- Citigroup (Tampa, FL)
- …Industry Knowledge, Issue Management , Laws and Regulations, Professional Standards, Risk Management , Root Cause Analysis. **Other Relevant Skills** For ... role responsible for performing moderately complex audits and assessments of Citi's risk and control environments in coordination with the Audit team. The overall… more
- Molina Healthcare (St. Petersburg, FL)
- …as well as Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as well as company HEDIS training, ... of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and...onboarding for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and… more
- MUFG (Tampa, FL)
- …a completed bachelor's degree or equivalent. + 2+ years of experience in Risk Management , Operations, Control Testing or Audit preferred, but not required. ... and prepare meaningful documentation to support testing conclusions. + Liaise with risk management teams and other stakeholders to ensure control testing… more
- USAA (Tampa, FL)
- …management standards and policies, and knowledge of applicable regulations and risk management practices. + Demonstrated experience with Lean, Business ... to collect and analyze data. **What sets you apart:** + Experience in issue management , including root cause analysis and risk remediation. + Control execution… more
- First Horizon Bank (Miami Lakes, FL)
- …years of experience or equivalent combination of education and experience 2. Compliance and Risk Management Experience - 0 -2 years of BSA experience. 3. Banking ... from internal system searches, etc.) and prepare cases for review and approval by management . + Provide risk rating recommendations to management for… more
- Molina Healthcare (St. Petersburg, FL)
- …Strong Knowledge of Performance Indicators: + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and ... **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk… more
- AdventHealth (Orlando, FL)
- **AHMG High Risk Pregnancy at Orlando - APRN or PA-C** **Overview** **AHMG High Risk Pregnancy at Orlando - APRN or PA-C** **Full-time Opportunity at ... provides prenatal care, post-partum care, diabetes in pregnancy evaluation and management , hypertension in pregnancy evaluation and management , and pre-pregnancy… more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code ... using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in… more
- First Horizon Bank (Starke, FL)
- …within the company's footprint. **Summary** At First Horizon, the Senior Model Risk Analyst validates statistical models developed for use by the Bank, including ... Stress Testing, Fraud, Generative AI, CECL, Economic Capital, Risk Ratings, econometric, and other statistical models. **Primary Responsibilities** + Validates CECL,… more
- Datavant (Tallahassee, FL)
- …The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more