- Highmark Health (Columbus, OH)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and...- 5 years Leadership + 3 - 5 years Risk Revenue + 1 - 3 years Strategic… more
- Highmark Health (Pittsburgh, PA)
- …may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver... strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives… more
- Elevance Health (Atlanta, GA)
- …50 miles of a PulsePoint location. The **Business Change Director for Risk Adjustment Data Quality** will serve as a strategic partner for the Enterprise ... **Business Change Director- Risk Adjustment Data Quality** **Location:** This...models and methodology, project management and change management experience ( strategic and execution) strongly preferred. * Master's degree preferred.… more
- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The Associate Director, Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, ... other payers, and over government agencies. In addition, the Associate Director, Risk Adjustment oversees all medical coding education activities. The Associate… more
- Elevance Health (Columbus, OH)
- **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... 50 miles of our Elevance Health PulsePoint locations. The **Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for planning, directing… more
- Molina Healthcare (UT)
- …(RQS) team by overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance. This position collaborates with ... **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports...6+ years of program and/or project management experience in risk adjustment and/or quality * 6+ years… more
- Molina Healthcare (NY)
- …SKILLS & ABILITIES:** * 8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years of experience supporting HEDIS ... resources and execute performance improvement initiatives aligned with RQS's strategic objectives. **Job Duties** * Manages Risk ...engine activity, risk adjustment targeting and reporting systems *… more
- Molina Healthcare (NE)
- …SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position...engine activity, risk adjustment targeting and reporting systems *… more
- RELX INC (Franklin, TN)
- …customers' ability to mitigate and manage risk . About the job: The Strategic Account Manager role will ensure and grow additional revenue opportunities and ... About the Business: LexisNexis Risk Solutions is the essential partner in the...protect revenue base via a total solution strategic approach within local government agencies. You'll Be Responsible… more
- Truist (Atlanta, GA)
- … risk and product control training. 6. Professional certifications (eg Financial Risk Manager or CFA). **General Description of Available Benefits for ... change from time to time. 1. Support the company's strategic direction for Trading Market Risk , Counterparty...Greeks, stress tests, Potential Future Exposure 'PFE', Credit Valuation Adjustment 'CVA', etc.) using complex quantitative risk … more
- Truist (Atlanta, GA)
- … management of trading and non-trading risks. 5. Professional certifications (eg Financial Risk Manager or CFA). **General Description of Available Benefits for ... change from time to time. 1. Support the company's strategic direction for Trading Market Risk , Counterparty...Greeks, stress tests, Potential Future Exposure 'PFE', Credit Valuation Adjustment 'CVA', etc.) using complex quantitative risk … more
- PNC (Raleigh, NC)
- …our Model Risk Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and Counterparty Risk Models and is part of ... the company's success. As a Quantitative Analytics/Modeling Expert within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA; Tysons… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Analytics Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017 Position Type: ... net required to achieve that purpose. Job Summary The Manager , Analytics is responsible for planning and managing the...the customer needs and deliver actionable insights to Enterprise Risk Adjustment and Encounters (ERAE) and Finance… more
- reveleer (OH)
- …fast-growing technology-enabled services company that powers performance/quality measurement and risk adjustment solutions in healthcare. Specifically, Reveleer ... leveraging software and other technology tools to accelerate their Risk Adjustment and Quality programs. Our mission...quality of care. Position Summary As a Customer Success Manager over a key account, you will own a… more
- RELX INC (Southampton, NY)
- Manager Security Join Us as a Security ...you able to operate on an operational, tactical and strategic level? About the Business At Cirium, our goal ... including internal customers and stakeholders. You will be responsible for providing strategic and technical security direction for multiple teams of stakeholders in… more
- Bristol Myers Squibb (Fargo, ND)
- …unique capabilities, building from over 20 years of involvement in cell therapy and strategic collaborations. The Area Business Manager for Cell Therapy is a ... First Line people manager responsible for leading the Cell Therapy account management...representation. She/he will contribute to and execute the long-term strategic development plans of the district, within a complex… more
- RELX INC (New York, NY)
- About the Business: LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Houston, TX)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- RELX INC (Cambridge, MA)
- Vice President and General Manager of LexisNexis Blue Sky Regulatory Services About the Business LexisNexis Risk Solutions is the essential partner in the ... assessment of risk . Within our Business Services vertical, we offer a...a highly skilled and experienced Vice President and General Manager for our Blue Sky Regulatory Services (BSRS) business… more
- RELX INC (Alpharetta, GA)
- …influence others to adopt a different point of view + Thorough understanding of risk management. + Excellent strategic , problem solving, and analytical skills. + ... help clients meet their goals? About the Business LexisNexis Risk Solutions is the essential partner in the assessment...different projects within the program. About the Role Program Manager role for BCM Insurance. This role will coordinate… more