- 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
- Molina Healthcare (Jacksonville, FL)
- …Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and ... required for audit response. + Collaborate with internal stakeholders-including IT, Risk Adjustment operations, clinical teams, and retrieval vendors-to ensure… more
- Molina Healthcare (St. Petersburg, FL)
- …monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment , Risk Adjustment Data Validation, and ... performance measures that support business objectives. + HEDIS Operations experience. + Risk Adjustment and Data Validation experience. + Chart Collection audit… more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** The Junior Analyst will play a supporting role on the RADV ( Risk Adjustment Data Validation) team, assisting in the execution of CMS and ... and confirm required data elements. + Collaborate with internal teams-including IT, Risk Adjustment operations, and clinical teams-to ensure accurate and… 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
- Amazon (Miami, FL)
- …field, or equivalent experience - 3+ year(s) of experience in IT security, compliance , or risk management - Experience in technology automation, implementation, ... with automation and scripting (eg Terraform, Python) - Knowledge of security and compliance standards (eg HIPAA, GDPR) - Strong communication skills with the ability… more
- Bristol Myers Squibb (Tampa, FL)
- …. Bristol Myers Squibb (BMS) is seeking a candidate for the position of Senior Manager, Procurement, Third Party Risk Management. The Senior Manager ... Standards and functional SOPs. On the on-going base the Senior Manager ensures compliance to TPRM requirements...interacting with all key stakeholders and SMEs from involved risk areas (IT, Quality, Corporate Security, EOHSS, Compliance… more
- CVS Health (Tallahassee, FL)
- …team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ensuring coding ... accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a...Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and… more
- The ODP Corporation (Boca Raton, FL)
- **Overview** The Senior Manager, Global Trade Compliance will be responsible for managing and overseeing all customs and trade compliance activities for the ... impact. **Primary Responsibilities:** + Manage and lead Veyer's Customs & Trade Compliance program to ensure all imported and exported products comply with all… more