- Centene Corporation (Tallahassee, FL)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... , Legal or related field; or equivalent experience required + 3+ years Audit, risk adjustment and/or compliance required + Previous experience in risk … more
- Citigroup (Tampa, FL)
- …that contribute to the definition of the Enterprise Data Governance Strategy, and/or Data Risk and Control Framework and Data Risk Taxonomy, and plays a critical ... role in leading activities to support implementation of the Data Governance Policy/Data Risk and Control framework. The role will play a critical leadership role in… more
- Citigroup (Tampa, FL)
- …will lead a key execution component of a critical program focused on Adjustment Reduction and Data Automation, directly tied to key regulatory concerns. This ... to effectively manage relationships with internal audit, central Transformation teams and senior leadership across Data, Technology, and second and third lines of… more
- CVS Health (FL)
- …the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required.… more
- Citigroup (Tampa, FL)
- Wholesale Lending and Enterprise Data Business Execution Senior Analyst - Vice President - Hybrid The Business Execution Senior Analyst (Data Governance ... and implementation of the Enterprise and Wholesale Loans Data Governance Strategy, Data Risk and Control Framework, and plays a critical role in activities to… more
- RELX INC (Boca Raton, FL)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Bristol Myers Squibb (Tampa, FL)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager, Project Contracts Manager will be the primary and embedded ... with Business Partners is required to ensure flawless project executions. The Senior Manager will be responsible for advancing the existing procurement process and… more
- Amazon (Jacksonville, FL)
- …more important. To support this priority, Amazon is seeking an experienced and innovative Senior Site Workplace Health and Safety (WHS) Manager to join our team. In ... in order to execute company WHS policies and ensure compliance to all applicable local and regional regulations. By...lead continuous improvement initiatives to reduce conditional and ergonomic risk in Amazon's processes to ensure a safe and… more
- AdventHealth (Maitland, FL)
- …in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms ... of managed care contracts and proposals, analyze fee schedules, and determine contract compliance . The Senior Medical Economics analyst must have attention to… more
- Humana (Tallahassee, FL)
- …teams, including IT, Quality Operations and Compliance , and Risk Adjustment , as well as vended partners. The Senior Data Quality/Integrity Engineer is ... put health first** Humana's Health Quality and Stars organization is seeking a Senior Data Quality/Integrity Engineer to deliver quality and value in a fast-paced,… more