- CareFirst (Baltimore, MD)
- …the Business Operational Plan for risk adjusted segments to support audit readiness. Update, create and maintain business process and technical workflow ... risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses and… more
- Mohawk Valley Health System (New Hartford, NY)
- …with legal department. + Keeps current with regulatory requirements related to risk management. + Manages insurance claims in coordination with other ... required. + Works collaboratively with Compliance department to implement a comprehensive internal audit plan focused on high risk areas. + Collaborate with… more
- USAA (Colorado Springs, CO)
- …of NAIC regulations and have knowledge of life, annuity, and health insurance claims . Experience with risk assessment, including Risk and Control ... degree. + 6 or more years experience in compliance, risk , legal or audit within the financial...regulations. + Knowledge of life, annuity, and health insurance claims . + Risk assessment experience; RCSA and… more
- Community Health Systems (Laporte, IN)
- … risk management practices, incident reporting, and corrective actions to mitigate risk . + Manages claims and litigation processes, coordinating with legal ... **Job Summary** The **Director of Risk Management** provides strategic leadership in developing, implementing, and maintaining the hospital's risk management and… more
- Avera (Sioux Falls, SD)
- …in regards to Risk Adjustment and HEDIS. + Supports annual RADV ( Risk Adjustment Data Validation) audit with multiple Health Plans departments. + ... you matter.** **A Brief Overview** Responsible for activities focused around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets… more
- 7-Eleven (Irving, TX)
- …monthly results. + Prepare quarterly loss and exposure data for actuaries and risk /industry benchmarking. Audit and review data collection. + Reconcile quarterly ... Corporate Insurance and Risk Management Analyst Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/ Risk -Analyst\_R25\_0000009032/apply)… more
- Grant Thornton (Chicago, IL)
- …Strong understanding of legal concepts relevant to tax professional services risk and liability, including contracts, corporate law, mergers and acquisitions, ... malpractice claims and litigation, civil practice and procedure, and discovery....Ability to serve in the role and manage tax risk across a wide range of areas of tax… more
- AIG (Atlanta, GA)
- …to adequately address risk arising from changes in technology or process . + Monitor existing Claims operational control structure and ensure necessary ... the Globe, acting as the primary liaison between Enterprise Risk Management (ERM), Internal Audit Group (IAG),...Audit Group (IAG), Compliance, External Auditors and the Claims organization. How you will create an impact +… more
- Ford Motor Company (Dearborn, MI)
- …strategic decisions, or adoption of best practices . Manage internal and external audit procedures **UW Audit Process :** . Manage overall underwriting ... compliance . Lead and manage the quality/content of Underwriting audit findings and the audit process... to do so. Implement and monitor supplementary underwriter self- audit quality control processes ** Risk Management:** .… more
- City of New York (New York, NY)
- …of this proportion, not being able to adequately replace or staff ACS' Internal Audit & Risk Management Unit will greatly impact our ability to effectively ... (13) lines of service operations, invoice payments and approval process . The Internal Audit team consisted of...of Service (LOS) that require attention or have concerning risk factors. DCAS' ACS provides audit /review and… more