- Humana (Annapolis, MD)
- **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 (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- Amazon (Columbia, MD)
- …to conduct internal program reviews, facilitate external audits, and manage security risk . Amazon Web Services (AWS) is the leading cloud provider, providing ... will contribute to a small but growing audit and risk management team who supports government workloads. The person...must have the ability to interpret contractual and regulatory compliance obligations and assess AWS compliance . This… more
- Humana (Annapolis, MD)
- …PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team ensures that healthcare ... with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by… more
- Datavant (Annapolis, MD)
- …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
- CenterWell (Annapolis, MD)
- …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
- RELX INC (Annapolis, MD)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- Amazon (Jessup, MD)
- …and risk management. * Ensure alignment between technical teams, policy/ compliance teams, and business objectives. * Coordinate across multiple AWS service teams ... practical solutions. Candidate must possess a high level of professional maturity, be able to represent AWS during high-stakes,...and vendors to deliver integrated cloud solutions. Risk & Compliance Management: * Identify and… more
- Amazon (Lanham, MD)
- …Operations Team in their region to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will ... lead continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: -… more
- Amazon (Sparrows Point, MD)
- …Team at the site level to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will lead ... continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: -… more
- RELX INC (Annapolis, MD)
- About the Business:LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/governmentAbout the Role:The VP… more
- Amazon (Nottingham, MD)
- …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
- Amazon (York, PA)
- …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
- Amazon (Baltimore, MD)
- …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
- CenterWell (Annapolis, MD)
- …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
- Amazon (Jessup, MD)
- …The Amazon Dedicated Cloud (ADC) Invoicing team is looking for a new Billing Compliance Analyst (BCA) to support various AWS Public Sector customers. This role will ... assist in the implementation of processes and controls in order to reduce risk . A successful candidate for this role must demonstrate strong analytical skills,… more
- Travelers Insurance Company (Hunt Valley, MD)
- …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
- Travelers Insurance Company (Hunt Valley, MD)
- …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
- Actalent (Baltimore, MD)
- …while following Actalent's Services Management Framework (SMF) + Ensure compliance to customer specifications, quality standards, regulatory requirements, company ... manage project plans, budgets, schedules and documentation including change management, risk mitigation and reporting + Develop tracking methods to monitor customer… more