- The Cigna Group (Bloomfield, CT)
- …Practices, HHS Protocols and any additional applicable rule set. * Utilize HHS' Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories ... IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and...(AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist… more
- Santander US (Boston, MA)
- …a methodology, cranking out lightning-fast machine learning code to create a model that predicts trends and automates validation , collaborating with ... Data** **Science -** **AI** **Design** , is a forward-thinking AI design specialist ready to transform how financial services harness the power of Snowflake… more
- BMO Financial Group (Chicago, IL)
- …into the planning and implementation of ongoing operational programs in support of the model validation / risk framework. + Leads in the design, implementation ... Looking For: + 7-10 years' experience in compliance, audit, risk or AML, with exposure to regulators. + Strong...Operates at a group/enterprise-wide level and serves as a specialist resource to senior leaders and stakeholders. + Applies… more
- PSEG Long Island (Bethpage, NY)
- …why we offer flexible work options depending on the role. In support of this model , roles have been categorized into one of three work location categories: 1. Onsite ... We are seeking a highly skilled Cyber Security Engineer and Operations Specialist to lead and support cybersecurity efforts in our Operational Technology (OT)… more
- TD Bank (Mount Laurel, NJ)
- …team. In this pivotal role, you will be responsible for financial crime risk model development and monitoring. **Depth & Scope:** + Generally accountable ... + Undertakes and completes a variety of complex initiatives requiring seasoned specialist knowledge and/or the integration of cross functional processes + Position… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- …UM Program Manager provides oversight and management of service authorization data validation , reporting and trend analysis related to purchased services in the ... supervision and support to a team of Clinical Coordinators, Fatherhood Engagement Specialist , Network Support Manager and Addictions Specialist . The UM Program… more
- Mount Sinai Health System (New York, NY)
- …+ Hold current/active New York Peer Certification. + New York Certified Peer Specialist , Provisional (NYCPS-P). + New York Certified Peer Specialist (NYCPS). + ... Requirements** + Demonstrate ability to navigate community resources. + Ability to model , facilitate, and convey the message that healing is possible and probable.… more
- Rush University Medical Center (Chicago, IL)
- …clinician, outcomes manager, client advocate, educator, information manager, system analyst/ risk anticipator, team lead, professional, and lifelong learner. The CNL ... provides insight regarding the microsystem for collaboration with the Clinical Nurse Specialist (CNS) on macrosystem processes and outcomes. The CNL and CNS roles… more
- UTMB Health (Galveston, TX)
- …collaboration with Pharmacy Services and Information Services, Pharmacy Informatics Specialist participates in the analysis, design, implementation, education, and ... JOB FUNCTIONS:** + Manage initiatives & projects of significant complexity and risk . Provide leadership to assigned delivery teams. Provide input to prioritized… more
- Trane Technologies (Montgomery, AL)
- …Automation? **Trane is seeking a Commercial HVAC Controls Technician / Building Automation Specialist in the Montgomery, AL area.** In this exciting role in our ... promotions as well as a tuition reimbursement program. + **Perks** :Late model , clean, and dependable company vehicle, high speed laptop, smartphone, specialized… more
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