- 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
- TD Bank (Lewiston, ME)
- …Crime Risk Management (FCRM) BSA/AML Risk Assessment Quality Assurance (QA) Senior Analyst is responsible for the execution of the QA program as directed ... which is outlined in the general description below. The Senior Financial Crime Risk Analyst ...with FCRM partners and other related groups (such as Compliance , Legal and Risk etc.) to support… more
- TD Bank (Lewiston, ME)
- …role. **Line of Business:** Financial Crime Risk Management **Job Description:** The Senior Financial Crime Risk Management Analyst , KYC High Risk ... Prepares detailed, well-documented EDD risk assessment narratives and provide risk recommendations to support decision-making for senior management and… more
- TD Bank (Lewiston, ME)
- …user interaction with technology throughout project delivery + Works independently as the senior or lead business analyst and coaches and guides members within ... of Business:** Enterprise Enabling Functions **Job Description:** The Sr Business Analyst plans, manages, leads and oversees the end-to-end delivery of requirements… 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
- 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
- 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
- Humana (Augusta, ME)
- …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 (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
- 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