Full-Time Risk Adjustment Manager jobs
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RISK ADJUSTMENT MANAGER
Oversee the outcomes and operations of Risk Adjustment across the organization within all the assigned products and identifies areas of improvements and implements processes as needed. Interpret statistical analyses and helps stak...
| Company | Mid-Atlantic Permanente Medical Group |
|---|---|
| Address | Rockville, MD |
| Category | Information Technology |
| Salary | dental insurance, life insurance, parental leave, paid time off, sick time, tuition reimbursement, 401(k), retirement plan |
| Date Posted | 2 months ago See detail |
Risk Adjustment Manager
Mid-Atlantic Permanente Medical Group
Rockville, MD
dental insurance, life insurance, parental leave, paid time off, sick time, tuition reimbursement, 401(k), retirement plan
Oversee the outcomes and operations of Risk Adjustment across the organization within all the assigned products and identifies areas of improvements and implements processes as needed. Interpret statistical analyses and helps stak...
2 months ago seen See more...
Director, Risk Management Solutions & 2LD Controls New
Ouro
Austin, TX
$145K - $184K a year
Risk Solutions Strategy: Develop and execute a strategic roadmap for the design, enhancement, and optimization of AML, Fraud and Credit Risk Management tools, aligning them with the organization's risk appetite and business object...
5 hours ago seen See more...
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Catastrophe Risk Management Co-op (July-December 2024) New
Liberty Mutual
Boston, MA
$33,000 - $83,000 a year
You have 0-2 years of professional experience. You are an undergraduate working towards a Bachelor's degree with a minimum 3.0 cumulative GPA. You are familiar with information systems, software applications, and analyzing quantit...
10 hours ago seen See more...
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Principal Auditor, Credit Risk Management (Hybrid)
Capital One
New York, NY
Lead small audits, or own completion of significant components of larger audits.. Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions, and develop audit programs to ensure ad...
24 hours ago seen See more...
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Market Operations and Account Services Associate (Account Risk Management Associate)
York State Department Of Labor
New York, NY
Monitor and analyze payment activity to ensure compliance with OFAC requirements and Bank and CBIAS AML policy.. Develop and maintain customer profiles that identify key areas of activity and potential transactional risk using a v...
2 days ago seen See more...
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Security Risk Management Specialist
Canonical
Remote
Define Canonical's Security Risk Management standards and playbooks. Analyse and improve Canonical's Security Risk practices. Evaluate, select and implement new security requirements, tools and practices. Grow the presence and th...
2 days ago seen
DFS Risk & Trading Manager New
Sleeper
Nevada, United States
Developing a system to understand Sleepers liability in real time, including our exposure related to specific markets and outcomes based on the concentration of open contests. Monitoring Sleepers active player statistics markets...
5 hours ago seen See more...
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Sr. Manager, Technology Change Risk Oversight
Capital One
New York, NY
Provide technical leadership in assessing the practices of designing, developing, testing and implementing cloud native solutions to crucial business problems through thoughtful use of industry best practices and Capital One polic...
24 hours ago seen See more...
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Retrospective Program Manager, Medicaid Risk Adjustment
Cvs Health
Connecticut, United States
3+ years of project management experience. . 2+ years in Medicaid or Risk Adjustment health care industry experience. . Certified Risk Adjusted Coder (CRC) or Certified Professional Coder (CPC).....
2 months ago seen See more...
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Staff Professional - Risk Management
Marriott
Atlanta, GA
Provides telephonic case management of associates with occupational illness/injuries to coordinate medical care.. Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, o...
3 days ago seen See more...
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Staff Professional - Risk Management
Marriott
Lorida, FL
Provides telephonic case management of associates with occupational illness/injuries to coordinate medical care.. Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, o...
3 days ago seen See more...
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Staff Professional - Risk Management
Marriott
Bethesda, MD
Provides telephonic case management of associates with occupational illness/injuries to coordinate medical care.. Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, o...
3 days ago seen See more...
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Staff Professional - Risk Management
Marriott
Frankfort, KY
Provides telephonic case management of associates with occupational illness/injuries to coordinate medical care.. Addresses occupational injury/illness with the proactive component of aiding the associate in choosing a provider, o...
3 days ago seen See more...
- View all - jobs in Frankfort, KY
AML Platform Risk Manager
Bank Of America
Tiona, PA
Defines responsibilities and accountabilities for key project roles and oversees the execution of defined programs and/or project tasks through tracking of deliverables and their statuses, developing project plans, and measuring p...
4 days ago seen See more...
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EAC Compliance & Operational Risk Manager- Enterprise Data
Bank Of America
Plano, TX
This role assists in developing and maintaining a global coverage plan which defines the scope and risk-based focus of the second lines risk management activities. The EAC C&OR Manager also assists in preparing materials for C&OR...
6 days ago seen See more...
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Compliance and Operational Risk Manager- Global Banking & Payments
Bank Of America
Pennington, NJ
Assesses risks and effectiveness of Front Line Unit (FLU) processes and controls to ensure compliance with applicable laws, rules, and regulations, while responding to regulatory inquiries, other audits, and examinations. Engages...
6 days ago seen See more...
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Risk Management Staff Professional
Marriott
Bethesda, MD
Manage 100-150 casualty claims on assignment.. Acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Workers Compensation and General Liability cases as determined by Claims Unit Manager.. Investigate clai...
7 days ago seen See more...
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Risk Manager
City Of Saint Paul
Saint Paul, MN
$103,542 - $140,712 Per Year
Performs highly responsible strategic planning and design work in the administration of a citywide comprehensive risk management program. Plans, directs, coordinates, evaluates, oversees, and provides technical direction for worke...
7 days ago seen See more...
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Risk management - Derivatives consultant
Inter-American Development Bank
Washington, United States
Leverage use of the Banks systems to produce daily derivative risk measures and reports; assist in daily swap valuation and collateral management to ensure accurate and efficient operations.. Collaborate with RMT staff to evaluat...
a week ago seen See more...
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Nurse Manager- Labor & Delivery/High Risk Antepartum
Ziprecruiter
Albany, NY
Provides proactive administrative and staff support in a patient centered environment. Promotes center strategies that provides excellence in patient care. Coordinates the flow of communication to maintain optimal unit/department...
3 days ago seen See more...
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Risk management - Derivatives consultant
Inter-American Development Bank
United States
Leverage use of the Banks systems to produce daily derivative risk measures and reports; assist in daily swap valuation and collateral management to ensure accurate and efficient operations. . Collaborate with RMT staff to evalua...
a week ago seen
Digital Unit Product Security Risk Manager
Olympus Corporation Of The Americas
Minnesota, United States
Be a Security Risk management expert in healthcare with experience on industry standards, guidance, regulations, and tools. Lead a team and provide oversight on threat modeling and Security Risk management activities through the p...
a week ago seen See more...
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RN Patient Safety Risk Management
St. Charles Health System
Bend, OR
$101,899 - $152,838 a year
Supports the preparation of documents for reporting serious harm events to State and accreditation agencies.Develops and provides education/communication to leadership, physicians, colleagues and other stakeholders on patient safe...
a week ago seen See more...
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Case Manager (RN) OB HIGH RISK, Clark County NEVADA - Now Hiring
Molina Healthcare
Las Vegas, NV
$23.76 - $51.49 per hour
Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in...
4 days ago seen See more...
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Senior Product Manager - Risk Investigations
Mercury
United States
Gain a deep understanding of our current and potential customers needs.. Gain a deep understanding of the market and Mercurys products today.. Leverage data and research to inform decision making through. Develop and articulate...
5 days ago seen
Director, Risk Management Strategy and Operations
Biospace
Washington, DC
Manage the day-to-day Risk Management and third-party risk operations. Develop and implement comprehensive Risk Management strategies that drive fit for purpose assessments. Develop and implement comprehensive third-party risk man...
2 weeks ago seen See more...
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Procurement Risk Manager
Planned Parenthood Federation Of America
New York, NY
is a 501(c)(3) charitable organization that supports the independently incorporated Planned Parenthood affiliates operating health centers across the U.S. The procurement department negotiates costs and prepares contracts to ensur...
2 weeks ago seen See more...
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Clinical Risk Management Manager
Biospace
Washington, DC
Supporting the Clinical Study Team (CST) to drive effective decision making for Risk Management. Ensuring Risk Management implementation and conduct of study(ies) in accordance with SOPs and ICH-GCP guidelines. Co-ordinating the C...
2 weeks ago seen See more...
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Enterprise Risk Management Audit, Assistant Vice President
State Street
Boston, MA
Not disclosed
Plan, oversee and execute audits according to the Divisions risk-based audit methodology, other internal standards and industry practices. Supervise and direct the execution of risk and control assessments, along with the effecti...
2 weeks ago seen See more...
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Associate Director - Global Supply Chain Sustainability and Risk Management
Biospace
Indianapolis, IN
Develop Lillys Supply Chain Sustainability Strategy or Roadmap in partnership with Global Supply Planning, Manufacturing Strategy, Site Supply Chain leaders, Global Logistics, Global Procurement, and other key cross-functional pe...
2 weeks ago seen See more...
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