- Humana (Raleigh, NC)
- **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
- RELX INC (Raleigh, NC)
- About the Team LexisNexis Legal & Professional , which serves customers in more than 150 countries with 11,300 employees worldwide, is part of RELX, a global provider ... of information-based analytics and decision tools for professional and business customers. About the Role As a...and managing Service Organization Control (SOC) audits and ensuring compliance with ISO 27001 standards. Your role will involve… more
- Datavant (Raleigh, NC)
- …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
- RELX INC (Raleigh, NC)
- …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
- CenterWell (Raleigh, NC)
- …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 (Raleigh, NC)
- …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 (Durham, NC)
- …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 (Raleigh, NC)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Raleigh, NC)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... large data sets over the lifecycle of contract. + Represents LexisNexis Risk Solutions at customer-facing events and with customers + Actively participates in… more
- CenterWell (Raleigh, NC)
- …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 (Raleigh, NC)
- …lab operations, ensuring testing is conducted safely, accurately, and in compliance with company quality standards and project requirements. The ideal candidate ... Key Responsibilities + Manage and coordinate all laboratory activities, ensuring compliance with safety protocols and quality standards. + Develop and implement… more
- UNC Health Care (Raleigh, NC)
- …service lines, departments and areas of patient care. 3. Collaborates with risk management and department managers to investigate and resolve patient concerns; ... identifies performance trends and recommends opportunities for intervention, coaching and adjustment to goals. 8. Maintains the Patient Experience SharePoint site,… more