- Highmark Health (Frankfort, KY)
- …collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for ... monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role… more
- Brown-Forman (Louisville, KY)
- …Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and Partnership:_ Ensure our ... our internal tax experts and international insurance brokers to navigate complex compliance landscapes. + _Proactive Risk Identification:_ Play a pivotal role… more
- Guardian Life (Frankfort, KY)
- …want to be part of a collaborative Compliance Legal Team? As a Senior Compliance Analyst , Park Avenue Securities, and Park Avenue Investment Advisory, ... Rule 3110 and, in certain circumstances, various state insurance laws. The Lead Compliance Analyst is responsible for developing a risk -based plan for the… more
- Zoom (Frankfort, KY)
- What you can expect Zoom's Global Intelligence team is seeking a Senior Analyst who will combine advanced intelligence and investigative expertise. The Senior ... delivering impactful analysis and support to stakeholders across the company. As a Senior Analyst , you'll join a talented, multidisciplinary team that integrates… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Internal Controls Analyst Senior - Remote **Job Description** The Senior Internal ... value-added recommendations to improve the internal control environment within the department. The Senior Internal Controls Analyst will play a critical role in… more
- PPL Corporation (Louisville, KY)
- …member of the Enterprise Cybersecurity Compliance team, the Enterprise Cybersecurity Compliance Analyst is an experienced and detail-oriented compliance ... best practices and business drivers against framework requirements, business risk , and impact to make recommendations that minimize PPL's...5 or more years of work experience in a compliance or audit focused position or equivalent ( Senior… more
- Lincoln Financial (Frankfort, KY)
- …communications for all assessments in Lincoln's online information technology (IT) governance, risk , and compliance platform. + Responds to incoming requests ... Role at a Glance** This position will develop and conduct information security risk assessments on parties' external to Lincoln Financial Group to ensure that… more
- Citigroup (Florence, KY)
- …Financial Crimes Program in partnership with multiple functions such as Compliance , Operations, Technology, Risk , Audit, and multiple stakeholders at ... expertise related to policy and regulatory requirements up to senior management across the businesses and support functions +...of AML/KYC and Sanctions issues in partnership with Business Risk , Compliance , Operations and Technology teams +… more
- Highmark Health (Frankfort, KY)
- …SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality ... Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and...3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate… more
- PNC (Louisville, KY)
- …up to date meeting PNC guidelines. + After conferring with the manager or senior analyst , correspond, either verbally or in writing, as necessary with borrowers, ... to insurance. + With direction from the manager or senior analyst , interact with internal departments as...insurance decisions. Act as first line of defense, supports risk management, compliance , and audit needs as… more
- Citigroup (Florence, KY)
- …in the execution of Enterprise Risk Management Framework and adherence with Risk Management and Compliance + Policies. + Contribute to the oversight of ... management and decision-making in line with the expectations of senior management, Board, and Regulators. + Be involved in...+ Minimum of 5-8 years of experience in operational risk management, compliance , audit, or other control-related… more
- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...of Medicare claims, episode and condition groupers, case/episode and risk adjustment, patient attribution methodologies, and network analysis and… more
- Citigroup (Florence, KY)
- …processes to ensure adherence to established quality standards and identify areas of risk or non- compliance + Help review stakeholder/client feedback and respond ... standards **Qualifications** : + Minimum of 6-10 years of experience in operational risk management, compliance , audit, or other control-related functions in the… more
- Humana (Frankfort, KY)
- …Enterprise Growth, MarketPoint, Insurance, CenterWell, Digital, IT, Corporate Communications, Risk , Compliance , Legal, and Operations, among other lines ... performance across portfolio of campaigns + Present analysis and recommendations to senior audiences as part of Measurement Council and Marketing Monthly Business… more
- Highmark Health (Frankfort, KY)
- …to decline quotes that do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new enrollment, annual renewals, and amendments ... Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership.… more
- SitusAMC (Frankfort, KY)
- …and secure lender cash and real estate collateral + Working with assigned Asset Analyst , ensure compliance with all requirements of the Servicing agreements, in ... join our team! This role, under the direction of senior management, will have management responsibility of assigned loans...to meet or exceed financial performance objectives and minimize risk of loss + Negotiate resolution of troubled or… more
- Banner Health (KY)
- …with regard to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High ... lines including, but not limited to: **Trauma, ICU, Cardiac, Transplant, Orthopedics, High- Risk OB, NICU, and more** . **Must have ICD-10-PCS coding experience,**… more
- Exeter Government Services, LLC (Fort Knox, KY)
- …and external inspection teams. + Supports the Cybersecurity Division (CSD), staff, and senior management in areas of Risk Management Framework (RMF) for DoD ... Position Description: Exeter is seeking a Cybersecurity Application Security Analyst to support the US Army at Fort Knox,...detailed reports, with proofs of findings and analysis of risk . + Assist with integration of static & dynamic… more
- Evolent (Frankfort, KY)
- …Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member of the Product team, focused on client ... the features into product releases. + Serve as a senior product owner on an Agile development team for...maintain a complete and prioritized backlog + Participate in issue/ risk mitigation and creative solutioning to deliver within established… more