- Molina Healthcare (Roswell, NM)
- **Job Description** **Job Summary** The Lead , Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive ... them to perform the tasks required. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective...the summary of findings and resolutions. + Design and lead development of tracking system for risk … more
- Amazon (Seattle, WA)
- …are seeking an exceptional Sr. Manager, Applied Science - Global Selling Partner Risk Intelligence and Prevention, to lead the development and implementation of ... and a 3-year science plan for the selling partner risk management * Lead and manage a...of hands-on work in big data, machine learning and predictive modeling experience - 5+ years of people management… more
- LA Care Health Plan (Los Angeles, CA)
- …enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment , provider networks, provider performance, population health ... commercial insurance operations, and compliance reporting Knowledge of prescriptive analytics, predictive risk modeling, or causal impact modeling. Ability to… more
- Amazon (North Reading, MA)
- …intelligence and machine learning, manipulation, simulation, robotic management software, predictive analytics, and much more. The Amazon Robotics Supply Chain ... metrics. We are seeking Robotics Supply Chain New Product Lead - Tech tackle to most critical, technologically advanced...plan and associated sourcing and tooling requirements, supply chain risk assessment & mitigation plans. - Work with sourcing… more
- LA Care Health Plan (Los Angeles, CA)
- …translate findings into actionable insights for strategy and business planning. Domain Focus: Risk Adjustment Analytics Required: Experience with risk ... to optimize plan revenue and quality scores. Knowledge of regulatory requirements impacting risk adjustment (eg, Centers for Medicare and Medicaid Services (CMS)… more
- Entergy (The Woodlands, TX)
- …asset management, work management, corrective maintenance, preventative maintenance, predictive maintenance, operations monitoring and control, processes, procedures ... safety, customer service, project execution, commissioning, financial and operational excellence + Lead development of scope of work documents for EPC contracts as… more
- Amazon (Herndon, VA)
- …The Environmental team has responsibility for managing Environmental requirements and risk from site selection through to decommissioning. This role requires a ... digital tooling initiatives across organizational boundaries. The ideal candidate must lead on Smartsheet's development, integration and enhancements and be strong… more
- Amazon (Herndon, VA)
- …and risk assessment - Strong background in statistical analysis, predictive modeling, and machine learning algorithms - Expertise in building real-time analytics ... The Environmental team has responsibility for managing Environmental requirements and risk from site selection through to decommissioning. This role requires a… more
- PNC (Pittsburgh, PA)
- …success. As a Quantitative Analytics and Model Group Manager within PNC's Model Risk Management organization, you will be based in Pittsburgh, PA, New York City ... Validation Manager to be a part of our Model Risk Management team at PNC. The position reports to...validators) and providing expert oversight. The role will also lead reviews of the most complex and high-impact models.… more
- RELX INC (St. Paul, MN)
- …challenges and meaningful impact. About the Role: We're seeking a Data Scientist to lead predictive modeling and statistical analysis across domains such as ... About the Business: LexisNexis Risk Solutions is the essential partner in the...Science, Statistics, Mathematics, or related field + Experience in predictive modeling. + Proficiency in SAS, R, Python, and… more
- RELX INC (Alpharetta, GA)
- …to implement solutions? This might be the role for you! About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Geisinger (Danville, PA)
- …Health, and collaboration with Clinical Institutes, Home-Based Services, Health Plan Leadership, Risk Adjustment , HEDIS, and Quality and Safety teams. The role ... and payment models. + Monitor and improve performance metrics (HEDIS, CMS Star Ratings, risk adjustment ). + Drive the 'Total Cost of Care' strategy by… more
- Bristol Myers Squibb (Princeton, NJ)
- …engine into day-to-day ways of working and drive adoption. The Director will lead a small team and vendor partners focused on engine operations, configuration, and ... Business Insights and Technology teams to develop, deploy, and refine predictive and prescriptive models (eg, propensity, response, next-best-action). + Define the… more
- Bristol Myers Squibb (Princeton, NJ)
- …Business Insights and Technology teams to develop, deploy, and refine predictive and prescriptive models (eg, propensity, response, next-best-action). + Define the ... to identify adoption barriers and inform future enhancements. **Manage Risk , Governance & Compliance** + Ensure that business rules...to update logic when policies, labels, or regulations change. ** Lead Team, Vendors & Budget Within Scope** + May… more
- Bristol Myers Squibb (Princeton, NJ)
- …development of proactive risk management capabilities (Emerging and Predictive Risk ), including developing and maintaining analytics and visualizations ... resilience from a Business Continuity Management (BCM), Crisis Response, and proactive risk identification and mitigation perspective. This role will support the BCM… more
- St. Peters Health (Helena, MT)
- …compliance. Preferred Qualifications + Experience supporting value-based care, population health, or risk adjustment . + Familiarity with HL7, FHIR, ICD-10, CPT, ... cost containment + Operational efficiency and access + Value-based care and risk -based contracts + Oversee dashboards, KPIs, predictive models, and self-service… more
- BAE Systems (Nashua, NH)
- …Monitor program schedule performance, track plans and schedules, perform schedule risk analyses, identify and resolve critical path and network logic conflicts. ... focus and intervention in critical areas. Responsibilities include: + Lead /facilitate the development and maintenance of the Performance Measurement Baseline.… more
- The Estee Lauder Companies (New York, NY)
- …to set direction and oversee, accelerate and deliver the evolution of our predictive analytics capabilities. Key Roles & Responsibilities + Be a single point of ... contact for Apex program to lead IT D&A activities. + Collaborate with Apex IT...and delivering against their project commitments. + Manage project risk exposure and escalate functional, quality, timeline issues appropriately.… more
- Geisinger (Danville, PA)
- …Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders ... initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to assess the impact of reimbursement changes.… more
- Actalent (Clayton, NC)
- …will lead the execution of Reliability Centered Maintenance (RCM), predictive maintenance (PdM), and mechanical integrity to ensure asset availability, uptime, ... + Establish work management, planning, and scheduling processes for preventive, predictive , refurbishment, and shutdown activities. + Design and implement a… more