- Humana (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …| 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
- 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
- Amentum (Providence, RI)
- …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 (Providence, RI)
- …meetings. + Perform risk assessments for quality observations. + Support process risk management for novel and existing medical devices (PFMEA). + Develop, ... in design verification and/or validation. Additional Skills & Qualifications + Expertise in risk management for product evaluation and design. + Experience with… more
- Amazon (Providence, RI)
- …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 (Providence, RI)
- …of embedded programming languages and tools (C/C++, Python, BitBucket). + Familiarity with risk management activities such as FMEAs. + Knowledge of FDA QSR ... Regulations (21 CFR 820), ISO 13485:2003, and risk management . + Understanding of medical device,...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Actalent (Providence, RI)
- …and debugging across various platforms. Author and contribute to technical and risk management documentation. Write production test procedures to ensure ... platforms. + Author and contribute to technical documentation and risk management processes. + Write and execute...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due… more
- Sedgwick (Providence, RI)
- …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
- Sedgwick (Providence, RI)
- …unassisted up to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger losses ... + 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
- Humana (Providence, RI)
- …on progress, challenges, and achievements to management . + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs data ... and flows and uses that knowledge to design and implement master data management solutions. The Lead, Data Quality/Integrity works on problems of diverse scope and… more
- RELX INC (Providence, RI)
- …primary responsibility is to provide deep technical expertise in all aspects of tax management . It is part of a global tax team which is headquartered in London ... analytics and decision tools for professional and business customers in the Risk , Scientific, Technical & Medical, Legal, and Exhibitions sectors. US National Base… more