Perform various documentation and data audits with identification of gaps and/or inaccuracies in risk adjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submis...
The Merchant Risk Analytics team works cross-functionally with Merchant Underwriting, Compliance, Engineering, and other analytics teams to establish scalable risk management for merchant acquisition and portfolio monitoring. This role requires extensive use of data analytics and modeling to derive ...
We are seeking Analysts of all levels to deliver high quality reporting, covering but not limited to areas around security-risk, intelligence, operations, and political risk. With our global presence and extensive experience, Control Risks maintains an ever-growing database of multi-national risk ma...
We are inviting professionals in high-growth industries who are thinking about their next move or looking for a new opportunity to join our expanding talent pool.The Marlee Talent Pool is a pilot project designed to:.Help job seekers get discovered by our partners based on their anticipated hiring n...
As a Push Payments Analyst on the Payments Risk Analytics team, you’ll be fully responsible for identifying and mitigating payments fraud risk on our critical payment rails without negatively impacting core metrics and the broader customer experience. This role will report to the Manager of Push Pay...
Identify potential risks that may negatively impact our community and business and drive investigations to better understand those risks. Define risk parameters and perform research, investigation, and risk level assessment from ideation to execution. Investigate risky content to determine underlyin...
This analyst will support the liquidity risk identification process, assist with creating and maintaining policies and procedures within liquidity risk accurately reflect team functionality and align to regulatory requirements, and participate in exams and audits encompassing liquidity risk. The Sen...
Will interact with specific lines of business and/or support areas, including Credit Risk, Finance, Treasury, and Mortgage, to manage model risk. Interact with internal and external stakeholders/vendors to manage Model Risk and maximize shareholder return. Conduct the independent review and validati...
As a Merchant Risk Analyst, you will assess financial risk related to credit, fraud and identity associated with the merchants. You will also coordinate with cross-functional partners to assess non-financial risk - brand, reputational, legal and compliance risk. Assess brand, compliance, fraud and f...
Operational risk management (ORM) is defined as a continual cyclic process which includes risk assessment, risk decision making, and implementation of risk controls, which results in acceptance, mitigation, or avoidance of risk. The Analyst of Operational Risk Management (ORM) reports to the Directo...
Medicare Risk Adjustment Analyst. Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. Leveraging proprietary technology, r...
As a Payments Risk Analyst on the Payments Risk Operations team, you will play a critical role in safeguarding our platform while upholding an optimal customer experience. To thrive in this analyst role, a strong foundation of payments risk knowledge is essential. Review high-risk transfers for pote...
We are inviting professionals in high-growth industries who are thinking about their next move or looking for a new opportunity to join our expanding talent pool.The Marlee Talent Pool is a pilot project designed to:.Help job seekers get discovered by our partners based on their anticipated hiring n...
Conduct the independent review and validation of select models used in the organization, focused on assessing risk and validating specific categories of models across the Bank, and ensure compliance with SR 11-07. Interact with internal and external stakeholders/vendors to manage Model Risk and maxi...
We are inviting professionals in high-growth industries who are thinking about their next move or looking for a new opportunity to join our expanding talent pool.The Marlee Talent Pool is a pilot project designed to:.Help job seekers get discovered by our partners based on their anticipated hiring n...
UPMC Health Plan is hiring a full-time Business Analyst III to support the HCC Risk Adjustment team. The Business Analyst III will manage comprehensive analysis of data and information for various UPMCHP products. To successfully perform the role the Business Analyst III must understand the causes o...
Drive strategic vision and goals for the Enterprise Security Risk Management Security Risk Analytics team through quantitative risk analyses. As a Lead Risk Quantification Analyst this role will be responsible for developing probabilistic models through requirements development with requirement owne...
Senior BI Analyst - Risk Adjustment. Matrix Medical Network is a leading clinical services organization that supports the needs of diverse and vulnerable populations, working with millions of individuals across the country to assess and help them manage their health risks through our large network o...
Coordinate and facilitate risk assessments, risk reporting, risk mitigation, and risk awareness activities across the organization. Manage and oversee the risk register, risk dashboard, risk indicators, and risk incidents, and ensure timely and accurate reporting to relevant stakeholders. The Senior...
This GRC analyst will provide risk management expertise, a business interface, technical to business risk translation and effective communication skills to risk owners throughout the organization and the wider Information Security Function. This extraordinary individual will be tasked with all aspec...