- Humana (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …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
- Datavant (Oklahoma City, OK)
- …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 (Oklahoma City, OK)
- …| 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
- RELX INC (Oklahoma City, OK)
- …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
- Amentum (Oklahoma City, OK)
- …the successful development of correctional intelligence programs to assist in the management of violent extremist and high- risk offenders **REQUIRED SKILLS AND ... designed for the following purpose: Building Responsive and Effective Prison Management Systems to Repatriate, Rehabilitate, Reintegrate, and Prosecute FTFs and may… more
- Amazon (Oklahoma City, OK)
- …teams and outside vendors. * Promptly and accurately communicate project status, risk analysis and risk mitigation plans. Effectively answer project questions ... regularly produce clear and concise summaries for the projects to leadership/ management team. * Competently articulate system and/or equipment designs, including… more
- Sedgwick (Oklahoma City, OK)
- …unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Sedgwick (Oklahoma City, OK)
- …regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National Account. **ESSENTIAL ... + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive… more
- Humana (Oklahoma City, OK)
- …on progress, challenges, and achievements to management . + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs data ... and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality/Integrity works on problems of diverse scope and… more
- Bristol Myers Squibb (Oklahoma City, OK)
- …in good standing issued by your state of residence; and 3) a driving risk level deemed acceptable by the Company. Key competencies desired + **Coaching mindset:** + ... with customers across the patient care journey. + Demonstrated account management skills and problem-solving mentality. Understands the flow of patients through… more