- Baylor Scott & White Health (Atlanta, GA)
- …AMA and the Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the ... maximize risk scoring in keeping with Baylor Scott and White Health risk adjustment strategies and processes for lines of business subject to risk … more
- AIG (Atlanta, GA)
- About the role This role assists the underwriters by screening risk offerings and with pre and post-binding processes. The role also performs services including ... the region + Review new submissions against prescribed criteria to determine if risk qualifies for LOB risk appetite. Triages submission for missing information… more
- RELX INC (Atlanta, GA)
- …of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of our ... successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively with… more
- Humana (Atlanta, GA)
- …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... annual standard and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required Qualifications** + Bachelor's… more
- CVS Health (Atlanta, GA)
- …Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) Licensed ... Independent Social Worker (LISW) Licensed Master Social Worker (LMSW) **Education** Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The… more