- Datavant (Atlanta, GA)
- …looking for a Risk Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy and ... mapping and models + Experience with coding Medicare, Commercial and Medicaid risk adjustment charts + Understanding of Medicare, Commercial and Medicaid … more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to ... and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the… more
- Datavant (Atlanta, GA)
- …healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be ... problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold...+ Monitor the performance of the Risk Adjustment Operations both internally and with coding … more
- RELX INC (Atlanta, GA)
- …in tech consulting?Would you like to join our great team? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Datavant (Atlanta, GA)
- …technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding , physician workflow, and/or electronic ... team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all… more
- RELX INC (Alpharetta, GA)
- …practices and processes and are able to execute them independently? About Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk...process data for analysis. + Ability to work across coding languages used in Data Science (eg Python, SQL,… more
- AIG (Atlanta, GA)
- …a Team Manager, Underwriting Support. This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs ... Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages...coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as… more
- RELX INC (Alpharetta, GA)
- …new statistical methodologies with guidance and approval from leadership. + Works across coding languages used in Data Science (eg Python, SQL, and R) + Knowledge ... dashboards and presentations that drive decision-making and transparency. LexisNexis(R) Risk Solutions provides customers with innovative technologies, information-based analytics,… more
- Evolent (Atlanta, GA)
- …knowledge of Medicare claims, episode and condition groupers, case/episode and risk adjustment , patient attribution methodologies, and network analysis and ... + 1-2 years performing analyses in one or more coding language (SAS, R, Python) - Required + 1-2...biostatistics, mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy… more
- AIG (Atlanta, GA)
- …operational process changes, regulatory changes, policy booking, policy issuance, or adjustment backlogs. Captures takeaways and works with the team to ... regulatory requirements. + Appropriate combination of commercial P&C insurance rating, coding , and underwriting assistant skills. + Strong written and oral… more