- 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 ... member and provider outreach. + Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap,… more
- Citigroup (Tampa, FL)
- …role responsible for performing moderately complex audits and assessments of Citi's risk and control environments in coordination with the Audit team. The overall ... standards + Review and approve the Business Monitoring Quarterly summary and serve as lead reviewer for all reviews + Collaborate with teams across the business and… more
- Datavant (Tallahassee, FL)
- …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...to enhance AI-driven coding accuracy + **Data Integration** + Lead efforts in collaboration with the Retrieval Product team… more
- Carnival Cruise Line (Miami, FL)
- Risk Advisory and Assurance Services (RAAS) is a diverse global team, recognized by the Audit Committee and senior management as their partner for providing advisory ... significant strategic, financial, operational, technology and compliance risks. The Senior Risk Advisory and Assurance Consultant is responsible for performing end… more
- TD Bank (Fort Lauderdale, FL)
- …on a range of tasks and may be relied upon to coach / educate others + Lead projects of moderately to complex risk and resource requirements; may lead ... of data and analytics. Works independently as a senior lead and may manage and direct activities related to...larger projects. **Position Overview:** We are building out a Risk Management pillar for first line data management to… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …preparation and approval of Loan Reviews for certain Corporate Loans + Recommends risk rating upgrades and downgrades of Corporate Loans + Manages the Loan Review ... to electronic imaging of credit/collateral files. + Works closely with Credit Risk Executive and Corporate Banking Executive to administer all aspects of existing… more
- Humana (Tallahassee, FL)
- …sits within the MRA Finance team and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful ... candidate will lead efforts to model future financial performance, incorporating insights...+ Experience with Medicare Part D + Familiarity with Risk Score Data + Python **Additional Information** + This… more
- The Walt Disney Company (Orlando, FL)
- …Quantify cost factors to deliver program including resources, project oversight, objective risk , and related contingency. + Lead strategic planning and ... Director of Portfolio, Project & Program Management. Additional responsibilities include: + Lead team of business analysts and project managers and be responsible… more
- Amazon (FL)
- …for handling new issues that arise in a business-centric way while addressing risk . Typical transactions will range from standard claims settlement to complex high ... efficiency, and cost containment. * Develop strategy and actions plans to lead process improvement initiatives through internal and external team collaboration. *… more
- Amazon (Miami, FL)
- …build trust, influence change, and drive results will be crucial as you lead comprehensive risk assessments and transform safety data into actionable strategies. ... into every aspect of our business. Use compelling data analysis and risk insights to influence positive change and drive strategic decision-making. Establish… more