- Humana (Washington, DC)
- …to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible ... Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and...Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk… more
- Ankura (Washington, DC)
- …issues that affect a healthcare organization, especially related to Medicare and Commercial Risk Adjustment . + Strong time management skills and ability ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director will also support practice… more
- Datavant (Washington, DC)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a ... deep understanding of the Risk Adjustment business domain and is skilled...navigating ambiguity + Excellent communication skills + Well-developed time management skills and demonstrable experience of prioritizing work to… more
- Highmark Health (Washington, DC)
- …with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data ... Extensive knowledge of Health Insurance and/or Provider operations, especially related to Risk Adjustment . + Experience in operational improvement and process… more
- Datavant (Washington, DC)
- …for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring ... findings on a daily basis, including education on time management and best coding practices. + Provide coaching and...the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members… more
- Datavant (Washington, DC)
- …using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical ... skills, problem solve, ability to work in a remote environment, and time management skills. + Working knowledge of the business use of computer hardware and… more
- Datavant (Washington, DC)
- …met. + Report trends for education opportunities in both quality and productivity to management for review and/or action. + Assists in coding to meet the monthly ... 95% or higher. + Any other tasks required by management . **What you will bring to the table:** +...ability to work in a remote environment and time management skills + Working knowledge of the business use… more
- Amazon (Arlington, VA)
- …2. Scope and Impact: EEs represent one of the most intricate areas of risk management , requiring expert judgment to identify subtle abuse patterns and ... decisions directly impact Seller, Customer, and Brand Experience metrics, influencing Amazon's global risk management strategy. 3. Team & People Management :… more
- Datavant (Washington, DC)
- …strategies. The ideal candidate will have a deep understanding of value-based care, risk adjustment , and the healthcare provider ecosystem ( risk -bearing ... prospects. + Serve as a trusted advisor, demonstrating a strong understanding of risk adjustment , HCC coding, and value-based care operations. + Liaison account… more
- Amazon (Arlington, VA)
- …a team of highly-skilled individuals. The successfully candidate will also have strong risk management experience, preferably in transport, and be able to apply ... vision to inform decision-making that drives business growth through world-class scalable risk management solutions. Through ongoing compliance monitoring and … more
- Capital One (Mclean, VA)
- …innovation through technology, we equally prioritize cybersecurity, reliability, and managing technology risk . **Technology Risk Management (TRM)** is a ... are highly-skilled information security, cybersecurity, site reliability engineering, technology, and risk management professionals. They have a wealth of… more
- Amazon (Arlington, VA)
- … risk assessments and sanctions screening processes. As part of the DPS CAC Risk Management team, you will lead comprehensive risk evaluations for new ... Basic Qualifications - 6+ years of compliance, audit or risk management experience - Knowledge of Microsoft...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (Arlington, VA)
- …compliance professionals tackling the most challenging and emerging "big rocks" in security, risk management , and compliance. Security is job zero at Amazon and ... - 3+ years of experience with any combination of the following: security risk management , vulnerability management , threat modeling, secure coding, identity… more
- Amazon (Arlington, VA)
- …and can deliver results. Basic Qualifications - 6+ years of compliance, audit or risk management experience - 5+ years of program or project Management ... Description Amazon seeks a Senior Risk Manager within Finance Operations Risk ...- Bachelor's degree or equivalent Preferred Qualifications - Project Management Professional (PMP) or equivalent certification - Experience leveraging… more
- Amazon (Herndon, VA)
- …alignment across teams with competing priorities, and be a strong advocate for technical risk management . Key job responsibilities - Guiding the expansion of AWS ... this role will have a strong track record of technical program management , the demonstrated ability to deliver multiple high priority projects simultaneously, the… more
- Amazon (Arlington, VA)
- …years of external or internal customer facing, complex and large scale project management experience - Bachelor's degree, or 7+ years of professional or military ... of International Trade in Arms Regulations (ITAR), the Federal Information Security Management Act (FISMA), and Section 508 of the Rehabilitation Act Amazon is… more
- PNC (Tysons Corner, VA)
- …success. As a Quantitative Analytics and Model Development Consultant within PNC's Model Risk Management organization, you will be based in Pittsburgh, PA, New ... We are seeking a Validator to join our Model Risk Management team at PNC. The position...measurement models (eg, Potential Future Exposure (PFE), Credit Valuation Adjustment (CVA)). Key Responsibilities: 1. Independent Model Review: Perform… more
- Amazon (Arlington, VA)
- …to prioritize risks, developing programs that report accurately on contextualized risk , and collaborating closely with stakeholders in Security Assurance and ... Proactive Security to simplify how we measure risk across our lines of business and services. This...life cycle, including coding standards, code reviews, source control management , build processes, testing, and operations experience - Bachelor's… more
- Library of Congress (Washington, DC)
- …in Emergency Management . The ideal candidate will work on federal emergency management policy issues including risk management , hazard mitigation, or ... will demonstrate their ability to apply their knowledge of risk management and national preparedness to current...service. The salary range indicated reflects the locality pay adjustment for the Washington, DC metropolitan area. Although it… more
- PNC (Tysons Corner, VA)
- …company's success. As a Quantitative Analytics and Model Group Manager within PNC's Model Risk Management organization, you will be based in Pittsburgh, PA, New ... Validation Manager to be a part of our Model Risk Management team at PNC. The position...models, such as Potential Future Exposure (PFE), Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA).… more