- Humana (Madison, WI)
- **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
- Datavant (Madison, WI)
- …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
- Highmark Health (Madison, WI)
- …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
- Datavant (Madison, WI)
- …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
- Marshfield Clinic (Marshfield, WI)
- …Registered Nurse license (if applicable). **Preferred/Optional:** Certified Risk Adjustment Coder awarded by American Academy of Professional Coders. ... external stakeholders as it relates to Medicare Advantage, ACA/Exchange and Medicaid risk adjustment reimbursement methodologies and policies to ensure the… more
- CenterWell (Madison, WI)
- …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 (Kenosha, WI)
- …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)...based reporting systems - Support management efforts to ensure compliance with all corporate program expectations and applicable federal… more
- RELX INC (Madison, WI)
- …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
- Amazon (Kenosha, WI)
- …your designated site in order to execute company WHS policies and ensure compliance to all applicable local and regional regulations. By leveraging lean principles ... lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and...WHS policy. * Provide guidance and oversight to ensure compliance to all applicable Amazon Safety Policies. * Measure… more
- Actalent (De Pere, WI)
- …and Compliance SpecialistJob Description We are seeking a dedicated professional to lead the development, implementation, continuous improvement, and ongoing ... compliance of all safety programs. This includes the Hazardous...others. Your proactive leadership will guide the organization in risk management and promote safety stewardship at all levels.… more
- CenterWell (Madison, WI)
- …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 (Neenah, WI)
- …large-scale combustion turbine construction projects, ensuring safety, quality, and compliance with environmental standards. Your role involves tracking project ... Responsibilities + Manage field personnel to oversee daily activities and ensure compliance with contract specifications and applicable codes. + Ensure adherence to… more
- Travelers Insurance Company (Brookfield, WI)
- …reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other… more