- American Honda Motor Co Inc (Marysville, OH)
- …advice to Management, HR, and key stakeholders on sensitive and complex employee scenarios (potential litigations, negotiated departures, harassment) to ensure ... stakeholders to proactively identify recommend policy changes/enhancements to mitigate risk based on investigation outcomes and trends. And opportunities for… more
- Fidelity TalentSource LLC (Merrimack, NH)
- …judgment and analytical skills you will need to excel at quickly analyzing complex risk and business issues in a variety of substantive areas ... or other master s degree with strong academic credentials (preferred)8-10+ years of risk , compliance, legal, or audit experience at complex financial services… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and manage provider performance expectations focused on quality measure outcomes, risk improvement and overall performance to financial targets in Health Partner's ... office staff to build trust and shift the way providers think about value-based care . Shall promote all clinical programs available as a resource to facilitate full… more
- Option Care Health (Bannockburn, IL)
- …infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Youth Villages (Boone, NC)
- …Youth Villages is the place for you. Currently, we are hiring for High Fidelity Wraparound Facilitator. Responsibilities The High Fidelity Wraparound Facilitator ... youth and families in developing, implementing, and monitoring an intensive, individualized care plan. This includes helping the team develop a natural support… more
- UNC Health (Chapel Hill, NC)
- …the Utilization Manager (UM) and SW after the meeting to discuss updates and action items.3. Complex Care Meeting - Attend weekly Complex Care Meeting ... monitor cases/follow up on all action items. Proactively identify high risk cases that need to be...on experience, Communication and Patient Planning (CAPP) Meetings and/or Complex Care Meeting (CCM). Monitor all observation… more
- Option Care Health (Bannockburn, IL)
- …& Clinical Services, the VP, Clinical Effectiveness develops and leads initiatives to deliver high quality of care patient outcomes with the objective to surpass ... with objective to deliver superior patient outcomes and support business growth while maintaining high levels of quality of care . Leads and oversees design and… more
- Option Care Health (Chicago, IL)
- …infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and work experience may be considered in lieu of bachelors degree. Ambulatory care management experience strongly preferred. A high degree of independence, ... necessary administrative and clerical support structure to encourage a patient-centric care environment, to include customer service functions such as telephone… more
- Option Care Health (Dallas, TX)
- …infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Option Care Health (Springfield, IL)
- …infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Fidelity TalentSource LLC (Boston, MA)
- …Portfolio Management and Transactional Support Legal team supporting the Fidelity High Income and Alternatives Division (\u201CHI&A\u201D).\u00A0 In this role, you ... marketing materials, and management agreements.Experience working on large scale complex projects with multiple counterparties.Ability to analyze relevant facts… more
- Fidelity TalentSource LLC (Boston, MA)
- …and Transactional Support Legal team supporting the Fidelity Fixed Income and High Income and Alternatives Divisions.\u00A0 In this role, you will actively work ... marketing materials, and management agreements.Experience working on large scale complex projects with multiple counterparties, including distressed debt and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …and other laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, external audit coordination, investigation, root cause ... experience to assist in prevention, detection, and remediation activities. Experience in risk adjustment compliance (Medicare and ACA) as well as a coding… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by monitoring compliance with established patient safety initiatives, ... risk management programs, and patient variance processes. The Specialist...(CPPS), or obtained within 1 year of hireEducational Requirements: High School DiplomaMinimum Experience: Minimum of three (3) years'… more
- Cambia Health Solutions, Inc (Renton, WA)
- …improvements and best practices to providers, enabling them to deliver high -quality care to Regence members.Innovative Interventions: You'll identify innovative ... population health or in provider relations/engagement at a planFamiliarity w/ value-based care , including shared savings/ risk modelsNormally to be proficient in… more
- Cambia Health Solutions, Inc (Portland, OR)
- …and other laws. Duties may include, but are not limited to, risk assessment, training, monitoring, auditing, regulatory audit, and market conduct activities, audit ... assigned in either a supporting or leading role.Participating in the annual risk assessment process.Ensuring materials, reports, and other documents are written in… more
- MultiPlan (Atlanta, GA)
- …note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role. The position responsibilities outlined above are in no way to be ... Our employees do just that by helping healthcare payers manage the cost of care , improve competitiveness and inspire positive change. You can be part of an… more
- MultiPlan (Irving, TX)
- …due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.13. The position responsibilities outlined above are in no way to be ... Our employees do just that by helping healthcare payers manage the cost of care , improve competitiveness and inspire positive change. You can be part of an… more
- American Honda Motor Co Inc (Torrance, CA)
- …Manager. The Senior Fraud Prevention Specialist is responsible for identifying high - risk transactions, researching suspicious activity and communicating with the ... and recommend correction items in response to loss or high - risk events and risk -based transaction...and/or the Member. Direct contact with members as necessary.Conducts complex routine fraud investigations to mitigate fraud losses across… more
