- CareFirst (Baltimore, MD)
- …tools, dashboards, and metrics for monitoring the progress of the Risk Adjustment Program across all lines of business . Drives member and provider ... indirect reports and vendors. Prioritize work in alignment with Risk Adjustment strategy, business goals,...in healthcare . + 3 years specifically in risk adjustment environment, within healthcare … more
- Elevance Health (Hanover, MD)
- **Medicare Risk Adjustment Advanced Analytics Analyst** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... accommodation is granted as required by law._ The **Medicare Risk Adjustment Advanced Analytics Analyst** is responsible...vary depending on the above factors as well as market/ business considerations. No amount is considered to be wages… more
- Datavant (Washington, DC)
- …our bold vision for healthcare . **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution ... product management, healthcare analytics, or data product roles, ideally within risk adjustment or value-based care. Must possess strong knowledge of product… more
- Elevance Health (Hanover, MD)
- …insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and develops SAS and SQL programming ... **Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site...performance, and population health. This role will consult with business leaders and internal partners to apply the insights… more
- Datavant (Washington, DC)
- …strategic mindset and a focus on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...expectations, and ensuring Datavant is delivering against its customer business cases. **Your will be responsible for:** + **_Client… more
- Datavant (Washington, DC)
- …Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...and time management skills. + Working knowledge of the business use of computer hardware and software to ensure… more
- Amazon (Arlington, VA)
- Description AWS Compliance and Security Assurance is hiring for an experienced, self-motivated Risk Manager with a background in information technology and risk ... leaders. In this role, you will help identify, analyze, and prioritize security risk identified through a variety of sources across AWS. You will be part… more
- Amazon (Arlington, VA)
- …our highly collaborative team is committed to each team member's growth as our business grows. AWS Security is looking for a Senior Security Engineer to join our ... responsible for working with a team of technical and non-technical security, risk , and compliance professionals tackling the most challenging and emerging "big… more
- Amazon (Arlington, VA)
- …implement, and manage AWS solutions that meet their technical requirements and business objectives. You'll be a key player in driving customer success through ... organization is a global team of experts that help customers realize their desired business outcomes when using the AWS Cloud. We work together with customer teams… more
- Amazon (Arlington, VA)
- …implement, and manage AWS solutions that meet their technical requirements and business objectives. You'll be a key player in driving customer success through ... organization is a global team of experts that help customers realize their desired business outcomes when using the AWS Cloud. We work together with customer teams… more
- CenterWell (Washington, DC)
- …entities within the Primary Care Organization. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (APD) tool) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical… more
- Datavant (Washington, DC)
- …. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with… more
- Amazon (Arlington, VA)
- …Our team does this every day. We are looking for an adaptable and creative risk intelligence professional with deep expertise in the geopolitics of China to join us. ... security space combines the functions of strategic intelligence analyst, risk manager, and policy advisor. Our team leads internal...role, you'll lead projects that cross multiple teams and business functions and will need to draw on various… more
- Amazon (Arlington, VA)
- …classic intelligence analysis experience, and expertise in geopolitical and security risk management to join us. Experience and knowledge in Information Security, ... role combines the functions of a traditional all-source intelligence analyst with risk manager and operational security advisor. Using these core skills, you'll work… more
- Datavant (Washington, DC)
- …BS degree in business , technology or related field + Knowledge of healthcare industry, payment models, risk adjustment , medical coding, physician ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...between internal resources and customers in support of custom risk adjustment projects and reports on project… more
- NASCO (Annapolis, MD)
- …deployment of AI/ML (Machine Learning) and agentic models for payer analytics, risk adjustment , fraud detection, and personalized member engagement + ... and engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management, and member engagement.… more
- CVS Health (Washington, DC)
- …regulatory compliance. + Serve as a subject matter expert on CMS regulations, risk adjustment , and revenue optimization. + Collaborate with internal stakeholders ... CMS Part C/D operations. + 5+ years' experience working with CMS regulations, risk adjustment methodologies, and revenue management. + 5+ years' experience… more
- Amazon (Arlington, VA)
- …hiring for an experienced, self-motivated Program Manager with a background in program and risk management to join our Security, Risk and Compliance (SRC) team. ... work, you will help drive leadership prioritization and reduce security and compliance risk . Our mission is to reinvent AWS's approach to managing operational risks… more
- Humana (Washington, DC)
- …large data sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or ... compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more
- Evolent (Washington, DC)
- …decision support systems is preferred + **Background in value-based care** models, risk adjustment , and quality measurement programs is preferred + **Experience ... of continuous learning and innovation + Collaborate with clinical, product, and business teams to translate healthcare transformation goals into technical… more