- Pfizer (Sanford, NC)
- …products to patients. Our quality culture, which is both science and risk -based, is flexible, innovative, and customer-oriented. Whether you are engaged in ... on business needs and/or eligibility. **Sunshine Act** Pfizer reports payments and other transfers of value to health care...health care provider's name, address and the type of payments or other value received, generally for public disclosure.… more
- T. Rowe Price (Baltimore, MD)
- …responsible for oversight of lifecycle activity (ie rate changes, principal/interest payments , etc.) within Wall Street Office (WSO). Coordinates bank loan activity ... and implements process improvement initiatives with a critical focus on risk , control, and scalability. Collaborates with front office personnel, counterparties,… more
- Navy Federal Credit Union (Pensacola, FL)
- …and controls, to improve operational efficiency and effectiveness, mitigate risk and remediate operational and regulatory vulnerabilities. Conduct quality control ... to internal standards to identify issues and reduce potential risk exposure to Navy Federal + Perform and validate...or unverified websites. We will never ask candidates for payment , bank details or personal financial information during the… more
- Leidos (Hampton, VA)
- …mobility are available** . **Primary Responsibilities** + Advise, conduct and document risk assessments. + Help develop System Security Plans (SSP), Plans of Action ... **Preferred Qualifications** + Applicants possessing extensive working knowledge of Risk Management Framework (RMF), Assessment and Authorizations (A&A), Xacta IA… more
- White Cap (FL)
- …policies. The role plays a critical part in mitigating credit risk , protecting accounts receivable, and supporting long-term financial stability. **Major Tasks, ... and other legal measures to secure accounts receivable and ensure payment security. Assesses customer creditworthiness using credit reports and key performance… more
- AIG (Lenexa, KS)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. ... Recognize and pursue subrogation where warranted. + Recognize and make appropriate Risk and Fraud referrals. + Operate within our best practices guidelines,… more
- Centene Corporation (Tallahassee, FL)
- …contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment , utilization management, provider/vendor contracts, risk adjustment ... data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment:** Experience in risk adjustment, clinical coding,… more
- Navy Federal Credit Union (Vienna, VA)
- …inventory. + Design and automate reporting mechanisms for whitelisting status, risk scores, and ownership to improve visibility and decision-making. + Collaborate ... discussions to ensure whitelisting policies align with enterprise standards and reduce risk exposure. + Develop scripts and APIs to automate data integration and… more
- TEKsystems (Mount Laurel, NJ)
- …to detail, and the ability to identify control gaps and validate risk mitigation. Ideal candidates will have experience developing test plans, scoping control ... accurately and thoroughly. + Capable of identifying control gaps and validating risk mitigation measures beyond task completion. + Strong focus on linking evidence… more
- CVS Health (Chicago, IL)
- …improvement in claims processing and reimbursement. + Assesses impacts of new risk -sharing contracting terms and forecasts potential payments associated with ... Summary** Support CVS Health's financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for… more