- 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
- Datavant (Providence, RI)
- …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
- Molina Healthcare (St. Petersburg, FL)
- … Manager - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program management, ... Development** + Develop, review, and update Standard Operating Procedures (SOPs) for risk adjustment and quality program workflows. + Maintain accurate,… 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
- 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
- Ankura (Los Angeles, CA)
- …deliver work and seeks to gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: + Certified in Risk ... is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25...at least five (5) recent years of experience in HCC/ Risk Adjustment and/or RADV Audit Methodology +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …colors to blue. Position Summary: This role will provide analytical support to the Risk Adjustment Operations team. We're seeking a detail-oriented, curious, ... QC data needs throughout program cycles. + Manage data requirements for different Risk Adjustment activities such as in-home health assessments, annual CMS and… more
- Elevance Health (Grand Prairie, TX)
- **Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The **Medicare Risk Adjustment Advanced Analyst Senior** is responsible for creating… 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
- Amazon (Charleston, SC)
- Description Amazon Books is seeking a Books Risk Management (BRM) Risk Prevention Program Manager to lead our most complex root cause investigations and ... corrective action definition, and drives the roadmap for a strategic risk problem space. You'll tackle systemic issues affecting authors, publishers, and… more
- Amazon (Seattle, WA)
- Description The Data Center Security Strategy, Oversight and Risk (SOAR) team is looking for a Senior Global Program Manager who will support DC Security ... position will support the team's secure media handling and operations portfolio components. The DC SOAR team's mission is...customer data and critical infrastructure. The Strategy, Oversight and Risk (SOAR) Team is embedded in the Data Center… 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 (Seattle, WA)
- Description The Risk Manager plays a crucial role in driving the organization's risk management initiatives and ensuring compliance across global function. ... and other measures to effectively manage and mitigate identified risks. The Risk Manager will leverage their influence to shape behaviors, spearhead… more
- Amazon (Seattle, WA)
- …within Regulatory Intelligence Safety and Compliance (RISC) is seeking an experienced Senior Risk Manager to support our global scope of managing inventory for ... regulations and recalls. The Senior Risk Manager will be responsible for managing...with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los… 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
- Amazon (Seattle, WA)
- Description We are seeking an experienced Software Development Manager to lead and grow our engineering team within the Security Risk and Compliance (SRC) ... solutions that leverage AWS technologies and Generative AI to enhance security risk management capabilities across Amazon. As the Software Development Manager ,… more
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