- Humana (Salem, OR)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Providence (Portland, OR)
- …plus 5 years of progressive management experience. + **Certification:** Certified Risk Adjustment Coder (CRC) is preferred. + **Skills & Expertise:** Strong ... 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… more
- Baylor Scott & White Health (Salem, OR)
- …and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... procedure documentation. + Oversee updates to department policies and procedures regarding risk adjustment data management . + Remain current on CMS Risk… more
- Datavant (Salem, OR)
- …and roadmap for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Client Data Management :** Oversee secure and ... to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and… more
- Datavant (Salem, OR)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (Salem, OR)
- …vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... for education opportunities in both quality and productivity to management for review and/or action. + Assists in auditing...95% or higher. + Any other tasks required by management . What you will bring to the table: +… more
- Datavant (Salem, OR)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Salem, OR)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Humana (Salem, OR)
- …improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk ... team to effectively influence a provider to adopt best practices in the risk adjustment methodology. The successful candidate will possess extensive, in-depth… more
- Datavant (Salem, OR)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Wolters Kluwer (Salem, OR)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...+ Provide comprehensive and insightful sales reports to senior management . + Identify and leverage market opportunities for business… more
- CVS Health (Salem, OR)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Veterans Affairs, Veterans Health Administration (Grants Pass, OR)
- …intervention services, as appropriate. Collaborate with the HBPC team in suicide risk assessment, management , and prevention activities, as well as assessment ... Assess and provide treatments for sub-clinical symptoms of dysphoria and anxiety, adjustment difficulties, & excessive use or misuse of alcohol or other drugs… more
- RELX INC (Portland, OR)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... About the Business: LexisNexis Risk Solutions is the essential partner in the...with Development, QA, IT Operations, Product SRE, and Project Management teams to drive reliability initiatives. Required Skills &… more
- RELX INC (Portland, OR)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- Amentum (Salem, OR)
- …the successful development of correctional intelligence programs to assist in the management of violent extremist and high- risk offenders **REQUIRED SKILLS AND ... designed for the following purpose: Building Responsive and Effective Prison Management Systems to Repatriate, Rehabilitate, Reintegrate, and Prosecute FTFs and may… more
- Amazon (Salem, OR)
- …you will lead continuous improvement initiatives to reduce conditional and ergonomic risk to ensure a safe and healthful working environment for Amazon's Associates. ... with the cross functional operations teams, and influence change through providing comprehensive risk assessments and safety data analysis. To do so, you must be an… more
- Amazon (Woodburn, OR)
- …daily one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR, you will independently assess ... medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Sedgwick (Portland, OR)
- …losses or claims regionally unassisted, have the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses ... their customers. The ideal candidate also possesses the time management skills necessary to complete tasks in a timely...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Humana (Salem, OR)
- …on progress, challenges, and achievements to management . + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs data ... and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality/Integrity works on problems of diverse scope and… more