- Molina Healthcare (Orlando, FL)
- … Risk Adjustment Data Validation **Preferred License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional Payer - ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- SolomonEdwards (Tallahassee, FL)
- …for data analytics and model validation. . Strong understanding of risk modeling frameworks (credit, market, liquidity, AML, etc.). . Excellent written and ... **About Us** SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and… more
- CBRE (Tallahassee, FL)
- Commercial Pricing & Risk - Business Development Manager (Transformation Pricing) Job ID 230042 Posted 07-Aug-2025 Service line GWS Segment Role type Full-time Areas ... operating expense budgeting, fee analysis, benchmarking, and other financial analytics . Interact with client through participation in introductory meetings pitches… 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...how to design new processes and systems that meet professional standards. Collate and analyze data using preset tools,… more
- USAA (Tampa, FL)
- …proactive communication and engagement strategies. + Utilize reporting, data, and analytics to measure process and project performance, deliver process operational ... are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's… more
- 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 ... and key performance indicators. + Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both prospective and… more
- Lockheed Martin (Orlando, FL)
- …align key program dependencies, identify schedule risks, and provide detailed analytics to stakeholders\. The selected candidate will perform detailed schedule ... assessments which will identify gaps and potential risk areas to the program\. This role also includes responsibility for coaching, mentoring, and technical skills… more
- Travelers Insurance Company (Tallahassee, FL)
- …Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime insurance, and surety bonds to or on behalf ... non-attorney claim colleagues, and participate in BSI claim strategic initiatives. Professional Liability: Travelers' Professional Liability Team offers errors… more
- AdventHealth (Maitland, FL)
- …+ Epic HB Certification Required 6 years experience performing data, financial and/or risk analytics in a healthcare environment Required 4 years of managerial ... other VBA agreements between physicians/hospitals and payers/networks through detailed data analytics by provide accurate finance models Identify risk /exposure… more
- USAA (Tampa, FL)
- …partners, as well as an ability to work independently. + Certified Catastrophe Risk Management Professional (CCRMP) or Certified Specialist in Catastrophe ... FL. **As part of Catastrophe Modeling team in the P&C Catastrophe Risk Management organization, this individual will run catastrophe modeling software, validate that… more