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Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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The SVP Risk Manager -Enterprise & Operational Risk Manager will have responsibility for partnering with Business Units, Information Security, Privacy, Legal, Compliance, Internal Audit and other Risk Management teams to ensure and drive operational efficiency, controls, monitoring, and constant process improvement across the organization.
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Demonstrated successful track record working in IT compliance, governance, or risk management, internal audit or external audit with a strong focus on SOX compliance, with minimum 5 years' experience.
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Your tasks Reporting to In-House Counsel, Americas Drafting, reviewing, and negotiating complex commercial contracts, including customer and vendor agreements, NDAs, strategic partnership agreements, software agreements and professional services/development agreements, Providing daily legal advice and counsel across a variety of practice areas including corporate governance, corporate structuring, labor & employment, regulatory compliance, product liability/risk management.
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F) Identifies and stratifies high risk patients needing care management services to reduce re-hospitalizations in people with chronic illnesses (i.e. uncontrolled Diabetes, HTN, COPD, CHF, depression, out of range BMI and age-related conditions), socioeconomically disadvantaged, and/or the chronically mentally ill.
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K)Facilitates regular patient follow up, education, crisis management, and coordination/support for people at risk or who are vulnerable because of their socioeconomic status and/or level of healthcare literacy who are reluctant to seek treatment due to limited knowledge of their condition and barriers to care.
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Oracle's outstanding suite of products-including Oracle Cloud Enterprise Resource Management (ERP), Enterprise Performance Management (EPM), and Supply Chain Management (SCM), Customer Experience in Sales and Service (CX), and Human Capital Management (HCM) -provides end-to-end solutions with mobile optimization through cloud deployments.
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UAMS Health, a prominent academic medical center and statewide health system, encompasses all of UAMS' clinical enterprise. The University of Arkansas for Medical Sciences (UAMS) Department of Obstetrics & Gynecology and the UAMS Winthrop P. Rockefeller Cancer Institute seek a Gynecologic Oncologist to join its growing division.
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Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its service (Army, Air Force, Navy, Marine Corps) missions, along with other federal agencies, all over the world.
$120,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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US - Vasc , US - High Risk, Echo Techs Sonographer, Echo Tech, Vascular Tech. With nearly 20 years of experience and our proven success stories, at GLC, you have a partner with the stability and experience to help you manage all your healthcare staffing and management needs.
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Community Programs, Director of Fleet Services, Director of Housing and Neighborhood Programs, Director of Parks and Recreation, Director of the Zoo, and Emergency Management Administrator. Administrative Officer of the City of Little Rock. Collaborates with the Mayor and Chief of Staff in the planning and management of all operations in accordance with policies set by the Board of Directors.
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You’ll provide advice covering solvency, economic capital, risk management, mergers and acquisitions, company restructuring and risk control, financial modelling, underwriting, new legislation, and the efficiency of claims or reporting processes.
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The Manger - Construction Management Sales position is an integral link between Irby Business Development and the Irby Deployment Team. This position is the subject matter expert to explain Irby project construction management methods and procedures to potential Irby Turnkey customers.
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Utilize extensive knowledge of polymer chemistry principles for materials selection/management, formulation processes to enhance the scalability and quality of the lens material. + Possess continuous improvement experience with emphasis in the laboratory information management and deployment of LEAN/Six Sigma, analytical methods and manufacturing process development for polymeric materials.
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While performing the Diesel Technician (Diesel Mechanic) duties, the employee is regularly exposed to moving mechanical parts and risk of electrical shock. Support management decisions toward meeting company goals.
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enterprise risk management operational jobs in Little Rock, AR
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