- Coinbase (Harrisburg, PA)
- …foster collaboration, connection, and alignment. Attendance is expected and fully supported. Our Risk team is at the center of making Coinbase the most trusted name ... working with a cross functional group of data scientists, machine learning engineers, risk analysts, and designers to design systems and experiences to make sure… more
- Highmark Health (Pittsburgh, PA)
- …Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs comply with all applicable guidelines, regulations and laws ... and coding. Promotes the strategy and capabilities to develop risk management and physician / member initiatives that support...a team of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production coding… more
- Deloitte (Philadelphia, PA)
- …Intelligence is designed to inform stakeholders of the outside-in view of risk to identify "unknown unknowns" using traditional mainstream and social media analysis, ... allowing for better-aligned mitigation efforts based on the shifting trends in risk . This position requires a strategic thinker and self-starter that can develop big… more
- WTW (Philadelphia, PA)
- **Description** **The Role** As a Senior Consultant in the Corporate practice within Risk and Analytics, you will work on and assist project teams focused on ... by more senior colleagues with deep relevant experience. **The Business** The Risk and Analytics Corporate Practice includes over 100 actuarial professionals focused… more
- Datavant (Harrisburg, PA)
- …realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution ... for Datavant's Retrospective Risk Adjustment Coding products, driving client data standardization, data...roadmap for the Data Integration pod within the Retrospective Risk Adjustment Coding Product Suite + **Execution & Delivery**… more
- Highmark Health (Camp Hill, PA)
- …**Job Description :** **JOB SUMMARY** This job has oversight responsibility for all risk & quality assurance studies required by regulators, the Blue Cross Blue ... performance and program compliance. + Actively collaborates and presents with Risk Partner and Business Unit executives in customer and regulator meetings… more
- WTW (Philadelphia, PA)
- …Align with individual client sales strategies. + Conduct thorough needs analysis/ risk assessment to uncover prospects/clients' unique coverage needs. + Provide ... consultative advice in key risk areas. + Identify and close potential cross-sell opportunities....Develop new relationships with individuals responsible for insurance and risk management decisions. + Obtain referral leads from existing… more
- Raymond James Financial, Inc. (Pittsburgh, PA)
- …of BSA/AML models, including (but not limited to) Transaction Monitoring, Customer Risk Scoring, and OFAC/Sanctions Screening systems, as well as fraud models. ... Secrecy Act, US PATRIOT Act, and OFAC. + Model Risk Management regulatory guidance SR 11-7 and OCC 2011/12....work. + Collaborate with cross-functional teams in Financial Crimes, Risk , Compliance. + Follow structured validation procedures and meet… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …Quality and Patient Safety is responsible for all aspects of Quality, Clinical Risk Management and Patient Safety for their assigned entity. This individual will ... actual and potential adverse clinical events at assigned entity for risk prevention and mitigation initiatives utilizing root cause/intense analysis process. +… more
- AIG (Philadelphia, PA)
- …with years of experience to provide training, mentorship, and collaboration. Our Field Risk Engineers receive a wide range of benefits including a company car, the ... or Mathematics + Minimum three (3) years of highly protected risk , specialized industry, property risk + Knowledge of light and moderate hazard occupancies +… more