- Humana (Sacramento, CA)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- LA Care Health Plan (Los Angeles, CA)
- …needed. Creates and produces summary reporting artifacts to give the Risk Adjustment Department the ability to monitor its performance . Provides guidance and ... Enterprise Risk Adjustment Analyst III Job Category:...processes. Identifies areas where technical solutions would improve business performance . Consults across business operations, providing mentorship, and contributing… more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Datavant (Sacramento, CA)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... others. + Serve as a key departmental resource for application use related to risk adjustment coding guidelines and gap closure reporting. Salary Range: $76,200… more
- Datavant (Sacramento, CA)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... to escalate and create solutions. + Own client operations project management processes, tools, reference materials, and cross‐functional usage. + Identify, define,… more
- Datavant (Sacramento, CA)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. You will: + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Sacramento, CA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... coding accuracy rate. + Any other task requested by management . **What you will bring to the table:** +...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- Amazon (San Diego, CA)
- …such as machine learning and natural language processing, into existing risk management systems -Manage and optimize the performance of automated risk ... expenses (OpEx), and implementing automation solutions to enhance our risk management capabilities. The Senior Risk...assessment and mitigation tools Develop and track key performance indicators (KPIs) to measure the success of automation… more
- Amazon (San Diego, CA)
- …such as machine learning and natural language processing, into existing risk management systems Manage and optimize the performance of automated risk ... expenses (OpEx), and implementing automation solutions to enhance our risk management capabilities. The Senior Risk...assessment and mitigation tools Develop and track key performance indicators (KPIs) to measure the success of automation… more
- Amazon (CA)
- …business reviews to the management team regarding emerging risks, status of risk assessments, and control performance . Contribute to management reviews ... opportunities to improve our processes and controls to mitigate risk and improve operational performance . You will...Surface risk insights and best practices for risk management and mitigation. Contribute to internal… more
- Amazon (San Diego, CA)
- …job responsibilities Use machine learning and statistical techniques to create scalable risk management systems Learning and understanding large amounts of ... risk trends Design, development and evaluation of highly innovative models for risk management Working closely with software engineering teams to drive… more
- Amazon (Irvine, CA)
- …leadership - 3+ years of software development experience - Experience with Security Risk Management concepts and principles Amazon is an equal opportunity ... voices. Training and Career Growth We're continuously raising our performance bar as we strive to become Earth's Best... disciplines including scope, schedule, budget, quality, along with risk and critical path management experience -… more
- Amazon (San Diego, CA)
- …cross-functional teams in a fast-paced environment - 6+ years of compliance, audit or risk management experience - Proven ability to define strategies in order ... If so, we are looking for a talented Sr. Risk Manager to join our Regulatory Intelligence, Safety and...with precision and accuracy - Develop key metrics and performance indicators to track progress against business objectives and… more
- Amazon (Santa Monica, CA)
- …experience - 1+ year(s) of experience in IT security, compliance, or risk management - Experience in technology automation, implementation, integration, and/or ... leading the implementation process, ensuring adherence to best practices, optimizing performance , and managing risks throughout the project. The AWS Professional… more
- Dignity Health (Bakersfield, CA)
- …analysis to demonstrate insights and trends related to patient engagement, Medicare risk adjustment , STARS/HEDIS, Medical management , and program ... digital, claims analytics, payment integrity, condition and clinical analytics, provider performance , risk analytics and pharmacy claims. Demonstrated success… more
- CenterWell (Sacramento, CA)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Datavant (Sacramento, CA)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Amazon (El Segundo, CA)
- … management disciplines including scope, schedule, budget, quality, along with risk and critical path management experience - Experience managing programs ... role is responsible for defining Project Kuiper's government communication systems provisioning, management , and monitoring solutions in support of a wide variety of… more
- Amazon (San Francisco, CA)
- …Senior Program Manager in the GES Design & Construction, Governance, Quality Management Team, you will drive speed, quality, and simplification by eliminating rework ... scalable solutions * Develop, implement, and govern KPI (Key Performance Indicators) reporting for a portfolio of programs, providing...drive plans to completion. About the team The Quality Management team's goal is to enhance GES D&C operations… more