- Humana (Atlanta, GA)
- …+ Experience in healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, ... us put health first** This role will support ongoing performance evaluation and enhancement for STP initiatives, while also...cost management ) + Proficient Excel skills; familiarity with business intelligence… more
- Datavant (Atlanta, GA)
- …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
- Datavant (Atlanta, GA)
- …planning and management of workloads, communication with stakeholders, and the risk adjustment subject matter expertise necessary to be operating proactively ... vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping...analytics + Experience using Jira for workflow and project management + Experience using both Microsoft and Google office… more
- Datavant (Atlanta, GA)
- …for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... lives we impact. You will: + Supervise day-to-day team performance , conduct 1:1's and performance assessments. +...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Atlanta, GA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... coding accuracy rate. + Any other task requested by management . **What you will bring to the table:** +...of Datavanters who are all responsible for stewarding a high- performance culture in which all Datavanters belong and thrive.… more
- Molina Healthcare (Atlanta, GA)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems *… more
- CenterWell (Atlanta, GA)
- …(including Annual Proof of Documentation (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the ... entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing… more
- Datavant (Atlanta, GA)
- …+ Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding ... The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for… more
- Amazon (Atlanta, GA)
- …core project management disciplines including scope, schedule, budget, quality, along with risk and critical path management . -3 + years of experience of ... programs across multiple geographic regions with little or no direction from management . * Define & evaluate KPIs derived from program milestone, estimate, spend… more
- Actalent (Atlanta, GA)
- …Collaborate with support groups to build robust systems and processes for performance management , billing, invoicing, operational support, and training and ... Job Title: Delivery Manager - Utilities - Project Management Job Description The Delivery Manager is responsible for overseeing the delivery of solutions and… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- Datavant (Atlanta, GA)
- …coding teams deliver on them through collaboration with those responsible for coder performance management . + Drive quality assurance and performance ... Apixio's products, how to effectively use Apixio's coding and management tools, and ensuring alignment on coding quality. +...clients understand the shifts and trends happening in the risk adjustment coding space. **What you will… more
- Datavant (Atlanta, GA)
- …team coordinates efforts between internal resources and customers in support of custom risk adjustment projects and reports on project status to all ... technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician workflow, and/or electronic health… more
- RELX INC (Atlanta, GA)
- …challenges. Our employees collaborate cross-functionally and work directly with clients to improve risk management in a cost effective and reliable manner. We ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn… more
- RELX INC (Alpharetta, GA)
- …challenges. Our employees collaborate cross-functionally and work directly with clients to improve risk management in a cost effective and reliable manner. We ... Laundering/ Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn… more
- RELX INC (Alpharetta, GA)
- …You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/insurance About our Team The DRV Product Management team supports the ... Are you keen to develop your Product Management career? Would you enjoy working on our...working on our cutting-edge products? About the Business LexisNexis Risk Solutions is the essential partner in the assessment… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- Amazon (Atlanta, GA)
- …a Senior Trade Compliance Program Manager (PM) to build import and export risk management solutions for growing international businesses in the Trade Operations ... relevant to your space and bring them into your risk management programs. - Present organized plans...and technology teams to design, build and track key performance indicators and systems. - Communicate risks, proposals, regulatory… more
- RELX INC (Alpharetta, GA)
- …excellence across the organization? About the role, this is an advanced management level role. Individuals are required to manage multiple SRE teams within ... plans. About the team, this role is part of the Business Systems SRE team within LexisNexis Risk Solutions Group . As a SRE Manager , you will act as a technical and… more
- RELX INC (Alpharetta, GA)
- …and disbursements? Do you specialize in US government markets? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About our Team… more