Claims Legal and Regulatory Compliance Specialist. Responsible for leading the development and implementation of quality/compliance/legal assessments and/or manages compliance activities to ensure effective oversight of operational risk. Provides expert knowledge and guidance in the design, assessme...
Claims Compliance and Audit Specialist. Responsible for executing quality and compliance assessments and/or engaging in regulatory management activities. Partners with key stakeholders to improve compliance with state laws and measures adherence to internal claims procedures. Delivers actionable rep...
As a Risk Analyst, you will play a critical role in identifying, enhancing, and assessing potential risks that could impact the organization's operations, reputation, and financial health. Review existing risk assessments to identify additional potential risks across various areas, including fin...
Working knowledge and ability to understand and analyze financial statements. ...
Voya Financial seeks an experienced Retirement Implementation Business Analyst with OMNI experience to manage the transition of Large Corporate Market 401k Plans & TEM/Tax Exempt to Voya as well as for documenting and testing existing client upgrade/enhancement projects. The status quo is not good e...
As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national coordinating counsel defending CVS in general pharmacy, healthcare and premises lawsuits filed throughout the United States. ...
This role requires close partnership and collaboration with other Business Stakeholders and Subject Matter Experts. ...
Works closely with clinical and non-clinical leaders to develop sound business case by integrating multiple sources of data (cost & clinical). Minimum: Bachelor’s Business Administration or related field or equivalent experience. Preferred: Master’s in Business Administration, Health...
BSA Compliance Analyst will oversees and support banking activities. BSA Compliance Analyst Job Responsibilities:. BSA Compliance Analyst Job Qualifications:. Including collection and transactional review to meet all organizational and federal banking requirements and maintains consistency in docume...
To manage a staff of data analysts; to develop complex reports and analyze company data including Corporate or client specific data; to serve as a technical resource for company staff on data analysis and benchmarking issues; to meet with clients on such issues as necessary; to provide training and ...
Clinical Fraud Investigator II. Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse prevention and control. Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHI...
This role requires close partnership and collaboration with other Business Stakeholders and Subject Matter Experts. ...
This job consults with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations. Develop and implement data collection syste...
Applies basic knowledge of compliance, business, analytical, and communication skills to support compliance programs and processes that promote compliant and ethical behavior, meet regulatory obligations, and prevent, detect, and mitigate compliance risks. This position will focus on compliance with...
This is a contract job opportunity.Position: Laboratory Assistant Medical 8302Location: Calabasas Hills CASchedule: see belowProjected duration: 3 + potential for permJob code: CVDJP00028302 pay rate - $17 to $18 per hour benefits are available This is entry level role-.The schedule for this positio...
Experience with project management.Planning and Co-ordination skills.Experience and desire to work in a management consulting environment that requires regular travel.Experience and desire to work in a Global delivery environment.Ability to write design documents and walk the audience through the de...
The Senior Risk Analyst – Credit Risk role will join the ERM team, reporting to the US Chief Risk Officer / Head of Financial Risk Management. Senior Risk Analyst - Credit Risk. In addition, the successful applicant will also contribute to ERM activities in other Financial Risk areas (Market Risk, L...
Contract Compliance and Procurement Specialist. Central Connecticut State University invites applications to join Fiscal Affairs as a full-time Contract Compliance and Procurement Specialist. The Chief Budget and Compliance Officer leads the Fiscal Affairs’ team, which includes Accounting, Accounts ...
Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information. Perform modeling of data sources and flows, wo...
Assist Data Governance Lead in all aspects of implementing data governance protocols, policies, processes, and standards; including areas such as workflow for data ingestion, data quality, master data, and data life cycle management. The Data Governance Analyst is responsible for defining, implement...
Utilize the Earned Value tools and communicate the financial metrics required to ensure focus on program performance. Provide financial leadership and guidance to the Program leads and promote Earned Value (EV) compliance and a cost-conscious culture. Support FP&A Analysis in support of Portfolio / ...
Reporting to the CFO of SmartPak and partnering closely with the CRO (Chief Revenue Officer) and CMO (Chief Marketing Officer), you will be responsible for leading the financial planning and analysis function for the organization and act as a guardian of financial insights for the commercial busines...
Manage all technical aspects of Salesforce, including data migrations, data quality, system integrations, third-party applications, AppExchange products, and custom code development. Skilled with Salesforce data tools and knowledgeable about relational databases. This role will be essential in manag...
A Data Entry Specialist will compare data with source documents submitted by our members, checking for accuracy and that supporting documentation meets specified requirements. We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accura...
The Senior Data Analyst will collaborate with business users to identify, build, and maintain data analytics solutions, producing outcomes of moderate to advanced complexity. Additionally, this role will serve as a mentor and advisor to mid-level and junior data analysts, contributing to a culture o...