- Centene Corporation (Jefferson City, MO)
- …remote from home anywhere in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on ... , Legal or related field; or equivalent experience required + 3+ years Audit, risk adjustment and/or compliance required + Risk Adjustment /HCC coding… more
- Ankura (New York, NY)
- …of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance , audit, and investigation projects for ... and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment . The Senior Director...8+ years of experience in Medicare Risk Adjustment operations, internal audit, or compliance either… more
- Centene Corporation (Jefferson City, MO)
- …recommendations; design and execute Line 2 oversight to evaluate the effectiveness and compliance of risk adjustment quality programs. + Provide expert ... the Continental United States. **Position Purpose:** Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line 1… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... Skills and Abilities (KSAs)** + Deep knowledge of regulatory compliance and risk adjustment program...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Point32Health (Canton, MA)
- …identification of member health conditions. The Manager will build relationships and drive risk adjustment engagement with senior leaders at contracted ... The Manager will frequently present upon the effectiveness of risk adjustment initiatives and programs to both internal senior leaders and external… more
- Amazon (Nashville, TN)
- …driven people. We are looking for an organized self-starter to join the Transportation Risk and Compliance (TRC) team at Amazon. The US Amazon Freight Partner ... to identify cross-functional risk mitigation opportunities - Provide highest-standards risk and business-review reports to senior management and business… more
- PNC (Pittsburgh, PA)
- …to the company's success. As a Quantitative Analytics and Modeling Consultant Senior Validator within PNC's Model Risk Management organization, you can ... Management team at PNC. The position reports to the Senior Validation Manager for Market Risk and...models, such as Potential Future Exposure (PFE), Credit Valuation Adjustment (CVA), and Funding Valuation Adjustment (FVA).… more
- Capital One (New York, NY)
- Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered by our passion for our ... their advice and to deliver high-impact results. As the ** Senior Manager, Technology Change Risk Oversight** you...risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies +… more
- Amazon (Jessup, MD)
- …customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview ... or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor… more
- Bristol Myers Squibb (Devens, MA)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Senior Manager, Quality Systems - Change Control and Quality Risk ... This local process owner is accountable for the overall compliance and performance of the Change Control and QRM...site QRM systems, including maintenance of the site Quality Risk Register. + Establish and drive QRM governance maturity… more
- Amazon (Bellevue, WA)
- …opportunities Basic Qualifications - Bachelor's degree or equivalent - 6+ years of compliance , audit or risk management experience - 5+ years of program ... Description We're seeking an experienced Risk Manager to lead our Last Mile discovery...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Humana (Salt Lake City, UT)
- …improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports to the Risk ... caring community and help us put health first** The Senior Coding Educator will work closely with providers to...influence a provider to adopt best practices in the risk adjustment methodology. The successful candidate will… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Financial Services, Department of Title Virtual Currency Senior Analyst (Financial Services Specialist 2 ( Compliance ), SG-23) Occupational ... and identifies and assesses relevant current and emerging risks; * Conducts risk -based assessments of applicants' and Licensees' governance, compliance , and… more
- Mastercard (Harrison, NY)
- …help people, businesses and governments realize their greatest potential._ **Title and Summary** Senior Analyst- Federal Tax Compliance & Planning Senior ... tax provision; uncertain tax positions; deferred taxes; and valuation allowances. The Senior Analyst, Federal Tax Compliance and Planning prepares and maintains… more
- Amazon (Atlanta, GA)
- …of AWS data centers and infrastructure. - Provide technical assistance and risk management support to construction managers and partner teams, and promote and ... manage environmental compliance during construction, specifically focusing on protection of sensitive...phase with multiple AWS stakeholders, including Real Estate, Legal, Risk , Water, Design, Public Policy, Construction, and Operational teams,… more
- Ventura County (Ventura, CA)
- …information and training to County personnel. + Assists direct manager and senior leaders within Risk Management, as required. Typical Qualifications These ... Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary… more
- Amazon (Boston, MA)
- …will provide proactive guidance for upcoming tech builds and roadmaps, work with senior leaders on acceptable business risk when applicable, and track ... obligations, risk analyses, and recommendations. * Inventory risk and compliance obligations in a governance,...have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support… more
- Amazon (IL)
- …current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance. Assign appropriate ICD-10-CM, CPT, and other relevant ... 2025 As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I...a Profee Coder in an office setting inclusive of risk adjustment coder experience required * 1+… more
- Amazon (Seattle, WA)
- …cyber security and compliance risks. We are looking for an experienced risk specialist with industry experience in eCommerce fraud, compliance , or cyber ... experts in risk domains such as fraud, cybersecurity, data security, insider risk , regulatory compliance , etc. with a strong dependence on data analysis and… more
- Amazon (Tempe, AZ)
- …We are looking for an experienced Risk Manager with a background in risk or fraud investigations, regulatory compliance , intelligence, or a related field to ... across multiple risk domains including fraud, cybersecurity, data security, internal risk , threat intelligence, regulatory compliance , and vendor risk .… more