- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Highmark Health (Atlanta, GA)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- Datavant (Atlanta, GA)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for… more
- RELX INC (Atlanta, GA)
- …of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of ... The successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively… more
- Humana (Atlanta, GA)
- …This position utilizes financial projection and analytics skills while working in Medicare risk adjustment . Additionally, you will work to build consensus with ... help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on...with Medical Claims or other healthcare data + Medicare Risk Adjustment Experience + Financial or actuarial… more
- Amazon (Atlanta, GA)
- …As a member of the AWS Professional Services Global Security, Risk , and Compliance practice you will pioneer technically advanced security solutions ... resources here to help you develop into a better-rounded professional . Work/Life Balance We value work-life harmony. Achieving success...Qualifications - 1+ year(s) of experience in IT security, compliance , or risk management - 3+ years… more
- Truist (Atlanta, GA)
- …Develop appropriate policies and procedural documentation to effectively manage the risk of GAAP non- compliance . Ensure the continual effectiveness of ... to help drive business decisions and strategy while ensuring compliance with regulatory guidelines and US GAAP - Oversee...and business units. - Continuously monitor the financial statement risk to provide input on initiatives to enhance control… more
- RELX INC (Alpharetta, GA)
- …a variety of financial services products and services, but primarily credit risk assessment, fraud analytics, and financial crime compliance applications. You ... Oversee the validation, monitoring, and performance assessment of credit risk and fraud detection models. + Ensure compliance...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Atlanta, GA)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- CenterWell (Atlanta, GA)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- AIG (Atlanta, GA)
- …processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. The Aerospace claims team is a ... stakeholder reporting requirements including critical identification of loss trends and risk management opportunities. You will be required to develop talent from… more
- RELX INC (Alpharetta, GA)
- …Continuous Monitoring Engineer Are looking for an opportunity to drive our FedRAMP compliance initiatives? Are you looking to become our FedRAMP SME? About the ... BusinessLexisNexis(R) Risk Solutions provides customers with solutions and decision tools...NIST guidelines. You will be to ensure the ongoing compliance of our organization's systems and infrastructure with FedRAMP… more
- AIG (Atlanta, GA)
- t AIG, we are reimagining the way we help customers to manage risk . Join us as a General Aviation Claims Specialist III to play your part in that transformation. ... consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Amazon (Atlanta, GA)
- …equivalent Preferred Qualifications - - Professional auditing qualification, or similar risk or compliance credentials as well as experience with research ... there's nothing we can't achieve. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- RELX INC (Alpharetta, GA)
- …for financial institutions and corporations. Their primary goal is to improve risk detection, reduce false positives, and streamline compliance workflows. ... in Quality Assurance is responsible for enhancing QA methodology and ensuring compliance by working with management to improve quality and process standards that… more
- Amazon (Atlanta, GA)
- …model. Basic Qualifications - Bachelor's degree or equivalent - 6+ years of compliance , audit or risk management experience - Knowledge of Microsoft Office ... using safety as the key driver to reduce the risk . Key job responsibilities - Work with the WW...ship modes (eg, air, ground, sea) - Audit program compliance - Ingesting process improvements and assisting in implementing… more
- Amazon (Atlanta, GA)
- …and zero trust architectures, incident response, threat intelligence, modeling, and response, compliance audits, and risk assessments. A sales background to ... business goals. The ideal candidate is an innovative cyber and security professional with exceptional stakeholder management skills, who can challenge, dive into… more
- RELX INC (Atlanta, GA)
- About the Business:LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/governmentAbout the Role:The VP… more