- 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
- 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
- UCLA Health (Los Angeles, CA)
- …compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee the manager of the coding team and our ... at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director...with: * Bachelor's degree in Healthcare Administration, Public Health, Finance , Business Analytics, or a related field or equivalent… 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
- 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
- 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
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an immediate opening for a Finance Operations Manager / Assistant Controller at the global headquarters in Tempe, AZ.** **Job ... financial and performance reporting, compensation, and Ad hoc analysis. Mitigates company risk through collaboration with sales teams and field partners to ensure… more
- Bristol Myers Squibb (Summit, NJ)
- …processes and functions to proactively identify and mitigate financial, operational risk . + Sustains a strong Internal Controls framework, including maintaining ... current processes, where appropriate. **Qualifications and Experience** + BA or BS in Finance / Accounting. MBA and/or CPA strongly preferred. + Three to five years… more
- Bristol Myers Squibb (Trenton, 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
- AdventHealth (Altamonte Springs, FL)
- …secure executive commitment, develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Risk ... the overall structure and operations to support programs in Risk Adjustment coding, CDI review, Communication protocols,...concepts and critical success factors + Works with compliance, finance , and Quality to ensure compliance with CMS rules… more
- New York State Civil Service (New York, NY)
- Agency Financial Services, Department of Title Virtual Currency Financial Crimes Risk Associate (Financial Services Specialist 4 (Financial Crime Risk )) ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .* CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… 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
- Bloomberg (New York, NY)
- Product Manager - ESG Controversies & AI Insights **New...you to:** + Champion the vision for our ESG Risk solution, positioning it as a leading product in ... looking to hire an ESG News & Research product manager . This product manager 's effort will include...of various user types and workflows in the sustainable finance market and problems this product could dramatically solve… more
- GE Vernova (Atlanta, GA)
- …to talent development, both within and outside the function. The internal Audit Manager will coordinate with the Director to manage the audit process for assigned ... audits, including risk assessment, planning, audit execution and reporting results. The internal Audit Manager must act a trusted advisor to the CAE and Director… more
- Bristol Myers Squibb (Princeton, NJ)
- …risks. This individual will be a key contributor to the Company's overall enterprise risk management. The Senior Manager will partner closely with third party ... Controls Function (BCF) is a key contributor to the Company's overall enterprise risk management strategy. The BCF is a global organization with resources based… more
- The Cigna Group (Baltimore, MD)
- …includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance , Marketing, Cross-Segment Contracting, Provider ... **Role Summary** The Provider Performance Manager is a key member of a cross-functional,...relationships in order to drive optimal performance on Stars, risk adjustment , utilization management, and overall financial… more
- WellSense (Boston, MA)
- …teams to capture, value, and scorecard medical cost savings initiatives. + Leads risk adjustment analyses and risk score simulations. + Leads ... that works for our members, no matter their circumstances. The Actuarial Manager is a key member of the Finance / Actuarial Services team. As a team leader and a… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …domains, including population health management, quality measurement and performance improvement, risk adjustment and coding, and product management and ... medical/pharmacy service categories, benchmarking methodologies, retention/leakage analytics, and Medicare risk adjustment + Solid understanding of risk… more