- Centene Corporation (Jefferson City, MO)
- …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 + Risk Adjustment /HCC coding… more
- Ankura (New York, NY)
- …of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance , audit, and investigation projects for ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director...8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either… more
- Centene Corporation (Jefferson City, MO)
- …recommendations; design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... Skills and Abilities (KSAs)** + Deep knowledge of regulatory compliance and risk adjustment program...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Point32Health (Canton, MA)
- …identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted ... The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior leaders and external… more
- Amazon (Nashville, TN)
- …driven people. We are looking for an organized self-starter to join the Transportation Risk and Compliance (TRC) team at Amazon. The US Amazon Freight Partner ... to identify cross-functional risk mitigation opportunities - Provide highest-standards risk and business-review reports to senior management and business… more
- PNC (Pittsburgh, PA)
- …to the company's success. As a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk Management organization, you can ... Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and...models, such as Potential Future Exposure (PFE), Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA).… more
- Capital One (New York, NY)
- Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered by our passion for our ... their advice and to deliver high-impact results. As the ** Senior Manager, Technology Change Risk Oversight** you...risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies +… more
- Amazon (Jessup, MD)
- …customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview ... or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor… more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Senior Manager, Quality Systems - Change Control and Quality Risk ... This local process owner is accountable for the overall compliance and performance of the Change Control and QRM...site QRM systems, including maintenance of the site Quality Risk Register. + Establish and drive QRM governance maturity… more