- Humana (Columbia, SC)
- **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
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Highmark Health (Columbia, SC)
- …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
- Amazon (Charleston, SC)
- …relationships to drive organizational change Basic Qualifications - 6+ years of compliance , audit or risk management experience - Knowledge of Microsoft ... Description Amazon Books is seeking a Books Risk Management (BRM) Risk Prevention Program Manager to lead our most complex root cause investigations and… more
- Datavant (Columbia, SC)
- …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
- CenterWell (Columbia, SC)
- …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
- RELX INC (Columbia, SC)
- …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 (West Columbia, SC)
- …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 (Spartanburg, SC)
- …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
- Elevance Health (SC)
- …medical terminology and anatomy strongly preferred. + Experience with the most current CMS Risk Adjustment Model strongly preferred. + AAPC Certified Risk ... records for the purpose of reimbursement, training, education and compliance . **How you will make an impact:** + Audits...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Sedgwick (Columbia, SC)
- …in active job search and/or during retention activities and monitors client compliance through follow-up contacts with employers. + Provides services such as resume ... and cover letter writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with… more
- RELX INC (Columbia, SC)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... large data sets over the lifecycle of contract. + Represents LexisNexis Risk Solutions at customer-facing events and with customers + Actively participates in… more
- Amazon (West Columbia, SC)
- …their assigned site in order to execute company WHS policies and ensure compliance to all applicable local and regional regulations. By leveraging lean principles ... 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 safety professional . This Senior Safety Manger must also demonstrate the… more
- CenterWell (Columbia, SC)
- …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
- Amazon (Summerville, SC)
- …to eliminate subjectivity, complexity, and variation; identifying, preparing for, and mitigating risk ; and auditing our practices to ensure compliance . Basic ... physical security infrastructure) and define appropriate mitigating actions while ensuring compliance with legal and ethical standards * Serve as department liaison… more