- Dana-Farber Cancer Institute (Boston, MA)
- …backgrounds, and design programs to promote public health particularly among high- risk and underserved populations. We conduct groundbreaking research that advances ... Lead Social Worker functions as a clinical supervisor and staff manager , whose expertise, knowledge, clinical acumen, relational skill, and equanimity provide… more
- CVS Health (Hartford, CT)
- …and some workdays from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, ... from home. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ACA, Medicare, MMP and… more
- Healthfirst (NY)
- …+ Must have a bachelors degree from an accredited institution. + Experience with Risk Adjustment Methodologies (CMS-HCC, HHS-HCC, CDPS, 3M CRG) or Value based ... management and meeting targeted time lines. Set and continually manage program expectations with team members and other stakeholders. Effectively communicate … more
- Point32Health (Canton, MA)
- …Consulting & Operations, this individual will support the operations and analysis of all risk adjustment programs and serve as the primary point of contact to ... will also work closely with internal departments and external vendors to ensure that risk adjustment programs are implemented and operated at the highest levels… more
- CVS Health (Tallahassee, FL)
- …standards are upheld. Preferred Qualifications + A minimum of 5 years expertise in Risk Adjustment payment models for Medicare Advantage, ACA and Medicaid. + ... personal, convenient and affordable. Position SummaryThe Purpose of the Manager , Business Consultation job is to monitor and manage...Expertise in Risk Adjustment timelines and requirements + Prefer… more
- 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
- Bloomberg (New York, NY)
- Senior Risk Manager - Engineering COO Office...be responsible for establishing a first line of defense risk management program by establishing a ... bureaucracy as we implement change across the department. We are looking for a Senior Risk Manager to join our team to be responsible for identifying, owning and… more
- Bloomberg (New York, NY)
- Risk Manager - Core Product - Chief ...the growing risk function and help evolve the risk management program at Bloomberg + Partner with ... training stakeholders on the risk management framework and industry practices + Drive program and process level risk assessments, monitor risk data and… more
- Bloomberg (New York, NY)
- Vendor Risk Manager - Data Supplier SME - Chief Risk Office **New York, NY** Posted Jun 24, 2024 - Requisition No. 126140 The energy of a newsroom, the pace ... third-party service providers. We are looking for a Vendor Risk Manager with a background in Financial...contributing to strategic initiatives to enhance the overall Vendor Risk Program in line with our transformation… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(Underwriting and Loss Prevention) by the absence of responsibility for the comprehensive risk program . Differs from the State Risk Administrator (Claims) ... Property Claims Manager (State Risk Adjuster 6) Print...Claims & Disaster and Recovery Management Unit is a program manager position within ORM, and provides… more
- Trinity Health (Albany, NY)
- …reporting system. The Risk Manager is responsible for administering the risk management program on a day-to-day basis, managing and analyzing risk ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Manager **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Regional… more
- Lockheed Martin (Bethesda, MD)
- …and Omissions Liability, Cyber Liability, some Workers' Compensation etc\. and providing general risk management support as Risk Manager to the Missiles ... The position reports to the Director, Property & Casualty Risk in Bethesda, MD\. This leadership role is responsible...to the business units\. ‒ Manage the reporting and adjustment of claims\. ‒ Ensure compliance with all policy… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Job Summary:** The Senior Manager , Data Risk Programs will be responsible for supporting the ... implementation and ongoing management of our global privacy program , that will embody local and global privacy requirements....Privacy laws in the US and globally. The Senior Manager , Data Risk Programs will collaborate with… more
- Live Nation (Houston, TX)
- …so if this sounds like you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In this role, you'll have primary ... necessary (property, inland marine, etc) + Other duties associated with claims or risk management department operations, as necessary WHAT THIS PERSON WILL BRING +… more
- PNC (Pittsburgh, PA)
- …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 ... company's success. As a Quantitative Analytics/Modeling Consultant Sr. within PNC's Model Risk Management organization, you can be based in Pittsburgh, PA or Tyson's… more
- HCA Healthcare (Campbell, CA)
- …. Minimum 1 year experience with HCC coding and risk adjustment Physician Services Group (https://careers.hcahealthcare.com/pages/physician-services) is skilled ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...Today! **Job Summary and Qualifications** Reporting to the Sr. Manager , Quality Improvement & Risk Management, the… more
- The Cigna Group (Houston, TX)
- …Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations for the Cigna Medicare segment. ... **Core Responsibilities:** + End-to-end management of multiple cross-functional and focused risk adjustment coding initiatives that vary widely in scope… more
- Marriott (Bethesda, MD)
- …Claims Adjuster II is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. ... Compensation and General Liability cases as determined by Claims Unit Manager . **Expected Contributions** + Investigate claims promptly - taking statements as… more
- The Cigna Group (Westerville, OH)
- …Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions & Performance Advisor ... role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall...strategic advisor for market specific prospective risk adjustment strategy and solutions. Communicates RA program … 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
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