- Highmark Health (Augusta, ME)
- …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
- Guardian Life (Augusta, ME)
- …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 (Augusta, ME)
- 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
- Lincoln Financial (Augusta, ME)
- …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
- Highmark Health (Augusta, ME)
- …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
- Pacific Northwest National Laboratory (Augusta, ME)
- …**Responsibilities** The Pacific Northwest National Laboratory seeks a nonproliferation research analyst to provide support for a variety of federal sponsors, ... problems. The candidate will perform work in a collaborative community that includes senior PNNL staff, private and government clients at all levels, as well as… more
- Evolent (Augusta, ME)
- …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
- Cardinal Health (Augusta, ME)
- **_Job Summary_** This Senior Analyst role is pivotal in shaping the initial impression of Cardinal Health as a leading distributor. You will be responsible for ... a key point of contact for New Business Process (NBP) governance, risk management, and data accuracy. Furthermore, you will manage customer de-implementations,… more
- Highmark Health (Augusta, ME)
- …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
- American Express (Augusta, ME)
- …+ Drive results through a team including at least one Sr. Manager and a Risk Analyst + Lead broad consistency efforts across the teams, driving compliance ... and rapidly changing situations. + Experience working with Control Management, GCO, Compliance , Risk , and/or Internal Audit. + BA/BS Degree Required, MBA… more
- SitusAMC (Augusta, ME)
- …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
- Evolent (Augusta, ME)
- …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