- Humana (Trenton, NJ)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Baylor Scott & White Health (Trenton, NJ)
- …and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... procedure documentation. + Oversee updates to department policies and procedures regarding risk adjustment data management . + Remain current on CMS Risk… more
- Datavant (Trenton, NJ)
- …and roadmap for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Client Data Management :** Oversee secure and ... 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… more
- Datavant (Trenton, NJ)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical… more
- Datavant (Trenton, NJ)
- …vision for healthcare. We're looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ... for education opportunities in both quality and productivity to management for review and/or action. + Assists in auditing...95% or higher. + Any other tasks required by management . What you will bring to the table: +… more
- Datavant (Trenton, NJ)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Trenton, NJ)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Bristol Myers Squibb (Princeton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . Third-Party Risk Management (TPRM) is essential to safeguard patient safety, ... lead the Functional TPRM Operations team and ensure robust risk management practices across all business units....in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Princeton, NJ)
- …risk reporting and communication, risk treatment and the review of continuous risk management + Understanding of BMS's therapeutic areas - HOCT and ICN. + ... for critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management . Provide quality and compliance consultation to… more
- Bristol Myers Squibb (Princeton, NJ)
- …alternative development strategies as well as acceleration opportunities (or cost savings). + Leads risk management activities at the GPT and ensures risk ... probability x high impact risks. Responsible for delivering the risk management plan, including risk ...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Datavant (Trenton, NJ)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Wolters Kluwer (Trenton, NJ)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/health-language)** **Coder Workbench Solution:** ** Risk Adjustment Software | Health Language ... or Central time zone, have a solid understanding of risk adjustment in the Healthcare Technology space,...+ Provide comprehensive and insightful sales reports to senior management . + Identify and leverage market opportunities for business… more
- Bristol Myers Squibb (Trenton, NJ)
- …* Cultivate and sustain strategic partnerships with External Engagement, Quality Risk Management and Operations & Performance to identify, prioritize, ... years' experience as a CSO required. * Demonstrated negotiation, risk management , relationship management and...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Princeton, NJ)
- …experience managing large-scale technical projects, including planning, resource allocation, risk management , and delivery. + **Healthcare Technology Domain:** ... looking for a data and solution architect for its Revenue Management function within Commercialization Business Insight and Technology group. **Key… more
- CVS Health (Trenton, NJ)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... Coder) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer proficiency including experience with… more
- Bristol Myers Squibb (Princeton, NJ)
- …CAP, ISO13485, and ICH-GCP standards while driving Design Verification, Validation, Product Risk Management , and Traceability Matrix execution. This is a highly ... + Oversee assay lifecycle management , including Design Verification, Validation, Risk Management , and Traceability Matrix implementation. + Direct instrument… more
- RELX INC (Trenton, NJ)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... About the Business LexisNexis Risk Solutions is the essential partner in the...MQ, Kafka, and DAPR for secure, reliable messaging, state management , and troubleshoot distributed transactions and event processing. +… more
- Bristol Myers Squibb (Princeton, NJ)
- …candidate will have a strong background in statistics, forecasting, decision analysis, risk assessment, as well as prior experience working in the pharmaceutical ... for clearly communicating their findings to development teams and to senior management . + Act as integrators of other analytic services, helping development teams… more
- RELX INC (Trenton, NJ)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... About the Business: LexisNexis Risk Solutions is the essential partner in the...with Development, QA, IT Operations, Product SRE, and Project Management teams to drive reliability initiatives. Required Skills &… more
- RELX INC (Trenton, NJ)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more