- Molina Healthcare (St. Petersburg, FL)
- …role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of ... complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. Develops and… more
- Santander US (Miami, FL)
- …possibilities **We Want to Talk to You!** **The Difference You Make:** The Senior Associate, Technology Risk Management within the Technology and Information ... Risk Management organization reports to the Senior Director - Technology Risk Management and is responsible for ongoing oversight, assessment, management and… more
- Amentum (Tallahassee, FL)
- …objectives. The Director acts as a key advisor to business units and senior leadership on risk -related matters and ensures compliance with regulatory and ... risk -related initiatives. + Serve as a deputy to the Senior Director and provide mentorship to the risk management team. + Represent the company in key broker… more
- Citigroup (Tampa, FL)
- …Knowledge, and Experience Qualifications:** + 20+ years of direct experience as a senior Non-Financial Risk professional (eg data, technology, or reporting ... Operational Risk Management (ORM) is an enterprise-level independent ...the primary interface to key stakeholders such as regulators, senior management, and the Board, as it relates to… more
- TD Bank (Fort Lauderdale, FL)
- …more specific details for this role. **Line of Business:** Financial Crime Risk Management **Job Description:** _Primarily Offsite: Our team currently operates under ... complex and diverse AML/ATF/Sanctions/ABAC function for an area of significant risk , complexity or scope while growing talent, developing skills and capabilities… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with… more
- Citigroup (Tampa, FL)
- …Finance, or related field and 2 years of experience as a Compliance Product Senior Analyst, Compliance Risk Management Senior Analyst, Regulatory Compliance ... Citibank, NA seeks a Compliance Product Senior Analyst for its Tampa, Florida location. Duties:...Program (ECP) for prevention of regulatory violations and compliance risk management. Support risk management framework development… more
- Citigroup (Tampa, FL)
- …a comprehensive and robust Managers Control Self-Assessment (MCA), also known as Risk & Control Self-Assessment (RCSA), and the execution of control activities thus ... improving identification and remediation of significant control issues and operational risk events in a timely manner. **Responsibilities** : + Provides leadership… more
- Molina Healthcare (Tampa, FL)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- CenterWell (Tallahassee, FL)
- …high-impact complex care initiatives to drive quality and cost improvement for high- risk senior populations in full risk Medicare arrangements. ... operations positions, preferably in value-based care, particularly managed care or full risk models + 2+ years of end-to-end project leadership experience +… more
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