- Centene Corporation (Olympia, WA)
- …on workplace flexibility. **Position Purpose:** Manage the business processes related to risk adjustment and quality improvement across Centene's for assigned ... competitive landscapes, and local market dynamics + Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned… more
- Sutter Health (Sacramento, CA)
- …with program management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. + Knowledge of health plan regulatory and ... deliverables, clearly communicating goals, objectives, and responsibilities. Manages day-to-day operations of assigned programs, ensuring programs deliver high-quality and… more
- Principal Service Solutions (De Soto, KS)
- …is a leading technical workforce provider entrusted to safeguard the quality of operations at companies large and small. Help us create innovative solutions that ... around the world. Principal Service Solutions is hiring Lead Adjustment Technicians who will be part of the Site...training is provided as appropriate. + Administration of day-to-day operations at customer's facility. + Receive and oversee the… more
- County of El Dorado (Placerville, CA)
- …No 03 Describe your experience supervising and managing staff in the areas of risk analysis, safety operations , claims adjustment , liability, and/or workers' ... Risk Manager Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4661038) Apply Risk Manager Salary $118,019.20 - $143,457.60 Annually… more
- Healthfirst (NY)
- …collaboratively across lines of businesses, such as finance, clinical, medical economics, operations , risk adjustment , and population health strategy to ... related to one or more specific Medicare performance areas such as Risk Score Accuracy, Medicare Clinical Programming and Operations , Provider Performance,… more
- Citigroup (Tampa, FL)
- …exposure, settlement risk , financial derivatives, counterparty credit risk ;** Project Manager experience (project lifecycle, writing requirements, ... The candidate will be the lead person across multiple Risk process with high exposition to senior management across...in system/model changes and raise margin/legal concerns to margin operations and legal.** Provide training on how to conduct… more
- New York State Civil Service (New York, NY)
- …No Agency Financial Services, Department of Title Financial Crimes Blockchain Analytics Risk Associate (Financial Services Specialist 4 (Financial Crime Risk ), ... Compliance; ABA Certificate in Fraud Compliance; Certified Regulatory Compliance Manager .o CSBS: Certified Anti-Money Laundering Specialist.* Demonstrated experience with… more
- Atlantis Casino Resort Spa (Reno, NV)
- **Overview** Come join Team Atlantis! We are currently accepting applications for Risk Supervisor. The Risk Supervisor, as with all members of the Atlantis ... at all levels. **Shift:** Varies **Responsibilities** + Assist the Manager in operation of the Race and Sports Book,.... + Monitor all current game markets and make adjustment were necessary. + Manage multiply game markets simultaneously… more
- Vatica Health (Alpharetta, GA)
- …coding, healthcare billing, quality and Value Based Care measures and metrics. Risk Adjustment knowledge/experience is preferred. + Understanding of Medicare, ... The Manager of Clinical Operations leads and manages the Clinical Operations teams in multiple Metropolitan Service Areas (MSAs) to ensure their efficiency,… more
- Glenmark Pharmaceuticals Inc., USA (Monroe, NC)
- Operations Manager Department: QA Manufacturing Location: Monroe, NC START YOUR APPLICATION ... also markets APIs to regulated and semi-regulated countries. POSITION SUMMARY: The Manager of Manufacturing Operations is responsible for leading a team… more
- Trinity Health (Columbus, OH)
- …CPC, CCS, RHIT, RHIA certification(s) required. + Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC) preferred + Minimum of three years in ... the job:** In accordance with the Mission and Guiding Behaviors; the Manager of Coding Operations under the direction of the Director of Coding and Compliance,… more
- Aerotek (Tempe, AZ)
- **Overview:** **Aerotek has an immediate opening for a Finance Operations Manager / Assistant Controller at the global headquarters in Tempe, AZ.** **Job ... financial and performance reporting, compensation, and Ad hoc analysis. Mitigates company risk through collaboration with sales teams and field partners to ensure… more
- Packing Corp of America (Wallula, WA)
- Corrugated Area Operations Manager Burley, ID 83318, USA * Burley, ID, USA * Salt Lake City, UT, USA * Wallula, WA, USA Req #20551 Monday, September 16, 2024 As ... People * Customers * Trust PCA is seeking applicants for anArea Operations Managerposition in the Northwest Area, which includes oversight of corrugated plant… more
- Walmart (Philadelphia, PA)
- …and refrigeration, plumbing, electrical, and critical power maintenance and service operations by evaluating current and future projects; examining facility needs; ... equipment needs; identifying equipment to increase efficiency; directing temperature adjustment ; analyzing systems and load requirements to determine setback modes… more
- AdventHealth (La Grange, IL)
- …Grange, IL 60525 **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... the development of a discharge plan of care for high- risk patient populations. This role will receive referrals for...members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager… more
- Commonwealth of Pennsylvania (PA)
- …designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental ... experimental designs or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
- The Cigna Group (Maitland, FL)
- …Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk Adjustment , Finance, Marketing, Cross-Segment Contracting, Provider Relations, ... provider partner relationships in order to drive optimal performance on Stars, risk adjustment , utilization management, and overall financial performance. +… more
- AIG (New York, NY)
- …an impact Reporting to the Head of North America (NA) Aerospace Claims, the Claim Manager - Hull, Light Aircraft & Vertical Unit is a key leadership position and you ... the US. You will serve as both a people manager and a technical referral point for NA Aerospace...reporting requirements including critical identification of loss trends and risk management opportunities. You will be required to develop… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Public Service, Department of Title Assistant Manager Information Services, NS-M2 Occupational Category Other Professional Careers Salary Grade NS ... energy sector (including electric, gas or water infrastructure) information and/or operations technology, data privacy and security, IT/OT policy, and industrial… more
- BP Americas, Inc. (Throop, PA)
- **Entity:** Trading & Shipping **Job Family Group:** Operations Group **Job Description:** Archaea Energy, a leader in the landfill gas to energy industry has an ... opening for a Lead Operations Technician position! This facility converts landfill gas, collected...field gathering, and special projects as assigned by Plant Manager . + Ensures that all daily production reports, flow… more
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