- Humana (St. Paul, MN)
- **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 (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (Minneapolis, MN)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more
- Humana (St. Paul, MN)
- …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
- Fairview Health Services (St. Paul, MN)
- …and obtain adequate evidence to support closure of the open recommendation or compliance risk . + Perform regulation research and organizational education. + ... Medical Coder (CMC) OR Equivalent certifications, examples include: + Certified Risk Adjustment Coder (CRC), Certified Documentation Expert Outpatient (CDEO),… more
- Datavant (St. Paul, MN)
- …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 (Minneapolis, MN)
- …a variety of financial services products and services, but primarily credit risk assessment, fraud analytics, and financial crime compliance applications. You ... Oversee the validation, monitoring, and performance assessment of credit risk and fraud detection models. + Ensure compliance...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- CenterWell (St. Paul, MN)
- …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 (St. Paul, MN)
- …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 (Minneapolis, MN)
- …(GIAC Certified Enterprise Defender) or GICSP (Global Industrial Cyber Security Professional ) or PenTest- Experience performing risk assessments of ... to completion. The Infrastructure Security Team is responsible for the security and risk management of the AWS Infrastructure. We build systems that detect, assess,… more
- Amazon (Minneapolis, MN)
- …related field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - 5+ years experience in technology automation, ... Description The Amazon Web Services Professional Services (AWS ProServe) team is seeking a...operate more effectively, and ensure customers don't accept unnecessary risk . You will work in fast-paced, complex projects that… more
- Amazon (Shakopee, MN)
- …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
- Amazon (Woodbury, MN)
- …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
- RELX INC (St. Paul, MN)
- 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 (St. Paul, MN)
- 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 ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more
- CenterWell (St. Paul, MN)
- …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 (St. Paul, MN)
- …all necessary tasks in a platform with optimum quality and efficiency. + Ensure compliance with CMS guidelines for Medicare Stars programs and cost of care clinical ... programs. + Follow HIPAA, privacy, safety, and compliance guidelines. + Collaborate with team members to maintain...+ Ability to work as a team member, be professional and have telephonic communication skills. + Attention to… more