• Claims Team Lead - Workers Compensation

    Sedgwick (Raleigh, NC)
    …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
    Sedgwick (01/16/26)
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  • Claims Team Lead - Liability (Remote)

    Sedgwick (Greensboro, NC)
    …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
    Sedgwick (12/12/25)
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  • Healthcare Process Risk Manager

    Grant Thornton (Charlotte, NC)
    As a Process Risk Experienced Manager, you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their ... success. From day one, you'll be empowered by the Process Risk team to help clients take...overall effectiveness and efficiency of processes. + Oversee internal audit outsourcing and co-sourcing engagements for clients. + Manage… more
    Grant Thornton (01/13/26)
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  • Risk Adjustment - Risk Management…

    Humana (Raleigh, NC)
    …the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit , and risk adjustment operations related to Provider Reconciliation and ... and external auditors + Evaluate Provider Data Validation, Provider Reporting, Quality Audit , and core risk adjustment operational business areas monthly… more
    Humana (01/10/26)
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  • Business Process Analyst

    Highmark Health (Raleigh, NC)
    …will serve as a link between underwriting operations, financial strategy, and process optimization. The incumbent will apply strong analytical and financial acumen ... compliance, and alignment with financial objectives. While primarily focused on process improvement, this role will also support critical underwriting functions,… more
    Highmark Health (11/26/25)
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  • (USA) Area Manager Asset Protection - All DC/FC

    Walmart (Shelby, NC)
    …to assigned function or unit. Documents the key steps of a unit-specific risk management process and associated procedures. Implements or manages risk ... air, water, and waste pollution. Supports regulatory visits and prepares audit reports for management review. Participates in evaluating pollution control and… more
    Walmart (01/08/26)
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  • (USA) Area Manager Asset Protection - All DC/FC

    Walmart (Mebane, NC)
    …relevant to assigned function or unit Documents the key steps of a unitspecific risk management process and associated procedures Implements or manages risk ... evaluating air water and waste pollution Supports regulatory visits and prepares audit reports for management review Participates in evaluating pollution control and… more
    Walmart (12/23/25)
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  • Regulatory Issue Manager

    TD Bank (Charlotte, NC)
    …to long term with moderate to high focus on strategic planning + Requires expert process management knowledge and the risk profile for team processes supported + ... matter expertise in the areas of KYC/AML, insider threat, and fraud and claims . **This role provides support for end-to-end regulatory issue management** to include… more
    TD Bank (01/17/26)
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  • Senior Manager, Global Quality Management…

    Otsuka America Pharmaceutical Inc. (Raleigh, NC)
    …** Audit Program Execution** + Contribute to the development of the annual audit plan using risk -based approaches. + Coordinate and support investigator site, ... vendor, and internal process audits. + Track audit findings and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Associate Director, Global Quality Operations

    Otsuka America Pharmaceutical Inc. (Raleigh, NC)
    …Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize global quality system processes across a ... are applied to drive successful implementation and adoption of operational initiatives. ** Risk Management** + Develop and maintain a proactive quality risk more
    Otsuka America Pharmaceutical Inc. (12/17/25)
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