- Highmark Health (Albany, NY)
- …clinical setting. + Experiencein Lean, Six Sigma, TQI, TQC or other quality management certification. + Experiencein health plan provider network performance ... plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health management . **Preferred** +… more
- Molina Healthcare (Syracuse, NY)
- …the organizational health care costs for all lines of business and directly impacting Risk Revenue and Quality Compliance. Partner with VP Encounter to ensure ... **Job Description** **Job Summary** The AVP, Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of… more
- Oak Orchard Health (Hornell, NY)
- …a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health, you can grow your ... our mission to ensure everyone has access to affordable, quality health care. Our diverse, highly skilled professionals are...advocacy, coaching and education for patients that are at risk for hospital admissions or ER visits. This nurse… more
- The Salvation Army (Jamaica, NY)
- …areas of potential risk and develops systems within the organization to minimize risk of adverse events or negative quality outcomes with Director & Social ... Army DDS programs. The Director of Nursing is also responsible for the quality assurance process which includes routine audits of medical records, to ensure all… more
- EPAM Systems (New York, NY)
- …by empowering operational insights, driving innovation, and enabling more effective risk management in an increasingly data-centric world. Together with ... Collaborate with multidisciplinary teams across Administration, IT, Front Office, Back Office, Risk , and Management Control to address system and business needs… more
- PNC (New York, NY)
- …objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework. PNC also has fundamental expectations of our people ... and sales plans. May have direct sales and client responsibilities. + Manages risk /return and drives quality for new and/or existing clients. Actively identifies… more
- HSBC (New York, NY)
- …over the design and operating effectiveness of the Group's framework of risk management , control and governance processes. GIA possesses specialized capabilities ... and internal controls are in place, including processes for management of operational risk , in accordance with...requirements to ensure audit integrity, process innovation and service quality + Ensure value-added audit work is completed in… more
- TD Bank (New York, NY)
- …regulatory requirements and assesses potential impacts + Maintains a culture of risk management and control, supported by effective processes in alignment ... well on a team + Solid organization and project management skills + Experience with financial products is a...areas of expertise + Anticipates emerging business trends and regulatory/ risk issues as a basis for recommending large-scale product,… more
- Zurich NA (New York, NY)
- …write; consultant in a consulting firm in the areas of investments, insurance, risk management , or financial analysis. At Zurich, compensation for roles is ... leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Bank of America (New York, NY)
- …highly complex audit activities forCommercial Credit underwriting, monitoring, and risk management . Key responsibilities include independently designing and ... automation and innovative methods in a timely and high quality manner + Exercises sound knowledge of product, business,...+ Audit Planning + Internal Audit Review + Issue Management + Risk Management +… more