- Highmark Health (Raleigh, NC)
- …Measures). Provide actionable opportunities in provider transformation aimed at high -quality, cost-effective care while improving patient outcomes. + Provide ... in the organization's value-based reimbursement programs. Strong knowledge of risk adjustment methodologies and reporting/regulatory requirements and CMS Stars… more
- Truist (Charlotte, NC)
- …of financial ratios, trends, covered exposure tracking and market-terms. Assist with risk and control assessments to ensure the regulatory reporting function meets ... to internal operating controls. Coordinate updates to controls, policies, procedures, and risk /control documentation. Manage and provide support for open risk ,… more
- Biomat USA, Inc. (Research Triangle Park, NC)
- …including quality management systems reviews, data integrity assessments, and risk management assessments. Coordinates with donor centers and shared services ... and tracking / trending data to ensure continuous improvement. + Reviews Quality Risk Assessments and coordinates with center support leadership to ensure timely and… more
- Fifth Third Bank, NA (Raleigh, NC)
- …with Fulfillment Operations to drive closed volume. Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and personally ... drive a positive customer experience. While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring,… more
- Datavant (Raleigh, NC)
- …and pay for care. By joining Datavant today, you're stepping onto a high -performing, values-driven team. Together, we're rising to the challenge of tackling some of ... directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in shaping… more
- SMBC (Charlotte, NC)
- …systems across settlements, confirmations, collateral management, regulatory reporting, and risk . The ideal candidate combines deep Fixed Income product knowledge, ... Office applications supporting Fixed Income trading. + Partner with Technology, Operations, Risk , and Compliance to align QA with business priorities and regulatory… more
- Truist (Greensboro, NC)
- …related to Wire within established timeframes in order to mitigate risk . ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Independently analyze, research, and process ... appropriate payment channel/solution to meet client/business needs while mitigating associated risk . 7. Maintain extensive and expert knowledge of the policy,… more
- Capital One (Charlotte, NC)
- …to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology, and to ... of BSA / AML, Sanctions, and Fraud Compliance audits. Assist in performing risk assessments of business activities and perform relevant testing based on the risks… more
- Bank of America (Charlotte, NC)
- …teams, and shares the leadership Point of Contact for triage of high priority incidents or consulting engagements + Mentors staff, provides technical leadership ... and connects to team strategy, priorities and contributions + Risk Manager: Ensures proper risk discipline, controls...focused mindset with a goal to always provide a high level of service and maximum uptime **Desired Qualifications:**… more
- Humana (Raleigh, NC)
- …Improvement (HQRI) department is seeking a Research Scientist 2 to join a high -performing team dedicated to advancing predictive modeling and analytics in support of ... pivotal role within Humana, delivering insights that drive the effectiveness of risk adjustment initiatives. In this position, the Research Scientist 2 will partner… more