- Humana (Boise, ID)
- **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
- Excellus BlueCross BlueShield (Buffalo, NY)
- …for projects and daily work. * Research best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining ... we encourage you to apply! Job Description: Summary: The Risk Adjustment Coding Coordinator is responsible for...Commercial Hierarchical Condition Category (HCC) coding, and Medicaid Clinical Risk Groups (CRGs) to ensure compliance . *… more
- Commonwealth Care Alliance (Boston, MA)
- …ecosystem. + Support audit readiness and regulatory compliance for Medicare and Medicaid risk adjustment programs. + Represent the Risk Adjustment ... the Director of Encounter Data Management within the Revenue Cycle Department, the ** Risk Adjustment Data Developer** is responsible for the design, development,… more
- MedKoder (Mandeville, LA)
- …position that offers a flexible schedule. Description: MedKoder, LLC is seeking a remote Professional HCC Risk Adjustment Coder who will apply both technical ... risk adjustment -eligible encounters. The HCC Risk Adjustment Coder ensures compliance ...AAPC certified program with the achievement of the correlating professional credentials of CPC and CRC is REQUIRED. A… more
- Highmark Health (St. Paul, MN)
- …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
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Risk Adjustment Coding Training Specialist develops and executes comprehensive training ... programs focused on value-based risk adjustment coding. This role ensures that...plays a critical role in optimizing coding accuracy, enhancing compliance , ensuring financial stability and profitability of the PHSO… more
- Datavant (Columbus, OH)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for… more
- Amazon (Bellevue, WA)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more
- Amazon (Arlington, VA)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... Description The Amazon Web Services Professional Services (ProServe) team is seeking a skilled...scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills… more
- Amazon (Arlington, VA)
- …a better-rounded professional . Basic Qualifications - 5+ years of compliance program management, legal, governance, audit, risk /loss prevention, or ... experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Nashville, TN)
- …legal, finance, tech, and human resource teams to implement world-class, customer-centric, compliance and risk management solutions. This position requires the ... remediation plans through to completion - Contribute to developing compliance and risk management solutions - Help...- Transportation or logistics experience. - One or more professional certifications - CPA, CISA, CIA, CFE, CCEP, PMP… more
- Amazon (Seattle, WA)
- … Risk Manager plays a crucial role in driving the organization's risk management initiatives and ensuring compliance across global function. This individual ... and new product assortments, identifying potential vulnerabilities and recommending appropriate risk mitigation strategies to the corporate compliance team.… more
- Amazon (Seattle, WA)
- …Regional/Global Compliance Regulations (GDPR, SOX, etc.) Preferred Qualifications - Professional auditing qualification, or similar risk or compliance ... ensure that we offer a great customer experience. The Risk , Audit, Accounting, and Compliance (RAAC) team...resources here to help you develop into a better-rounded professional . Diverse Experiences Amazon values diverse experiences. Even if… more
- Amazon (San Diego, CA)
- …firms or equivalent - Professional auditing qualification, or similar risk or compliance credentials - Experience working with geographically distributed ... company's bottom line while ensuring the highest standards of compliance and safety. The Senior Risk Manager...Qualifications - Master's degree or equivalent - Project Management Professional (PMP) or equivalent certification - 6+ years of… more
- Amazon (Seattle, WA)
- Description We are looking for a Senior Healthcare Risk Manager, Compliance Operations to join us on our journey to revolutionize healthcare accessibility. Our ... rapidly grow, scale, and innovate. The role requires extensive experience in healthcare compliance and risk management, with a strong knowledge of relevant… more
- Amazon (Chicago, IL)
- …technology teams to ensure alignment between core business priorities and transportation compliance risk strategies. - Developing an in-depth knowledge of the ... legal, tech, and field operations teams to implement world-class, customer-centric, compliance and risk management solutions. Key job responsibilities -… more
- Amazon (Arlington, VA)
- …cloud services company on Earth! Amazon Web Services is looking for a Governance, Risk , and Compliance (GRC) Senior Analyst to support third-party risk ... detailed risk reports, offering strategic recommendations to leadership to enhance risk management and compliance practices. The ideal candidate will have… more
- Amazon (Nashville, TN)
- …to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with SQL and Excel - ... to improve the customer experience and protect Amazon's brand. About Transportation, Risk and Compliance (TRC) We provide Amazon's transportation programs… more
- Amazon (Bellevue, WA)
- Description The Transportation, Risk , & Compliance team is looking for an experienced Sr. Risk Manager, Air Drug & Alcohol to develop Amazon's transportation ... transportation compliance priorities. - Develop and lead the end-to-end risk management program from risk identification to executive reporting, including… more
- Amazon (Arlington, VA)
- …This key leadership position reports directly to the Head of North America Risk & Compliance and serves as a critical Second-Line-of-Defense partner to ... leadership. As a senior member of the North America Risk & Compliance leadership team, you will...related field, or relevant industry experience. Preferred Qualifications - Professional certification required (eg, CISSP, CISA, CISA, CRMP) -… more