- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Highmark Health (Trenton, NJ)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- RELX INC (Philadelphia, PA)
- …our GRC team? About the role: We are seeking an experienced Senior Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of ... The successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively… more
- Datavant (Trenton, NJ)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- RELX INC (Philadelphia, PA)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- CenterWell (Trenton, NJ)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- Amazon (Fairless Hills, PA)
- …equivalent Preferred Qualifications - - Professional auditing qualification, or similar risk or compliance credentials as well as experience with research ... there's nothing we can't achieve. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- Amazon (Fairless Hills, PA)
- …degree in homeland security, business administration, or related discipline. - 5+ years professional experience in leading large, global compliance programs - 5+ ... - Advanced Degree or a CPP, CISSP, PSP, PMP Certification - 10+ years professional experience in leading large, global compliance programs - 10+ years experience… more
- RELX INC (Philadelphia, PA)
- …tight deadlines and produce high quality work + Previous experience with LexisNexis Risk Solutions, LexisNexis Legal & Professional and/or other RELX companies ... About the Business: LexisNexis Risk Solutions is the essential partner in the...signatures + Works with proposal response team to ensure compliance with governmental requirements + Fast completion of government-agency… more
- Amazon (Burlington, NJ)
- …Team at the site level to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. This individual will lead ... continuous improvement initiatives to reduce conditional and ergonomic risk in our processes to ensure a safe and...executing to the core competencies of an Amazon WHS professional . Responsibilities include but are not limited to: -… more
- Amazon (Philadelphia, PA)
- …with a regional operations team to execute company WHS policies and ensure compliance to all applicable local, regional and federal regulations. By leveraging lean ... lead continuous improvement initiatives to reduce conditional and ergonomic risk to ensure a safe and healthful working environment...executing to the core competencies of an Amazon WHS professional . As a senior leader in the WHS organization,… more
- Amazon (Philadelphia, PA)
- …corporate based reporting systems. The WHSS supports management's efforts to ensure compliance with all corporate Program expectations and applicable federal & state ... laws. The WHSS also conducts risk assessments related to jobs performed (Job Hazard Analysis)...corporate based reporting systems Support management efforts to ensure compliance with all corporate program expectations and applicable federal… more
- Amazon (Fairless Hills, PA)
- …As a Regional Environmental Engineer, you will lead the environmental regulatory compliance function of your assigned area. You will be responsible for advancing ... will work closely with experts in security, construction, operations, logistics, compliance , corporate counsel, and human resources to further the global… more
- CenterWell (Trenton, NJ)
- …in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment , and clinical programming in primary care, complex ... our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate… more
- Penn Medicine (Bala Cynwyd, PA)
- …coding medical professional services experience including ambulatory outpatient and risk adjustment coding. (Required) . Additional experience could be ... Quality with an affiliation with the ambulatory billing & compliance team. The primary objective of this position is...this position is to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or… more
- Travelers Insurance Company (Blue Bell, PA)
- …reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific ... for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other… more
- RELX INC (Philadelphia, PA)
- …and services that help customers utilize and integrate content to improve professional practice, reduce care variability, engage patients, and promote a culture of ... judgement with minimal supervision to develop strategies focused on customer retention, risk mitigation strategies, and renewal maintenance and growth + I dentifying… more
- RELX INC (Philadelphia, PA)
- …to enhance our healthcare solutions while ensuring their safety, reliability, and compliance with healthcare standards. About the Role We are seeking a motivated ... Conducting comprehensive QA of AI outputs and participating in risk analysis and mitigation + Understanding how security and...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more