- 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
- 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
- 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
- Actalent (Providence, RI)
- …will be responsible for the accurate and independent generation and evaluation of risk management , design history file documentation, and overall quality system ... of the design to manufacturing. You will plan and lead the execution of risk management on cross-functional product development teams. Responsibilities + Lead … more
- CVS Health (Woonsocket, RI)
- …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
- Dana-Farber Cancer Institute (Newton, MA)
- …psychosocial strengths of patients/families/caregivers that impact health status, coping and adjustment (eg, suicidal, or homicidal risk , domestic violence, ... integration, patient educational materials, referral and outreach workflows, data management , research collaboration, and program development to improve the patient… more
- Dana-Farber Cancer Institute (Newton, MA)
- …psychosocial strengths of patients/families/caregivers that impact health status, coping and adjustment (eg, suicidal, or homicidal risk , domestic violence, ... backgrounds, and design programs to promote public health particularly among high- risk and underserved populations. We conduct groundbreaking research that advances… more
- RELX INC (Providence, RI)
- …Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management . You can learn ... be the job for you! About the Business: LexisNexis Risk Solutions is the essential partner in the assessment...MQ, Kafka, and DAPR for secure, reliable messaging, state management , and troubleshoot distributed transactions and event processing. +… more
- Amazon (Boston, MA)
- … Management function, including budget management , forecasting, change management diligence, invoice review, contract compliance, and risk mitigation ... Project Financial Health, providing leadership with actionable insights on financial performance, change management , and risk assessment. A day in the life As a… more
- Amentum (Boston, MA)
- …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 (Boston, MA)
- …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