- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific ... measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. + Chart Collection audit experience.… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- Responsibilities: Ensure the organization is not exposed to undue risks by using risk management systems to achieve specific goals within a designated area of the ... risks to determine whether they are within the agreed risk appetite. Advise others on how to design new...assess, and quantify the impact and probability of various risk scenarios and select the most appropriate course of… more
- Molina Healthcare (FL)
- …**Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk ... Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and some familiarity with Power BI level report… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Associate Actuary, Risk and Compliance is responsible for the overall management and oversight of activities ... controls and cost-effective approaches to minimize risks. The Associate Actuary, Risk and Compliance work assignments involve moderately complex to complex issues… more
- First Horizon Bank (Miami Lakes, FL)
- …and prepare cases for review and approval by management. + Provide risk rating recommendations to management for clients' relationships reviewed, by determining if ... client is low or potentially high risk . + Onboarding - Review and Analyze prospect client(s)...equivalent combination of education and experience 2. Compliance and Risk Management Experience - 0 -2 years of BSA… more
- AdventHealth (Orlando, FL)
- …601 E Rollins St., Orlando, FL 32803 **Unit Highlights:** + The OB High Risk Unit provides exceptional antepartum care in a facility that does approximately 4000 ... 2 & 4 NICU units. + The OB High Risk unit is also unique to this area as...ripening inductions on our floor. + The OB High Risk unit is supported by a variety of resources… more
- Molina Healthcare (Jacksonville, FL)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and execution ... for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure accurate… 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
- Raymond James Financial, Inc. (St. Petersburg, FL)
- The Operational Risk Professional III provides support for Registered Investment Advisors (RIA) in Fixed Income and Money Movement transactions. This role is ... Experience** * Minimum 2 years of experience in product management or fraud risk management. * High School Diploma or equivalent and minimum of two (2)… more
- Citigroup (Tampa, FL)
- …project can be completed. + Directs the communication of status, issue, and risk disposition to all stakeholders, including senior management, on a timely basis. + ... responsible for various projects to improve efficiencies. + Appropriately assess risk when business decisions are made, demonstrating particular consideration for… more