• Manager , Medicaid Risk

    CVS Health (Columbus, OH)
    …of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment , the Market Manager will work closely with cross-functional ... excellence. This position will require a comprehensive understanding of risk adjustment , with the ability to speak...program or programs that are jointly accountable for risk adjustment strategy, performance, and results within… more
    CVS Health (01/04/25)
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  • Manager Strategic Risk

    Highmark Health (Pittsburgh, PA)
    …have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking ownership of the ... This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health… more
    Highmark Health (11/21/24)
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  • Sr. Data Analyst, Risk Adjustment

    Point32Health (Canton, MA)
    …lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program operations, performing detailed analysis and ... . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support...to the collection, organization, and distribution of all incoming risk adjustment program data +… more
    Point32Health (01/03/25)
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  • Risk Adjustment Provider Programs…

    Medical Mutual of Ohio (OH)
    …agreements.** + **Acts as project manager over large internal risk adjustment projects (eg, Optum In Office Assessment program for both MA and ACA, ... Medicare Supplement, and individual plans. _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance,… more
    Medical Mutual of Ohio (12/06/24)
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  • Regulatory Policy Manager - Credit…

    HSBC (New York, NY)
    …all relevant risk areas eg credit risk , counterparty credit risk , securitization, and Credit Valuation Adjustment ('CVA'). GRPA currently maintains a ... establishment of interpretations and governance processes to mitigate regulatory risk . GRPA also monitors new rule developments and other...City area may be considered. As our Regulatory Policy Manager - Credit Valuation Adjustment you will:… more
    HSBC (12/03/24)
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  • Program Manager , Automation…

    Amazon (Seattle, WA)
    …deliver for our customers. Be part of a team where your actions as a Senior Program Manager could enhance systems and processes that minimize risk and ... associated with new initiatives. We are seeking a Program Manager who can provide leadership to...address. Hold team members accountable for progress on key program actions. About the team Payment Risk 's… more
    Amazon (12/02/24)
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  • Sr. Program Manager , Selling…

    Amazon (Seattle, WA)
    …candidate that shares that passion. We are looking for an experienced Program Manager to own a portfolio of global risk mitigation programs partnering with ... teams across the company to design, build, and maintain processes focused around risk mitigation and enforcement. You will set the vision, direction and execution of… more
    Amazon (12/05/24)
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  • Program Manager - Population Health…

    Penn State Health (Hershey, PA)
    …with contracted payors, tracking and trending of KPIs, and ensuring accurate risk adjustment . The Program Manager will need to provide monthly and ... & Value Based Care - Operations. We are seeking an experienced and detail-oriented Program Manager for Disease Burden Capture. The Program Manager will… more
    Penn State Health (12/06/24)
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  • Risk Manager , SPTC Account…

    Amazon (Phoenix, AZ)
    …and is fun to be a part of. SPTC Account Compliance is looking for a Program Manager to drive its strategic vision and roadmap to effectively scale its ... the future. SPTC designs and builds the software systems, risk models, compliance solution and operational processes across Amazon... mining capabilities. We are looking for a strong Program Manager with analytical skills to drive… more
    Amazon (11/16/24)
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  • Manager , Risk & Quality Systems…

    Molina Healthcare (Kenosha, WI)
    …& ABILITIES:** * 8+ years of program and/or project management experience in risk adjustment and/or quality * 4-6 years of experience supporting HEDIS engine ... for a complex portfolio of data-improvement activities supporting Molina's Risk & Quality Solution's (RQS) program performance....activity, risk adjustment targeting and reporting systems *… more
    Molina Healthcare (12/15/24)
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  • Sr. Security Technical Program

    Amazon (Dallas, TX)
    …Technical Program Manager with a strong delivery record and proven program management experience to join our Strategic Risk Insights (SRI) team. Our team ... of their decisions. We go beyond traditional methods of risk management, providing teams with insightful data and novel...the execution of projects and programs. The Senior Technical Program Manager is responsible for implementing and… more
    Amazon (11/28/24)
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  • Sr Program Manager , Buyer…

    Amazon (Seattle, WA)
    risk and maximize trust in Amazon.com. Key job responsibilities As a Sr. Program Manager in BRP, you will be responsible for creating and managing roadmaps ... like to innovate and simplify? Our mission in Buyer Risk Prevention (BRP) is to make Amazon.com the safest...seasoned individual who has excellent experience as a Sr. Program Manager and comes from a similar… more
    Amazon (12/17/24)
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  • Risk and Quality Performance Manager

    Molina Healthcare (NM)
    …& ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience supporting HEDIS engine ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will...activity, risk adjustment targeting and reporting systems * 2+… more
    Molina Healthcare (11/09/24)
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  • Risk Manager , RISC Program

    Amazon (Seattle, WA)
    …that are illegal, illegally marketed, unsafe, or otherwise prohibited by Amazon policies. RISC Risk Manager will be a part of the Business and Legal Support ... or similar risk or compliance credentials - Experience in compliance program management, legal, governance, audit, risk /loss prevention, or equivalent -… more
    Amazon (11/30/24)
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  • Sr. Program Manager , Fraud…

    Amazon (Seattle, WA)
    …to deliver for our customers. Be part of a team where your actions as a Program Manager could enhance systems and processes that minimize risk and maximize ... the company to determine how we can minimize the risk associated with new initiatives. We are seeking a...associated with new initiatives. We are seeking a Sr. Program Manager who can provide leadership to… more
    Amazon (12/17/24)
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  • Principal Risk Manager , Global…

    Amazon (Phoenix, AZ)
    …goals and initiatives impacting WWOS and critical stakeholders. - Transform risk program delivery through standardization, optimization, and automation. - ... an exciting opportunity to shape and mature our People Risk management program , ensuring the security and...landscapes. A day in the life As the Senior Risk Manager , you lead critical People … more
    Amazon (12/03/24)
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  • Risk Manager III, Selling Partner…

    Amazon (Seattle, WA)
    program support for our key initiatives to catch bad actors. Key job responsibilities * The Risk Manager III is a senior leader for the Risk Mining team ... associated rings of accounts (ROA) at scale * The Risk Manager III is skilled at communications... program support for SLM initiatives, including one Program Manager and one senior Business Analyst.… more
    Amazon (01/06/25)
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  • Manager , Risk Management, Brand…

    Amazon (Seattle, WA)
    Description Scope - Manager , Risk Managers will lead teams which will be responsible for close looping the Executive Escalations (EEs) through a structured ... (WU) process, for Vice President (VP)+ stakeholders. They are expected to navigate between risk , program and product management seamlessly and work with WW … more
    Amazon (12/20/24)
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  • Sr. WHS Reliability, Maintenance and Engineering…

    Amazon (Nashville, TN)
    …The Sr. Workplace Health and Safety (WHS) Reliability, Maintenance and Engineering (RME) Program Manager (PM) will provide direct support and partnership to one ... to continually improve network WHS standards through initiatives driving risk reduction. The Sr. RME PM will support both...Sr. RME PM will support both the field in program execution but will also be responsible one or… more
    Amazon (12/21/24)
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  • Developer Risk Manager (Mandarin…

    Amazon (Seattle, WA)
    …Services team is hiring for an experienced Mandarin Chinese speaking Risk Manager to drive and enhance compliance with program policies and to mitigate ... feedback to strengthen policies across a global team. The Risk Manager will work closely with Selling...Key job responsibilities * Develop and continuously improve SP-API risk investigation program with collective feedback from… more
    Amazon (11/06/24)
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