- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- CVS Health (Harrisburg, PA)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... the audit process and results to appropriate departments and management . + Conducts process audits to ensure compliance with...all body systems + Understand the audit process for risk adjustment models. + Identify and communicate… more
- Wolters Kluwer (Harrisburg, PA)
- …| 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
- CVS Health (Harrisburg, PA)
- …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
- Amentum (Harrisburg, PA)
- …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
- Actalent (Harrisburg, PA)
- …is not at risk . Perform other duties and comply with company policies. Skills risk management , case management , nursing, social work Top Skills Details ... risk management ,case management ,nursing Additional Skills & Qualifications Top...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Amazon (Reading, PA)
- …management , and other safety related activities. - Recommending appropriate risk mitigation measures to management , including ergonomics. Basic Qualifications ... data-driven strategies. Lead daily safety audits, incident investigations, and risk assessments while implementing innovative solutions to prevent injuries. Deliver… more
- Actalent (Reading, PA)
- …safety issues, participate in the Workers' Compensation process, and recommend appropriate risk mitigation measures to management . The OMR will function as ... also participate, as needed, in incident investigations and weekly case management review meetings. Responsibilities: . Provide triage, first-aid, and/or referral to… more
- Amazon (York, PA)
- …daily one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR, you will independently assess ... medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Reading, PA)
- …daily operations, using data-driven insights to create innovative solutions that reduce risk and enhance productivity. Your ability to build trust, influence change, ... and drive results will be crucial as you lead comprehensive risk assessments and transform safety data into actionable strategies. Leadership is at the heart of this… more
- Amazon (Carlisle, PA)
- …daily one-on-one interaction. Additionally, the OMR will participate in weekly case management review meetings as necessary. As an OMR, you will independently assess ... medical providers as needed, and learn about OSHA regulations, risk , and analysis. The OMR will function as a...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Middletown, PA)
- …champion, leading our Global WHS Program implementation. You'll combine hands-on safety management with strategic thinking to protect our most valuable asset - our ... safety initiatives that make a real difference. You'll conduct comprehensive risk assessments, analyze safety data, and implement practical solutions that protect… more
- Sedgwick (Harrisburg, PA)
- …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