- Healthfirst (NY)
- **Duties:** + Develop and maintain risk score forecasting models to assist Actuarial in budget, quarterly forecasting and bid + Manage revenue trend models and ... + At least 5 years previous work experience within risk adjustment + Credentialed Associate of the Society of...BI). + Experience in modeling the financial impact of risk revenue changes. + Experience in supporting Product and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …operational excellence. **Primary Function/General Purpose of Position** The Risk Score Accuracy (RSA) Program Manager provides leadership, oversight, ... (preferred) **Work Experience** 5 years of experience progressive responsibility, with risk score accuracy or quality outcomes experience, with a payer… more
- ChenMed (Miami, FL)
- …patient. + Conducts medical charts to identifying opportunities for improving individual member risk adjustment score accuracy . + Provides feedback to ... we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly...record should be queried to provider and assess to accuracy . + Reviews for clinical indicators and query providers… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH PROGRAM MANAGER III (DIRECTOR OF MEDI-CAL OPERATIONS) - EMERGENCY APPOINTMENT (HOMELESSNESS) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5076624) HEALTH PROGRAM MANAGER III (DIRECTOR OF MEDI-CAL OPERATIONS) - EMERGENCY APPOINTMENT… more
- City National Bank (Los Angeles, CA)
- …are tuned and tested periodically, and models and documentation meet bank Model Risk Management requirements. Sr Manager shall work with Technology and ... Processing, to further enhance and target detection scenarios and risk themes. Regarding OFAC solutions, manager shall...efficiencies. * Accountability for the governance (eg, completeness and accuracy ) of data used on AML systems and tools.… more
- CHS (Clearwater, FL)
- …with the Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes ... **Overview** **Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:**...measured by timely turnaround and a high degree of accuracy . Accuracy is measured by adherence to… more
- Justice, Bureau of Prisons/Federal Prison System (Pollock, LA)
- …Meet CTAP or ICTAP eligibility criteria; 2. Be rated well-qualified for the position with a score of 85 or above based on scoring at least half of the total possible ... program. The goal of this program is to eliminate or control the risk of injury to personnel assigned to clerical, administrative, maintenance, warehousing, and… more
- CalSTRS (Sacramento, CA)
- …Chartered Financial Analyst (CFA), Certified Commercial Investment Member (CCIM), Financial Risk Manager (FRM), Certified Investment Management Analyst (CIMA) or ... Job Posting: Associate Portfolio Manager , Investment Performance & Compliance State Teachers' Retirement System JC-492505 - Associate Portfolio Manager ,… more
- Ventura County (Ventura, CA)
- …financial information while supporting portfolio management, investment compliance, and risk assessment. This position may supervise lower-level staff. Senior ... under the Treasurer's direction, aligning with financial objectives, liquidity needs, risk tolerance, and compliance with Government Code, Investment Policy, and… more
- Manulife (Workman, MN)
- …while maintaining our reputation for service excellence. The **Plan Implementation Manager (PIM** ) will apply their knowledge, experience, and understanding of ... plan set-up is completed with a high degree of accuracy . Success will be measured externally by net promoter.... Success will be measured externally by net promoter score results at time of go-live and within a… more
- Manulife (PA)
- …while maintaining our reputation for service excellence. The **Plan Implementation Manager (PIM** ) will apply their knowledge, experience, and understanding of ... plan set-up is completed with a high degree of accuracy . Success will be measured externally by net promoter.... Success will be measured externally by net promoter score results at time of go-live and within a… more
- Sevita (Triadelphia, WV)
- …have several years of experience working in human services, and as a case manager ? Bring your clinical and organizational skills to a team-based workplace that puts ... cases within the assigned management team for individuals in programs for At- Risk Youth or individuals with intellectual or development deficits, provide direction,… more
- Ralliant (Trenton, NJ)
- **Job Title: Strategic Account Manager (SAM)** **Reports To:** Vice President, Commercial Operations **Location:** Remote - Location near assigned customer(s) ... Dallas, TX (preferred) **Role Summary / Purpose Statement** **The Strategic Account Manager (SAM) serves as the trusted, primary interface with key customers,… more
- Republic Services (Canton, OH)
- **POSITION SUMMARY:** The Manager Transportation manages the daily activities of transportation including, Retail, Less Than Load (LTL), and other Self-Performed ... transportation compliance audits and reviews financial reports and invoices for accuracy and adherence to budget. Monitors and assists with keeping operational… more
- CHS (Clearwater, FL)
- …which mandate a high level of service, including telephone service, accuracy , call resolution and satisfaction. The Member and Provider Services Supervisor ... all Team members understand the importance of privacy and accuracy in the information they provide, and work with...in the information they provide, and work with Enterprise Risk Management (ERM) Auditors on any quality issues which… more
- Trinity Health (Ann Arbor, MI)
- …using continuous tele-visual monitoring to assure patient safety including patients at risk for falls, elopement, or other safety issues as identified by the ... practice. + Additional duties as assigned by the hiring manager /supervisor. **EDUCATION AND EXPERIENCE:** Education: + High School Diploma...complete a basic arrhythmia class and receive a passing score within first 30 days of employment. + Must… more
- The Cigna Group (Mclean, VA)
- …in managing a moderately complex book of business as assigned by the manager . Accountable to proactively manage, respond and address client and broker inquiries ... plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth. The ideal candidate will have… more
- Louisiana Department of State Civil Service (LA)
- …analysis of capital, asset quality, earnings, liquidity, and sensitivity to market risk and may include review of management oversight, information technology, and ... to pass a drug screening, provide a credit history report with a FICO score , and be fingerprinted for a criminal background check. All prospective new hires will… more
- Naval Facilities Engineering Command (Mayport, FL)
- …assigned personnel. You will oversee and manage Cybersecurity and Risk Management Framework principles, organizational strategy, governance, resources and community ... issues that could negatively affect operations including security system risk and vulnerability monitoring, identification, assessment, evaluation, contingency planning,… more
- Bank of America (Bloomington, MN)
- …service providers based on client needs and asset thresholds + Mitigates and controls risk as part of daily activities + Identifies and engages potential new clients ... can be extended with the condition that a passing score is received for the missing series within 60...+ Client Management + Policies, Procedures, and Guidelines + Risk Management + Written Communications **Minimum Education Requirement:** High… more