- Universal Health Services (Reno, NV)
- …costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Risk Adjustment Submissions Manager is a core ... submissions and errors, applicable regulatory edits and business rules. The Risk Adjustment Submissions Manager maintains the throughput of encounter… more
- Point32Health (Canton, MA)
- …submission functions for the Risk Adjustment Department (RAD) including risk adjustment submissions to CMS, internal data reconciliations, data ... risk score trends, data/claims submissions and program performance to support risk adjustment analytics + Perform data analytics to support ongoing and… more
- Lockheed Martin (Bethesda, MD)
- …and Omissions Liability, Cyber Liability, some Workers' Compensation etc\. and providing general risk management support as Risk Manager to the Missiles ... paced cultural environment\. The position reports to the Director, Property & Casualty Risk in Bethesda, MD\. This leadership role is responsible for the management… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Financial Crime Risk Associate (FSS4 Fin Crime Risk ) Occupational Category Other Professional ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .* CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… more
- Actalent (Maryland Heights, MO)
- …process. The Senior Manager is expected to be able to identify risk and make risk -based decisions to facilitate solutions for process and submission. ... late this year or Q1 of 2025. The hiring manager (Katie) is currently managing both the clinical and...implementing and managing tracking systems, and preparation of electronic submissions . The main focus of this position will be… more
- CVS Health (Hartford, CT)
- …Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. Responsible for...timeliness; ensure data is ingested into CREW to drive submissions ; any and all CREW validation errors are worked… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …for potential safety signals, and author safety aggregate reports as needed. The Manager , Drug performs medical analyses for risk characterization to develop ... Risk Management Plans (RMPs). The Manager will also draft responses for regulatory authority inquires on aggregate reports and author applicable information and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Encounters Job Category: Administrative, HR, Business Professionals Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Manager of Encounter Data is responsible for coaching staff...lead for managing the process of encounter data management submissions , including the ongoing approval of both routine and… more
- Bausch Health (Bothell, WA)
- …alike. Reporting to the Sr. Director, Global Regulatory Affairs, the Senior Manager , Regulatory Affairs provides direct support to Solta operations for their ... maintaining regulatory compliance. * Provides the regulatory plan, guidance on risk assessment, and required corrective actions to meet regulatory requirements, as… more
- Bristol Myers Squibb (CA)
- …Saint-Laurent. Au plaisir de vous rencontrer!** **Position:** **Senior Tax Manager ** **Location: Montreal (Saint-Laurent), Quebec** **Job type: Permanent** **At ... Canadian market. This includes managing both the preparation of US reporting submissions and local tax filing requirements (direct and indirect taxes, transfer price… more
- Actalent (St. Louis, MO)
- Description: + Manage submissions and projects as assigned by Regulatory leadership assuring compliance, planning, and execution + Represent regulatory on ... expertise to cross-functional teams + Critically review documentation for regulatory submissions and provide input for necessary revisions + Contribute to defining… more
- Actalent (Gaithersburg, MD)
- Description: Program Manager to organize, monitor, and lead cross-functional teams with the goal of not only delivering products of high quality and value to the ... also of delivering them within agreed-upon schedule, resources, and budget. The Program Manager serves as the primary point of contact on all contractual matters and… more
- Actalent (Gaithersburg, MD)
- Description: Program Manager to organize, monitor, and lead cross-functional teams with the goal of not only delivering products of high quality and value to the ... also of delivering them within agreed-upon schedule, resources, and budget. The Program Manager serves as the primary point of contact on all contractual matters and… more
- reveleer (Glendale, CA)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... Corporate Tax Manager Onsite - Glendale, CA Reveleer is a...provider outreach and data retrieval, coding, abstraction, reporting, and submissions . Leveraging proprietary technology, robust data sets, and subject… more
- Actalent (Gaithersburg, MD)
- Description: The Program Manager works with the Manager Director of R&D, Scientists, Clinical Trial Manager and the Finance and Operations departments to ... to develop comprehensive program plans, which identify objectives, strategy, risks/ risk mitigation, budget, effort estimates, and schedules. * Establishes and… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Financial Services, Department of Title Virtual Currency Manager (Director Financial Services Programs 1, SG-31) Occupational Category Financial, ... public affairs, law, market analysis, mathematics, public administration, public policy, risk management, statistics, taxation, or technology and seven (7) years of… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …of selecting adverse event terms for the labelled or expected event and safety signal/ risk and make them up to date along with the MedDRA version. + Evaluate ... CDISC, standard coding dictionaries (MedDRA) + Experience with regulatory submissions (eg, NDA, MAA, DSUR, PBRER, PADER, etc.) +...offered. This salary may be subject to a geographic adjustment (according to a specific city and state and… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …maintenance,regulatory operations and filings-related activities including regulatory submissions , regulatory compliance, regulatory advice and counseling, ... of promotional and non-promotional materials. + Collaborates closely with the PMRC Manager and other members to quickly resolve issues that arise (escalating to… more
- New York State Civil Service (New York, NY)
- …(Certified Risk Information Systems Controls), CISM (Certified Information Security Manager ), CC (Certified in Cybersecurity), CGRC (Governance, Risk and ... or all, of the following subject matter areas: information security, risk management, end point and server technologies, network management and architecture,… more
- reveleer (New Albany, OH)
- …plans across all business lines greater control over their Quality Improvement, Risk Adjustment , and Member Management programs. With one transformative ... provider outreach and data retrieval, coding, abstraction, reporting, and submissions . Leveraging proprietary technology, robust data sets, and subject matter… more