORGE). Your responsibilities will include: Strategic… more
- Amazon (WA)
- …new risk scenarios; conduct deep dives on repeated errors to eliminate defects Audit and analyze risk metrics for each business to identify emerging risks ... required to mitigate them. You will work with business, operations , and technology teams to help them manage risks...- 3+ years of compliance program management, legal, governance, audit , risk /loss prevention, or equivalent experience -… more
- Amazon (Bellevue, WA)
- …travel up to 30% of the time. Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft Office products and ... Description The Compliance and Risk Manager will be responsible for End to...Health and Safety (WHS) and other functions (ie, field operations , governmental affairs, legal, engineering, data scientists, business intelligence… more
- Amazon (Seattle, WA)
- …relationships to drive organizational change Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft Office ... Description Amazon Books is seeking a Books Risk Management (BRM) Risk Prevention Program...Books that directly impact the customer and Amazon business operations . * Monitor execution of fixes and feature changes… more
- Amazon (Seattle, WA)
- …priorities Preferred Qualifications - 6+ years of compliance, audit or risk management experience - Experience in operations , investigations, risk ... are illegal, illegally marketed, unsafe, or otherwise prohibited by Amazon policies. Sr Risk Manager will own implementing proactive controls on a category and work… more
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