- Capital One (Baltimore, MD)
- …through technology, we equally prioritize cybersecurity, reliability, software quality, and data management .Technology & Data Risk Management (TDRM) is a ... at Capital One. We raise the bar for excellence in cybersecurity, reliability, and tech risk , and data management risk . We shape strategy and decisions,… more
- Immigration and Customs Enforcement (Washington, DC)
- …Quality Management (MQM) Unit. The incumbent will report directly to the Supervisory Compliance Healthcare Risk Management Program Manager. This is a ... and training staff about potential mitigating risks. SUPERVISORY CONTROLS: The Compliance Healthcare Risk Management Program Manager works under… more
- CareFirst (Baltimore, MD)
- …This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Healthcare Compliance , Risk Management , Business ... Affairs (PPGA), Legal, Business Health Services, Claims Operations and Enterprise Project Management Office (EPMO) to ensure that all NSA IDR requirements are… more
- Ankura (Washington, DC)
- …that affect a healthcare organization, especially related to Medicare and Commercial Risk Adjustment. + Strong time management skills and ability to manage ... of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance , audit, and investigation projects for clients. +… more
- Prime Therapeutics (Annapolis, MD)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) + ... compliance gap closures throughout the business, partnering to facilitate company-wide Compliance Risk Assessment, and conducting new and ongoing … more
- RTX Corporation (Washington, DC)
- …seeking a highly skilled, experienced, innovation-oriented and results-driven Associate Director - Digital Risk Management to lead RTX's Digital Risk ... assets and information systems. The Associate Director - Digital Risk Management will be responsible for establishing...and execute mid- and short-term strategies to reduce digital risk in support of demonstrating compliance for… more
- Amgen (Washington, DC)
- …the lives of patients while transforming your career. Senior Manager - Third Party Risk Management Lead **What you will do** Let's do this. Let's change ... with speed and precision. In this vital role, you will serve as the Third-Party Risk Management Lead. Reporting to the Responsible Sourcing Lead, you will act as… more
- CACI International (Annapolis Junction, MD)
- Risk Management Framework Coordinator - Level 2 Job Category: Security Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee ... team in providing critical support for the integration of risk management activities into the system life...four (4) years may be substituted. + DoD 8570 compliance with IAM II is required. The following certifications… more
- Acclaim Technical Services (Annapolis Junction, MD)
- …Program Manager, and mission leaders; Serve as the RMF Coordinator Lead for risk management operations REQUIREMENTS: Fifteen years' experience in one or more ... Must possess an active TS/SCI clearance with polygraph + Risk Management ; Process Improvement; or Project ...an additional four (4) years may be substituted. + Compliance with DoD 8570.01-M with a minimum certification of… more
- Datavant (Annapolis, MD)
- …**Required** + 8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment, or provider-facing solutions. ... multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and… more
- Trinity Health (Silver Spring, MD)
- …progressive experience in healthcare management with specific experience in healthcare risk management . 3. Strong analytical and writing ability. ... Type:** Full time **Shift:** Day Shift **Description:** **General Summary:** Participates in the risk management activities of the organization. Assists in the … more
- Datavant (Annapolis, MD)
- …of professional, educational and life experiences to realize our bold vision for healthcare . **Role Overview** As a Product Manager, Risk Adjustment Coding Data ... these pipelines and databases. The ideal candidate combines deep healthcare data expertise with strong product management ...SDLC + **Domain Expertise:** Well-versed in the key underlying healthcare data sources that support risk adjustment… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment ... by performing moderately complex medical record review and coding, ensuring compliance with all applicable Federal, State and/or County laws and regulations… more
- Dow Jones (Washington, DC)
- …in September 2025, Dow Jones Global Risk Insights (GRI) was formed within our Risk & Compliance business. The GRI brand entity unifies the two new products ... strategy for assigned GRI accounts + Proactively provide a clear picture to management and collaborating teams identifying high risk renewal accounts within the… more
- Datavant (Annapolis, MD)
- …. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...findings on a daily basis, including education on time management and best coding practices. + Provide coaching and… more
- Datavant (Annapolis, MD)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Cardinal Health (Annapolis, MD)
- …E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS ... normative data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best-practices. + Develops and implements compliance training to… more
- Prime Therapeutics (Annapolis, MD)
- …progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated ... leadership/people management experience + PBM/health care experience + Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare … more
- Baylor Scott & White Health (Annapolis, MD)
- …in Information Security, IT, Business, or a related field. + 7+ years of experience in compliance , risk management , or IT security, with a strong focus on ... efforts. This role requires a strategic approach to compliance management , ensuring that PCI DSS controls...to uphold the security of payment card data, drive risk mitigation initiatives, and align compliance efforts… more
- Kyndryl (Annapolis, MD)
- …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more
