- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Highmark Health (Hartford, CT)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Hartford HealthCare (Farmington, CT)
- …* Knowledge of ICD 10 Diagnostic and CPT coding regulations and guidelines and risk adjustment coding * Extensive knowledge of state, federal and Medicare ... Orthopedics and Tallwood Urology & Kidney. Position Summary: The Director of Professional Services Coding will provide system wide leadership and strategic direction… more
- Datavant (Hartford, CT)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Hartford HealthCare (Farmington, CT)
- …and education specialist will support documentation practices that comply with CMS risk adjustment program requirements and ICD 10 coding guidelines. Reporting ... disseminate audit requirements. 6. Identify process improvements to capture data for Medicare Risk Adjustment and help providers code to the level of… more
- CenterWell (Hartford, CT)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- Amazon (North Haven, CT)
- …Team at the site level to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will lead ... continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: Provide… more
- RELX INC (Norwalk, CT)
- …tight deadlines and produce high quality work + Previous experience with LexisNexis Risk Solutions, LexisNexis Legal & Professional and/or other RELX companies ... About the Business: LexisNexis Risk Solutions is the essential partner in the...signatures + Works with proposal response team to ensure compliance with governmental requirements + Fast completion of government-agency… more
- Sedgwick (Hartford, CT)
- …in active job search and/or during retention activities and monitors client compliance through follow-up contacts with employers. + Provides services such as resume ... and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with… more
- RELX INC (Norwalk, CT)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more
- Amazon (Stratford, CT)
- …corporate based reporting systems. The WHSS supports management's efforts to ensure compliance with all corporate Program expectations and applicable federal & state ... laws. The WHSS also conducts risk assessments related to jobs performed (Job Hazard Analysis)...corporate based reporting systems Support management efforts to ensure compliance with all corporate program expectations and applicable federal… more
- CenterWell (Hartford, CT)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- Actalent (Wilton, CT)
- …in a high-tech or manufacturing environment. + Regulatory & Safety Compliance : Strong understanding of safety and environmental regulations (eg, OSHA, ASHRAE) ... and the ability to ensure systems meet or exceed compliance standards. ️ Role & Responsibilities + Mechanical Systems...energy efficiency and sustainability initiatives. + Capacity Planning & Risk Management + Assess system capacity and plan for… more
- Actalent (Brookfield, CT)
- …to keep projects running smoothly. + Oversee budgets, scheduling, procurement, and risk management. + Conduct site inspections to maintain safety and compliance ... Paid time off & holidays ⭐ Career growth & professional development opportunities Pay and Benefits The pay range...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Travelers Insurance Company (Hartford, CT)
- …by-laws and other relevant documents which may have an impact on the adjustment of losses. + Work with customers and vendors to determine restoration options ... file inventory to ensure timely resolution of cases. + Handle files in compliance with state regulations, where applicable. + Provide excellent customer service to… more