- Knox Community Hospital (Mount Vernon, OH)
- …patient records to abstract data for core measures and quality indicators; Assist Operations Manager by participating in the DPSC quality committee meetings by ... needs to support quality assurance performance improvement; Communicates and Informs Operations Manager , Director, and Community Medicine Officer of regarding… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate ... risk adjustment strategy for the acquisition and...programs and metrics for monitoring the progress of the operations in collaboration with cross-functional teams and senior leadership.… more
- Blue KC (Kansas City, MO)
- … Adjustment (RA) programs for Commercial (ACA). Manages Risk Adjustment coding, auditing and retrieval operations and if needed special projects within ... performance, monitoring and improvement of our risk adjustment coding and chart retrieval operations which...risk adjustment coding and chart retrieval operations which at times may include oversight oftemporary coders… more
- CVS Health (Columbia, SC)
- …are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility ... to senior leaders and market partners. The Medicaid Market Manager will serve as the key connector between national...years of experience in the health care industry, Medicaid operations , risk adjustment , or medical… more
- Datavant (Richmond, VA)
- …life experiences 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 execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database… more
- LA Care Health Plan (Los Angeles, CA)
- … department operations Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as ... Enterprise Risk Adjustment Analyst III Job Category:...to reimbursement reporting requirements. Brings identified concerns to the Manager with recommendations for resolution. Applies subject expertise in… more
- Elevance Health (FL)
- …and actively participates in internal risk adjustment analytics and risk adjustment operations meetings. + Participates in peer-to-peer review ... ** Risk Adjustment Actuarial Analyst II -...** Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career ... Area: Customer Service/ Operations About Blue Cross and Blue Shield of Minnesota...* Knowledge of Health Care Quality measures * Certified Risk Adjustment Coder (CRC via AAPC) or… more
- Amazon (Seattle, WA)
- …future of Risk and Governance in Finance Operations Amazon is seeking a Risk Manager to join our Finance Operations Risk , Governance, and ... Earth's most customer-centric company. Key job responsibilities As a Risk Manager , you will be the go-to...go-to expert for project and program management across Finance Operations Risk & Governance (FORGE). Your responsibilities… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... profiles of DFS-supervised entities.The ideal candidate will possess expertise in surveillance operations , risk monitoring, and incident response, with a keen… more
- New York State Civil Service (Albany, NY)
- …and Counterparty Managero Market, Liquidity and Asset Liability Management Risk Manager * Project Management Institute: Portfolio Management ... NY HELP No Agency Financial Services, Department of Title Surveillance Operations Analyst (Financial Services Specialist 2 ( Risk ), SG-23) Occupational Category… more
- Bristol Myers Squibb (Tampa, FL)
- …. Bristol Myers Squibb (BMS) is seeking a candidate for the position of Manager , Third Party Risk Management (TPRM) - Global Procurement. The Manager ... management, compliance or part of an R&D, Commercial, or Operations function, risk management consulting firm, or...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Basin Electric Power Cooperative (Bismarck, ND)
- Job Title: DIRECTOR/ MANAGER , RISK & INSURANCE (DOE) Posting Start Date: 10/3/25 Job Description: **POSITION PURPOSE** This position is open to varying levels of ... an Enterprise Risk Management process that integrates risk management practices into the company's day-to-day operations...SKILLS** + Knowledge of property and casualty insurance, claims adjustment , and risk analysis. + Proficient with… more
- Amazon (Seattle, WA)
- …innovative solutions? Do you like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest place to transact online. BRP ... As such, BRP designs and builds the software systems, risk models and operational processes that minimize risk...in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating… more
- Amazon (WA)
- …balance, we invest in mechanisms which allow us to accurately identify and mitigate risk , and to quickly correct and learn from our mistakes. This strategy includes ... continuously evolving enforcement policies, iterating our Machine Learning risk models, and exercising high‐judgement decision‐making where we cannot apply… more
- Amazon (Nashville, TN)
- …Amazon shipping is seeking a strategic and results driven leader to join as a Sr. Claims Risk Manager to lead the Claims charter for our org. We are looking for ... responsible to liaise with key stakeholders across Amazon Shipping Commercial/Product/Tech/ Operations teams and internal partner teams. You will be...and be an effective communicator. As a Sr. Claims Risk Manager , you will own the WW… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Financial Crimes Risk Manager (Director Financial Services Programs 1, SG-31) Occupational Category ... of Financial Services is seeking candidates for the position of Financial Crime Risk Manager , (Director Financial Services Programs 1), in Virtual Currency.… more
- Amazon (Austin, TX)
- …software, hardware, and network engineers, supply chain specialists, security experts, operations managers, and other vital roles. You'll collaborate with people ... teams with competing priorities, and be a strong advocate for technical risk management. Key job responsibilities - Guiding the expansion of AWS infrastructure… more
- Amazon (Arlington, VA)
- …in collaboration with internal and external stakeholders. Diving deep into the operations of AWS compliance programs to develop domain and technical understanding of ... a wide variety of areas including cloud, devices, retail, entertainment, healthcare, operations , and physical stores. Inclusive Team Culture In Amazon Security, it's… more
