- Monster (Easton, PA)
- …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. Issues applicable state/federal regulatory notices as applicable ie.)… 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 ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- Molina Healthcare (St. Petersburg, FL)
- …engagement or payer-provider program management. + Familiarity with clinical, quality, or risk adjustment program workflows. + Proficiency with Power BI ... **JOB DESCRIPTION** **Job Summary** The ** Program Manager - Provider Engagement** plays...plays a key role in driving risk adjustment and quality performance outcomes through effective program… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III provides a key leadership role in the Risk… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …data needs throughout program cycles. + Manage data requirements for different Risk Adjustment activities such as in-home health assessments, annual CMS and ... to blue. Position Summary: This role will provide analytical support to the Risk Adjustment Operations team. We're seeking a detail-oriented, curious, and… more
- Ankura (New York, NY)
- …college/university + Current Registered Nurse license + Experience working for payors conducting risk adjustment reviews + Clinical experience in a variety of ... Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and...and payer denial information + Works with the Project Manager to analyze and understand client concerns and develop… more
- Henry Ford Health System (Troy, MI)
- …to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management, strategic planning, ... The Program Manager - Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements… 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 ... translate findings into strategic improvements across key program areas. This role owns root cause investigation, corrective action definition, and drives the… more
- Amazon (Seattle, WA)
- …Strategy, Oversight and Risk (SOAR) team is looking for a Senior Global Program Manager who will support DC Security builders and operators through delivery ... customer data and critical infrastructure. The Strategy, Oversight and Risk (SOAR) Team is embedded in the Data Center...and processes. A day in the life A Global Program Manager on the Data Center Security… more
- Amazon (Seattle, WA)
- … risk and maximize trust in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating and managing roadmaps ... like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...seasoned individual who has excellent experience as a Sr. Program Manager and comes from a similar… more
- Molina Healthcare (Kearney, NE)
- …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will...activity, risk adjustment targeting and reporting systems * 2+… more
- Amazon (Seattle, WA)
- …to deliver for our customers. Be part of a team where your actions as a Program Manager could enhance systems and processes that minimize risk and maximize ... the company to determine how we can minimize the risk associated with new initiatives. We are seeking a...associated with new initiatives. We are seeking a Sr. Program Manager who can provide leadership to… more
- Amazon (Seattle, WA)
- …and systems would you build to maximize customer satisfaction? Amazon is seeking a Program Manager who is passionate, has strong bias for action, and has ... thought about what it takes to detect and mitigate risk among hundreds of millions of customer transactions and...experience leading multi-organizational projects. We are seeking a Program Manager who can drive process improvement… more
- Amazon (Seattle, WA)
- Description We are seeking a Program Manager to lead global collaboration between our Worldwide Catalog Risk team and regional business teams. You'll drive ... features, ensuring regional nuances are addressed. 3. Establish and track program health metrics that balance protection efficacy with regional business impact.… more
- Amazon (Seattle, WA)
- … Risk , Product and Program Management team. We are seeking a Program Manager who is passionate about process and systemic improvement initiatives in the ... Payments risk space to reduce defects and improve experience for...process improvement projects Basic Qualifications - 3+ years of program or project management experience - 3+ years of… more
- Amazon (Arlington, VA)
- Description As a Risk Manager for Extended Producer Responsibility (EPR) at Amazon, you will play a crucial role in our commitment to environmental ... prevent recurring compliance gaps Basic Qualifications - 3+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- Amazon (Seattle, WA)
- Description Join Amazon as a Risk Manager - Shape the future of Risk and Governance in Finance Operations Amazon is seeking a Risk Manager to join ... Earth's most customer-centric company. Key job responsibilities As a Risk Manager , you will be the go-to...you will be the go-to expert for project and program management across Finance Operations Risk &… more
- Amazon (San Diego, CA)
- Description As a Senior Risk Manager for Extended Producer Responsibility (EPR) at Amazon, you will play a crucial role in our commitment to environmental ... and addressing bad actor behavior, implementing automated monitoring systems and risk assessment protocols - Drive deep integration work of compliance controls… more
- Amazon (Seattle, WA)
- Description As a Senior Risk Manager for Extended Producer Responsibility (EPR) at Amazon, you will play a crucial role in our commitment to environmental ... and pricing decisions Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft Office products and applications at… 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 ... TPRM plays a supportive role in BMS's third party risk management program under the direction of...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
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