- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk ... the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.… more
- HCA Healthcare (Campbell, CA)
- …Quality and Risk Adjustment programs + Using the Cozeva tool, use analytics to define the Risk Adjustment program's strategy and focus + Collaborate ... Adjustment with HCA Healthcare, you can be a manager in an organization that is devoted to giving!...of key analytics and data to support Risk Adjustment financial forecasts and performance +… more
- PNC (Pittsburgh, PA)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... have an opportunity to contribute to the company's success. As a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk … more
- RELX INC (Atlanta, GA)
- … at the link below, https:// risk .lexisnexis.com About the Role The Senior Manager of Data Analytics & Business Intelligence (BI) will lead a high-performing ... About the Business LexisNexis Risk Solutions is the essential partner in the...with cross-functional teams to design data-driven strategies, develop scalable analytics solutions, and enhance our BI capabilities to support… more
- Bristol Myers Squibb (Princeton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Senior Manager , Business Development Analytics is a critical member of the BD ... and Strategy Analytics team. The Senior Manager serves as...have a strong background in statistics, forecasting, decision analysis, risk assessment, as well as prior experience working in… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager , Healthcare Analytics drives the execution of analytics … more
- Molina Healthcare (Covington, KY)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Senior Manager , Data Architecture (Financial Services Specialist 4 ( Risk ), SG-27) Occupational Category ... various portfolios at the entity level. The individual will collaborate closely with the Risk Data & Analytics team to supply surveillance data for in-depth… more
- Point32Health (RI)
- …care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment . In-depth health care reimbursement and managed care business ... . **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part of a team responsible… more
- BP Americas, Inc. (Houston, TX)
- …Operating Standards & Control Processes. The position reports to the Gas Commodity Risk Manager . Key Accountabilities: + Develop strong understanding of bp ... the portfolio. This is achieved through timely, rigorous, and accurate reporting and analytics of exposure, market risk , gross margin, cash and working capital.… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will drive ... the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the marketplace… more
- New York State Civil Service (Albany, NY)
- …No Agency Financial Services, Department of Title Virtual Currency Financial Crimes Risk Associate (Financial Services Specialist 4 (Financial Crime Risk )), ... is seeking candidates for the position of Virtual Currency Financial Crimes Risk Associate, (Financial Services Specialist 4, (Financial Crime Risk )), in… more
- New York State Civil Service (Albany, NY)
- …and Counterparty Managero Market, Liquidity and Asset Liability Management Risk Manager * Project Management Institute: Portfolio Management ... tasked with optimizing database performance, ensuring scalability, and enabling advanced analytics and reporting to support entity risk management functions.This… more
- AdventHealth (Maitland, FL)
- …+ Epic HB Certification Required 6 years experience performing data, financial and/or risk analytics in a healthcare environment Required 4 years of managerial ... in understanding professional and facility claims and managed care concepts such as risk adjustment , capitation, FFS, DRG, APG, APCs and other payment mechanisms… more
- RELX INC (Atlanta, GA)
- …in providing solutions that directly impact our customers' ability to grow while managing risk . About the Job: The Strategic Account Manager role exists to grow ... About the Business: LexisNexis Risk Solutions is the essential partner in the...engage decision-makers to establish new business relationships. + Sales Analytics & Competitive Intelligence - Utilize business analysis tools… more
- RELX INC (Dayton, OH)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...Responsible For: + In conjunction with the Strategic Alliance Manager , managing customer roadmap retention plans/actions to ensure protection… more
- Bristol Myers Squibb (Tampa, FL)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** The Senior Manager in Business Solutions & Reporting for Payroll is a critical ... as a key escalation point for technical and compliance issues. The Senior Manager will bridge payroll outputs with finance and accounting, support audit and… more
- RELX INC (Atlanta, GA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The Field Account Manager role will ensure and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...assigned accounts. Support the efforts of the National Account Manager including on-site visits, demonstrations and customer educational activities.… more
- Amazon (Tempe, AZ)
- …a candidate that shares that passion. We are looking for an experienced Program Manager to own a portfolio of global risk mitigation programs partnering with ... teams across the company to design, build, and maintain processes focused around risk mitigation and enforcement. You will set the vision, direction and execution of… more
- RELX INC (Alexandria, VA)
- …in providing solutions that directly impact our customers' ability to mitigate and manage risk . About the job: The National Account Manager role maintains and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
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