- Healthfirst (NY)
- …provider delivery system via our value-based model.** **More about the team, and the role:** **As Manager , Risk Score Accuracy your role will be critical ... + **Hybrid, NY (3 days on-site) 100 Church Street, NYC** **Summary:** + **The Manager , Risk Score Accuracy is responsible for managing risk … more
- CVS Health (Northbrook, IL)
- …and other emerging technologies. The Senior Manager , Record to Report - SCORE (Standardization, Compliance, Optimization, Risk , Enterprise QA) will be a key ... financial requirements into scalable technology solutions while ensuring compliance, accuracy , and operational efficiency. **Key Responsibilities** + Lead the… more
- Point32Health (Canton, MA)
- …Operations and Quality Assurance. **Job Description** + **Provider Consulting, Risk Score Reporting and Collaboration** : The Manager will oversee all ... interpretation and synthesis of medical group specific results and risk score trend information; develop dashboard reporting...accuracy and identification of member health conditions. The Manager will build relationships and drive risk … more
- Ventura County (Ventura, CA)
- …records. + Provides information and training to County personnel. + Assists direct manager and senior leaders within Risk Management, as required. Typical ... Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary… more
- Xcel Energy (Denver, CO)
- …related to credit risk functions. + Review credit agreement database for accuracy . Coordinate with IT and Valuation teams to ensure credit risk data ... credit systems like S&P Capital IQ Pro, Moody's, Credit Risk Monitor, Energy Credit Manager , CXL, SAS...financial statement analysis, credit stress test analysis, and credit score modeling. + Experienced in using S&P, Moody's, ECM,… more
- City and County of San Francisco (San Francisco, CA)
- …Benefits Administration and other key HSS enterprise systems. The Information Systems Manager reports to the Chief Operating and Experience Officer and works closely ... with the Operations Manager , the Chief Financial...Department Information Security officer (DISO) responsible for completing technology risk assessments, remediating findings, responding to cyber threats, maintaining… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …solution, ensuring that our deliverables support the marketplace with analytics to drive risk score accuracy and actionability. The ideal candidate will ... company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk ...identify opportunities for improvement, and lead efforts to enhance accuracy and efficiency in the risk adjustment… more
- CHS (Clearwater, FL)
- …with the Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes ... **Overview** **Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:**...measured by timely turnaround and a high degree of accuracy . Accuracy is measured by adherence to… more
- Ventura County (Ventura, CA)
- …financial information while supporting portfolio management, investment compliance, and risk assessment. This position may supervise lower-level staff. Senior ... under the Treasurer's direction, aligning with financial objectives, liquidity needs, risk tolerance, and compliance with Government Code, Investment Policy, and… more
- Ralliant (Atlanta, GA)
- **Job Title: Strategic Account Manager (SAM)** **Reports To:** Vice President, Commercial Operations **Location:** Remote - Location near assigned customer(s) ... Dallas, TX (preferred) **Role Summary / Purpose Statement** **The Strategic Account Manager (SAM) serves as the trusted, primary interface with key customers,… more
- NOV (Houston, TX)
- The Manager of Manufacturing Engineering will lead a team of Manufacturing Engineers responsible for driving process improvements, equipment reliability, and ... quality, and data governance. + Ensure new or modified processes undergo Risk Assessment and Management of Change review per GQP-04 before implementation. +… more
- M&T Bank (Buffalo, NY)
- …stakeholder engagement. + **Compliance Awareness:** Understanding of regulatory requirements and risk controls. + **Attention to Detail:** Accuracy in ... projects, facilitator feedback, Leadership Development Manager -MDP feedback, Department Manager feedback, final assessment score , and year-end performance… more
- CHS (Clearwater, FL)
- …which mandate a high level of service, including telephone service, accuracy , call resolution and satisfaction. The Member and Provider Services Supervisor ... all Team members understand the importance of privacy and accuracy in the information they provide, and work with...in the information they provide, and work with Enterprise Risk Management (ERM) Auditors on any quality issues which… more
- ChenMed (Forest Park, GA)
- …templates and ensures 100% of patients are assigned and scheduled + Top 40 and risk score 70+ patients scheduled at least bi-weekly + IP/ER discharge follow-up ... patients are assigned and scheduled + Top 40 and risk score 70+ patients scheduled at least...their Care Teams. + Examines medical release forms for accuracy and PCP sign off prior to release of… more
- CenterWell (Tallahassee, FL)
- …analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking. + Partners with MRA ... across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing efficiency and… more
- Trinity Health (Ann Arbor, MI)
- …using continuous tele-visual monitoring to assure patient safety including patients at risk for falls, elopement, or other safety issues as identified by the ... practice. + Additional duties as assigned by the hiring manager /supervisor. **EDUCATION AND EXPERIENCE:** Education: + High School Diploma...complete a basic arrhythmia class and receive a passing score within first 30 days of employment. + Must… more
- University of Rochester (Rochester, NY)
- …(ACS) Trauma Quality Improvement Project (TQIP) database to allow risk -adjusted benchmarking for quality improvement. **ESSENTIAL FUNCTIONS** Registry Abstraction: + ... identifiers and strict inclusion/exclusion criteria. + Complete and verify for accuracy all data collected according to standards outlined by regulatory bodies-… more
- The Cigna Group (Houston, TX)
- …in managing a moderately complex book of business as assigned by the manager . Accountable to proactively manage, respond and address client and broker inquiries ... plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth. The ideal candidate will have… more
- The Cigna Group (Mclean, VA)
- …in managing a moderately complex book of business as assigned by the manager . Accountable to proactively manage, respond and address client and broker inquiries ... plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth. The ideal candidate will have… more
- Coty (Los Angeles, CA)
- …on commitments, proactively communicate solutions to capture upside $ or mitigate downside risk to goal. + Regularly analyze daily/weekly retail sales and adjust to ... regularly communicate results from conducted activities, maximize opportunities, and minimize risk (while always ensuring sufficient store levels across basic stock,… more