- Excellus BlueCross BlueShield (Rochester, NY)
- …arrangements to ensure realization of the expected value from the relationship. Executes risk adjustment vendor contracts and contract renewal negotiations. ... to advise on and justify their current use. + Leads strategic risk adjustment vendor outsourcing arrangements, and develops all communications related for… more
- UPMC (Pittsburgh, PA)
- …team members. Provides audit and coding related support to the internal Risk Adjustment Department. **Responsibilities:** + Utilize standard coding guidelines, ... period or review time frame. + Participate in government Risk Adjustment Data Validation audits (RADV) conducting...coding related audit support. + Assists Team Lead and/or Manager with research, resolution and response of audit errors,… more
- Amazon (Tempe, AZ)
- …across Amazon to drive the development of our maintenance business. This Senior Vendor Performance Manager will be responsible for defining the vision, roadmap ... required for this role. Key job responsibilities * Senior Vendor Performance Manager for vendor ...long-term timelines and project phases. * Lead supply chain risk mitigation activities and correct vendor performance… more
- Amazon (Seattle, WA)
- …cybersecurity, data security, internal risk , threat intelligence, regulatory compliance, vendor risk , etc. with data analysis and/or technical skills. We ... shares that passion. We are looking for an experienced Manager with background in risk , digital fraud,...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (New York, NY)
- … Risk Management & Claims team is seeking a motivated and experienced Principal Risk Manager . The ideal candidate will be familiar with insurance and claims ... history of success in process improvement, have experience in vendor lifecycle management, and understand institutional program design and...day in the life In this role, the Principal Risk Manager will use their expertise in… more
- Amazon (Seattle, WA)
- …help us keep it that way! To achieve this, we are looking for an experienced Risk Manager to join our team with background in risk /digital fraud, abuse, ... fraud, cybersecurity, data security, internal risk , threat intelligence, regulatory compliance, vendor risk , etc. with strong data analysis skills and and… more
- Amazon (Irvine, CA)
- …real-world challenges into sustainable success. Our team is looking for a senior risk manager to own launching products and programs that facilitate DSP ... for the DSP network. - Define program metrics, success critiera, and risk indicators to measure effectiveness. - Own end-to-end strategy for credential sharing… more
- Amazon (Seattle, WA)
- …Amazon Health Services (AHS) is searching for a talented Healthcare Compliance Senior Risk Manager to help us evolve the technology and processes needed ... overseeing and managing complex industry relationships by evaluating regulatory risk , identifying compliant solutions to complicated contract requirements with third… more
- Amazon (Arlington, VA)
- …department support globally by engaging with operations, finance, and legal teams. Reporting to a Risk Manager within Treasury, this Risk Analyst will join a ... on insurance program changes, retention, and exposures. - Assist Risk Manager on collection and review of...- Assist with management of carrier accounts in the vendor management system. - Identify, communicate, and champion process… more
- CVS Health (Albany, NY)
- …regulated environment + Vendor management experience. + Experience with CMS Risk Adjustment programs. + 7+ years of healthcare, health insurance, or ... Manager , within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities not limited to, reconciliation and aggregation,… more