• Risk Adjustment Compliance

    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 (05/22/25)
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  • Manager Strategic Risk Adjustment

    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
    Highmark Health (03/06/25)
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  • Client Coding Project Manager

    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
    Datavant (06/03/25)
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  • Market Partnership and Finance Strategy Lead - MRA

    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
    CenterWell (04/26/25)
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  • Senior Proposal Writer

    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
    RELX INC (06/01/25)
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  • Senior Fraud Data Analyst

    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
    RELX INC (06/01/25)
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  • VP, Centerwell PCO, IPA CMO

    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
    CenterWell (05/28/25)
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