- MAPFRE Insurance (MA)
- …of actuarial models across multiple US states. This role combines advanced coding expertise with deep actuarial knowledge to drive innovation, improve efficiency, ... and ensure compliance in a dynamic environment. **What You'll Do** +...outputs. + **Lead Governance:** Oversee model documentation, validation, and compliance processes. + **Mentor Talent:** Guide junior modelers and… more
- Wolters Kluwer (Cary, NC)
- …and capacity/performance engineering-aligned with product objectives. **Governance, Risk, and Compliance ** . Define release governance and change management controls ... audit trails) integrated into platform tooling, partner with Security, Risk, and Compliance for continuous assurance. . Ensure adherence to quality standards and… more
- Humana (Indianapolis, IN)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
- Robert Half Finance & Accounting (Bakersfield, CA)
- …solid understanding of accounting principles. You will manage a team, ensure compliance with policies, and drive process improvements to enhance efficiency. For ... schedules. * Develop and enforce policies and procedures to maintain compliance and improve operational workflows. * Lead month-end, quarter-end, and year-end… more
- National Health Care Associates (Stafford Springs, CT)
- …for services provided. You will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... conventions. **Key Responsibilities:** + Lead and oversee the MDS program, ensuring compliance and accuracy in assessments + Determine Patient Driven Payment Method… more
- CenterWell (Phoenix, AZ)
- …the organization in community and marketing events. + Develop and maintain compliance with the departmental and physician budgets. + Assess, develop and recommend ... strategies for compliance with regulatory requirements. + Develop and maintain an...HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging… more
- BlackRock (New York, NY)
- …into one integrated system. From portfolio management and trading to compliance , operations, and risk oversight, Aladdin brings together people, processes, and ... service. Product Experts have deep subject matter expertise within Trading and Compliance . The role focuses on resolving complex client inquiries, enhancing the… more
- College of Saint Benedict & Saint John's University (Collegeville, MN)
- …gift and biographical information is entered consistently, accurately, and in compliance with organizational policies, IRS regulations, data privacy laws, and ... of contacts therein. + Establish and enforce data entry protocols, coding structures, and quality-control measures. + Perform regular audits to ensure… more
- Emory Healthcare/Emory University (Duluth, GA)
- …policies, procedures, and controls to ensure fiscal responsibility and compliance with regulatory requirements in partnership with the Corporate Controller. ... cycle activities of the Hospital, including patient registration, precertification, coding , clinical documentation integrity, billing, cash collections, and denials.… more
- FranklinCovey (Madison, WI)
- …security + **Raise the engineering bar** + Establish engineering excellence: coding standards, design reviews, incident response, on-call, test automation, CI/CD, ... **Dev/SecOps** (you don't manage them): security reviews, vulnerability remediation, compliance , infrastructure costs, and monitoring + **Champion reliability, accessibility,… more