• Risk Adjustment Program

    CVS Health (New Albany, OH)
    …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
    CVS Health (09/24/24)
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  • Program Manager , Risk

    Molina Healthcare (Owensboro, KY)
    **JOB DESCRIPTION** **Job Summary** Responsible for retrospective risk adjustment programs involving department or cross-functional teams of subject matter ... Owners of supporting IT systems. **Job Duties** + Oversee all retrospective risk adjustment programming and provide insightful reporting on trends,… more
    Molina Healthcare (08/30/24)
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  • Program Manager III, Risk

    Sutter Health (Sacramento, CA)
    program management in a healthcare or health plan setting. + Knowledge of risk adjustment program management. + Knowledge of health plan regulatory and ... **Organization:** Sutter Health Plan - Valley **Position Overview:** As a program management expert, the incumbent will develop, manage, and execute regulatory and… more
    Sutter Health (08/18/24)
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  • Clinical Manager , Risk

    VNS Health (Manhattan, NY)
    …our mission to optimize clinical coding practices and enhance the efficacy of our Risk Adjustment Program . Your role involves leading initiatives to ... OverviewAs the Clinical Manager for Risk Adjustment ,...creating policies, procedures, and workflows to drive a successful Risk Adjustment program required +… more
    VNS Health (09/04/24)
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  • Legal Compliance Advisor- Medicare Part C…

    The Cigna Group (Bluffton, SC)
    …activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance ... excel in a dynamic, fast-paced environment. The candidate must demonstrate solid command of risk adjustment . This compliance team member must be adept at working… more
    The Cigna Group (09/24/24)
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  • Risk Adjustment Strategy Consultant

    Elevance Health (Norfolk, VA)
    …data analysis, reporting and formulating recommendations and providing guidance to further the risk adjustment program for Group Retiree Services. **How you ... ** Risk Adjustment Strategy Consultant** **Location:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/11/24)
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  • Chart Review Specialist - Medicare-Medicaid…

    Fallon Health (Worcester, MA)
    …feedback and submit to Manager for provider education efforts + Update risk adjustment software with all relevant chart review observations + Meet or ... and report on FCHP patient charts for the purpose of validating regulatory Risk Adjustment scores. The Chart Review Specialist will collect diagnostic details… more
    Fallon Health (08/13/24)
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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 (09/04/24)
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  • Risk Manager

    County of El Dorado (Placerville, CA)
    Risk Manager Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/4661038) Apply  Risk Manager Salary $118,019.20 - $143,457.60 Annually ... The County of El Dorado is recruiting applicants for Risk Manager , located in Placerville, CA CLICK...experience supervising and managing staff in the areas of risk analysis, safety operations, claims adjustment , liability,… more
    County of El Dorado (09/18/24)
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  • Financial Crimes Blockchain Analytics Risk

    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
    New York State Civil Service (09/19/24)
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  • Race & Sports Book Risk Supervisor

    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
    Atlantis Casino Resort Spa (07/14/24)
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  • Licensed Psychologist Manager , Corrections…

    Commonwealth of Pennsylvania (PA)
    …and integrating new policies and procedures, and develop and implement a counseling program to address adjustment issues in daily life, social interactions, and ... designs and/or conducting research in fields of personality development and adjustment , diagnosis, risk assessment, treatment and prevention of mental… more
    Commonwealth of Pennsylvania (09/29/24)
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  • Provider Education Lead Analyst - Hybrid-…

    The Cigna Group (Chattanooga, TN)
    …area** **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... goals. The role will work under the direction of Risk Adjustment Manager to reach...health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure… more
    The Cigna Group (08/08/24)
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  • Subcontract Program Manager

    Parsons Corporation (Centreville, VA)
    …you're looking for. **Job Description:** Parsons is looking for an amazingly talented **Subcontract Program Manager ** to join our team! In this role you will get ... program performance + Serves as the Cost Account Manager (CAM) for supply chain related expenditures to the...schedule of project design and delivery needs. + Analyzes risk during proposals and incorporates appropriate cost risk more
    Parsons Corporation (08/09/24)
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  • Program Manager

    Actalent (Janesville, WI)
    Job Description: Program Manager The Program Manager (PM) role is a full-time onsite position in Janesville, WI. The PM will lead and influence ... ensuring quality and timely delivery within budget parameters. Daily tasks include program planning, resource allocation, risk management, and communication with… more
    Actalent (09/27/24)
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  • Inpatient Registered Nurse or Social Worker (MSW)…

    St. Luke's University Health Network (Easton, PA)
    …to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of patients, as ... patient as healthy as possible in the outpatient setting, minimizing the risk of readmissions. + Issues applicable state/federal regulatory notices as applicable… more
    St. Luke's University Health Network (07/28/24)
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  • Software Program Manager

    Actalent (Minneapolis, MN)
    Software Program Manager Actalent's client is seeking an experienced, senior -level Software Engineering Program Manager to be the technical lead ... for the deliverables associated with software development projects including requirements, risk analysis, architecture, design, and V&V testing. The position will… more
    Actalent (09/28/24)
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  • Program Manager

    Actalent (Chatsworth, CA)
    Job Title: Program ManagerJob Description Position Overview: The Program Manager will oversee all aspects of assigned customer programs, ensuring successful ... planning, execution, and delivery. Key Responsibilities: Program Management: Oversee planning, technical, financial, contractual, and scheduling aspects of assigned… more
    Actalent (09/20/24)
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  • Program Manager

    Actalent (San Diego, CA)
    Job Title: Program Manager - Aerospace & DefenseJob Description An aerospace company is seeking a talented Program Manager to lead programs related to ... and Flight Tests, Air-Worthiness Certifications, with eventual transition into production. Program Managers are the primary customer liaison and are responsible for… more
    Actalent (09/26/24)
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  • Case Manager , Community Engagement (Social…

    University of Maryland, Baltimore (Baltimore, MD)
    …of Maryland, Baltimore Office of Community Engagement*has an opening for a*Case Manager (Social Worker or Senior Social Worker)*. The Community Engagement Case ... Manager will assist with advancing UMB as a national...procedures, methods, and/or ethics derived from a formal educational program in social work to restore or enhance social… more
    University of Maryland, Baltimore (08/21/24)
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