- BlueCross BlueShield of Tennessee (Nashville, TN)
- The Risk Adjustment Medical Record Retrieval team at BCBST is seeing a Medical Record Retrieval Specialist to join our team\. In this role, you ... records \. Preferred candidates will have experience with medical records and Electronic Medical Record system\(s\)\. You will be a great match for… more
- Datavant (Nashville, TN)
- …As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into… more
- Datavant (Nashville, TN)
- …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 ... execution for Datavant's Retrospective Risk Adjustment Coding products, driving client data...time taken to execute database queries) + Reduction in records with errors **About You** + **Experience:** 5+ years… more
- Elevance Health (Nashville, TN)
- ** Risk Adjustment Process Expert I** **Location:** Louisville, KY **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering ... an accommodation is granted as required by law. The ** Risk Adjustment Process Expert** is responsible for...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Datavant (Nashville, TN)
- …for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will...Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines… more
- Molina Healthcare (Bowling Green, KY)
- …with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams ... **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment , is responsible for the implementation, monitoring, and oversight… more
- Molina Healthcare (Bowling Green, KY)
- …and education programs; ensures accurate and timely collection of medical records and data related to Risk projects; conducts data collection, ... Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises… more
- Deloitte (Nashville, TN)
- …reimbursement, MS-DRG, APR-DRG, PSIs, HACs, POA, Vizient, Elixhauser, public profiling, and risk adjustment + Has strong interpersonal skills to collaborate with ... and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service...+ Knowledge of care delivery documentation systems and related medical record documents + Knowledge of age-specific… more
- Valor Health (Nashville, TN)
- …presentations related to mental health diagnoses (eg, sleep, pain, adherence to medical regimen, adjustment to illness), psychosocial stressors, grief or phase ... are coping with health psychology presentations (eg, sleep, pain, adherence to medical regimen, adjustment to illness), psychosocial stressors, grief or phase… more
- Molina Healthcare (Bowling Green, KY)
- …in HEDIS medical records collection and abstraction * 2+ years of medical record review experience **REQU** **I** **RED L** **I** **C** **E** **N** **S** ... the implementation of HEDIS activities, including the identification, collection and abstraction of medical records and other data in support of annual HEDIS… more
- Amazon (Nashville, TN)
- …technical documents and information into an end-to-end story providing a detailed risk analysis for our leaders and customers is essential. This opportunity combines ... for entitlements and long lead-procurement. * You prepare and present project status/ risk reports, and provide clear and concise summaries for projects under your… more
- Amazon (Nashville, TN)
- …solutions effectively and make decisions that balance business value and technology risk * Help your customers and the engineering teams make appropriate trade-offs ... The benefits that generally apply to regular, full-time employees include: 1. Medical , Dental, and Vision Coverage 2. Maternity and Parental Leave Options 3.… more
- Amazon (Nashville, TN)
- …planning and forecasting * Drive high-level vendor negotiations * Develop risk management strategies * Lead cost optimization initiatives Requirements: * 10+ ... years of relevant project management experience * Proven track record of project delivery * Demonstrated leadership experience *...* Senior stakeholder management * Program-level decision making * Risk management A day in the life If you… more
- Amazon (Nashville, TN)
- …the shared responsibility model as they migrate to the cloud. Are you a Governance, Risk , and Compliance leader who can build a team that addresses the challenges of ... cloud? Are you skilled at helping executives address their enterprise risk management requirements using highly scalable computing architectures? The AWS Security… more
- Amazon (Clarksville, TN)
- …you will lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and healthful working environment ... with the cross functional operations teams, and influence change through providing comprehensive risk assessments and safety data analysis. To do so, you must be an… more
- Amazon (Nashville, TN)
- …forecasting, change management diligence, invoice review, contract compliance, and risk mitigation across multiple projects. Validate and verify change orders ... Health, providing leadership with actionable insights on financial performance, change management, and risk assessment. A day in the life As a Sr. Construction Cost… more
- Amazon (Nashville, TN)
- …we are looking for a Professional Services Area Leader with a successful record of leading ISV customers through a variety of transformative projects involving IT ... ProServe, leading to increased ARR, ProServe revenue & margin, while managing risk and quality for AWS. Key job responsibilities Responsibilities: * Managing a… more
- Amazon (Nashville, TN)
- …in Safety, Risk Management, or investigations with a proven track record of critical thinking ability. - 2+ years work experience involving DSPs, DA's, ... Description As a Risk Ops Specialist for High Severity Incidents (HSI),...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Nashville, TN)
- …teams and outside vendors. - Promptly and accurately communicate project status, risk analysis and risk mitigation plans. Effectively answer project questions ... The benefits that generally apply to regular, full-time employees include: 1. Medical , Dental, and Vision Coverage 2. Maternity and Parental Leave Options 3.… more
- Amazon (Nashville, TN)
- …ensuring supply continuity, and implementing proactive strategies to mitigate risk and accelerate deployment. Key job responsibilities Lead end-to-end materials ... supplier continuous improvement initiatives. Track global inventory, shipments, and at- risk materials; mitigate disruptions through proactive allocation and supplier… more
