- CareOregon (Portland, OR)
- Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Responsible for the development, execution, and management of the risk adjustment data analytics programs for the...Analyze RAF build over time and work closely with finance teams to forecast year-end RAF, leveraging historical RAF… more
- CVS Health (Northbrook, IL)
- …Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely with cross-functional ... opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment initiatives across the Aetna Better Health Plans.… more
- Corewell Health (Grand Rapids, MI)
- Job Summary As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ... also serves as a subject matter expert for the Risk Adjustment team. Essential Functions + Manages...of communication, interpersonal, leadership and analytical skills, such as finance , accounting or business management or related field. +… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Risk Adjustment Analyst III Job Category: Accounting/ Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, ... and to support the safety net required to achieve that purpose. Job Summary The Enterprise Risk Adjustment Analyst III will provide a key leadership role in the … more
- CVS Health (Hartford, CT)
- …We have an outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. ... Reporting to the Lead Director of Medicaid Risk Adjustment National Programs, this individual will...or Certified Professional Coder (CPC). Education Bachelor's degree in Finance , Health Care Administration or equivalent experience Pay Range… more
- Point32Health (Canton, MA)
- …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
- CVS Health (Hartford, CT)
- …responsible for provider/vendor/network outreach, production management, and reporting for the Risk Adjustment Retrospective Program for ACA, Medicare, MMP and ... DSNP lines of business. Required Qualifications 5+ years of finance related experience generally required, healthcare finance a plus. Excellent communication… more
- HSBC (New York, NY)
- …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:...a wide range of stakeholders including senior management across Risk , Finance , Front Office, and other areas… more
- Inspire Brands (Atlanta, GA)
- … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance , who...that will drive end to end remediation and strategic adjustment + Provide valuable and actionable insights that help… more
- Bloomberg (New York, NY)
- Senior Control Manager - Core Product - Finance & Administration **New York, NY** Posted Feb 5, 2024 - Requisition No. 123015 The energy of a newsroom, the pace ... experience in risk management + Bachelor's Degree or higher in Finance , Economics, Information Systems, or related discipline + Knowledge of financial markets,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4476650) Apply Property Claims Manager ... attorney. SUBSTITUTIONS: A master's degree in business or public administration, finance , accounting, statistics, insurance or risk management, safety or… more
- PNC (Pittsburgh, PA)
- …in a location within PNC's footprint. We are seeking an accomplished Senior Validation Manager to lead our Market Risk Model and Counterparty Credit Risk ... Senior you will be a member of the Independent Risk Management team reporting to PNC's Chief Model ...Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA). The Senior Validation Manager will… more
- Citigroup (O'Fallon, MO)
- The Finance Reporting Group Manager is a senior management level position responsible for accomplishing results through the management of a team or department in ... and reporting in coordination with the Finance team. Additionally, the Finance Reporting Group Manager develops reporting and control procedures to… more
- Aerotek (Hanover, MD)
- **Overview:** **Aerotek has an immediate opening for a Finance Operations Manager / Assistant Controller at the global headquarters in Hanover, MD.** **Job ... financial and performance reporting, compensation, and Ad hoc analysis. Mitigates company risk through collaboration with sales teams and field partners to ensure… more
- Inspire Brands (Atlanta, GA)
- …embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The ... Manager , Internal Audit - Technology will have the exciting...Audit - Technology who reports to the VP, Enterprise Risk and Chief Audit Executive (CAE). In this highly… more
- Bristol Myers Squibb (Princeton, NJ)
- …and impact business outcomes by analyzing operational, financial, and compliance data for risk and audit analytics. We're looking for someone who is passionate about ... of advanced analytics solutions and develop analytics-ready datasets for use by risk and audit team members. + Develop, publish, and maintain interactive dashboards… more
- Nebraska Public Power District (Columbus, NE)
- …closes May 17 at 11:59 pm Central Time. This position will report to the Manager of Enterprise Risk . **Position Summary** The incumbent is responsible for the ... on behalf of the District in conjunction with the Manager of Enterprise Risk and the District's...field is required. Emphasis in property casualty insurance, or finance is preferred. Eight (8) years of general business… more
- AdventHealth (Maitland, FL)
- …incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri Clinical ... limited to developing the overall structure and operations to support programs in Risk Adjustment coding, CDI review, working on Electronic Medical Record tools,… more
- CareOregon (Portland, OR)
- …Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance Manager Title Director, Actuarial Services Direct Reports Actuarial Staff ... Advantage bid; advise internal leadership on potential bid pricing strategies. + Collaborate with Risk Adjustment team to monitor risk adjustment applied… more
- The Cigna Group (Charlotte, NC)
- …includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance , Marketing, Cross-Segment Contracting, Provider ... The Provider Performance Enablement (PPE) Senior Manager is an integral part of a cross-functional,...strategy, compliance, and delegation oversight. + Supporting Stars & Risk Adjustment initiatives through local Provider Performance… more