- Humana (Boston, MA)
- **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
- Datavant (Boston, MA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and ... execution of analytics capabilities that power Datavant's risk adjustment solutions. You'll drive the development of robust, scalable, and actionable analytics… more
- Highmark Health (Boston, MA)
- …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 (Boston, MA)
- …related field, or equivalent experience - 8+ year(s) of experience in IT security, compliance , or risk management - 8+ years experience in technology automation, ... 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 (Boston, MA)
- …to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with SQL and Excel Amazon ... to identify and surface issues. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- Amazon (Boston, MA)
- …to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience in building or using ... the product function for AGI. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- Amazon (Boston, MA)
- …to drive improvements experience - Professional auditing qualification, or similar risk or compliance credentials - Experience with SQL and Excel Amazon ... reporting risk - Advising on and designing controls and compliance programs - Providing ongoing support to process owners/control owners and cross-functional… more
- Humana (Boston, MA)
- …large data sets + Knowledge of healthcare compliance , mainly primary care and risk adjustment , pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or ... to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This team...uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of… more
- Humana (Boston, MA)
- …The Senior Professional , Creative Development collaborates with Stars and Risk Adjustment teams to develop provider communication materials using creative ... Qualifications** + Knowledge of Stars initiatives and programs + Knowledge of Risk Adjustment initiatives and programs + Experience educating adult learners… more
- Amazon (Boston, MA)
- …As a member of the AWS Professional Services Global Security, Risk , and Compliance practice you will pioneer technically advanced security solutions ... resources here to help you develop into a better-rounded professional . Work/Life Balance We value work-life harmony. Achieving success...Qualifications - 1+ year(s) of experience in IT security, compliance , or risk management - 3+ years… more
- Commonwealth Care Alliance (Boston, MA)
- …CCS-P, CCA from AHIMA) or Certified Professional Coder (CPC), and Certified Risk Adjustment Coder (CRC) from the American Association of Professional ... + Serve as a resource for primary care site to answer questions regarding risk adjustment , corrective CPT coding, Medicare & Medicaid coding guidelines and… more
- Datavant (Boston, MA)
- …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 (Boston, MA)
- …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 (Cambridge, MA)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- Boston Public Schools (Boston, MA)
- …with their non-disabled peers per the IEP + provide and/or arrange professional development and support for special education teachers and related service providers. ... array of services for students with disabilities and students placed-at- risk + Serve as liaison to and coordinate the...disabilities + Support the maintenance and improvement of regulatory compliance + Process referrals for and chair all original,… more
- Boston Public Schools (Boston, MA)
- …with their non-disabled peers per the IEP + provide and/or arrange professional development and support for special education teachers and related service providers. ... array of services for students with disabilities and students placed-at- risk + Serve as liaison to and coordinate the...disabilities + Support the maintenance and improvement of regulatory compliance + Process referrals for and chair all original,… more
- Amazon (Boston, MA)
- …and zero trust architectures, incident response, threat intelligence, modeling, and response, compliance audits, and risk assessments. A sales background to ... business goals. The ideal candidate is an innovative cyber and security professional with exceptional stakeholder management skills, who can challenge, dive into… more
- Amazon (Boston, MA)
- …secure and compliant deployments. - Design and build solutions to automate security, risk , and compliance on AWS. - Develop high-quality technical artifacts, ... Services (AWS) is looking for a passionate and experienced professional to assist customers in migrating workloads to the...Work with AWS customers to convey cloud computing security, risk , and compliance best practices. - Work… more
- Boston Public Schools (Boston, MA)
- …of Student Support to ensure continuous improvement of service delivery and compliance with district protocols, policies, and professional standards of practice. ... services. The Office of Social Work supports social workers with consultation, professional development, and crisis response. Through a regional support model, all… more
- Amazon (Everett, MA)
- …sites within their region to execute company safety 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...and company policy. Provide guidance and oversight to ensure compliance to all applicable Amazon WHS Policies. Measure sites'… more