- Humana (Boston, MA)
- …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
- Point32Health (Canton, MA)
- … adjustment engagement with senior leaders at contracted provider organizations. + ** Risk Adjustment Program Management and Vendor Evaluation** : The ... Manager will be responsible for risk adjustment program management and key supporting functions including the development, implementation and ongoing … more
- Baylor Scott & White Health (Boston, MA)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …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 (Boston, MA)
- …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
- Bristol Myers Squibb (Devens, MA)
- …risk reporting and communication, risk treatment and the review of continuous risk management + Understanding of BMS's therapeutic areas - HOCT and ICN. + ... for critical to quality (CtQ) data, processes, and vendors, demonstrating effective risk and issue management . Provide quality and compliance consultation to… more
- Amazon (Boston, MA)
- …data to identify patterns, draw conclusions, and prioritize remediation efforts using risk management concepts. Excellent writing skills are required as the ... risk issues. * Socialize and secure commitment for remediation and risk management strategies. * Develop deep knowledge of employee privacy obligations… more
- Amazon (Boston, MA)
- …partners and tech teams/leaders for leveraging innovative technologies in order to meet risk management needs. Measure program metrics goals and write reports ... AI products' risk posture. Develop and deliver risk management frameworks to scale Responsible AI...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Bristol Myers Squibb (Cambridge, MA)
- …alternative development strategies as well as acceleration opportunities (or cost savings). + Leads risk management activities at the GPT and ensures risk ... probability x high impact risks. Responsible for delivering the risk management plan, including risk ...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Sanofi Group (Cambridge, MA)
- …started? **Main Responsibilities:** **Internal & External Safety Expert:** + Provide PV and risk management expertise to internal and external customers + Safety ... Enable effective development of product safety + Enable appropriate risk management + Enable up-to-date risk...actions as necessary + Regulatory compliance + Monitoring of risk mitigation tool effectiveness and adjustment of… more
- Datavant (Boston, MA)
- …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 (Boston, MA)
- …| 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
- Bristol Myers Squibb (Devens, MA)
- …for designing and delivering a strategic vision for compliance deliverables, risk management , gap remediation, continuous improvement, and quality culture ... Data Integrity with other quality systems (Deviation, CAPA, Change Management , Risk Management , etc) to...in their roles. Applicants can request a reasonable workplace accommodation/ adjustment prior to accepting a job offer. If you… more
- Bristol Myers Squibb (Devens, MA)
- …here at BMS with our Cell Therapy team. The **Manager, Project Management , Cell Therapy** is responsible for leading cross-functional projects at the manufacturing ... actively involved in the maturation of site project and portfolio management processes, tools, and methodologies. **Shifts Available:** TBD **Responsibilities:** +… more
- CVS Health (Boston, MA)
- …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
- Bristol Myers Squibb (Devens, MA)
- …Controls for processes, including Management Responsibility, Event Management , Change Management , and Quality Risk Management , with a primary focus ... strategically prepare for and manage regulatory inspections, applying principles of Quality Risk Management to ensure inspection readiness and compliance. Assist… more
- RELX INC (Cambridge, MA)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Healthcare vertical, our solutions focus on ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About the Team: Are… more