The SVP-First First Party Fraud Controls and Reporting Group Manager will be responsible for creating/maintaining First Party Fraud Financial Loss Reporting, the development of First Party Fraud control monitoring and reporting, as well as performance metrics which will allow for proper evaluations ...
The Business Program Manager manages key client programs and projects. This may involve multiple Project Managers, cross-functional teams, and several enterprise projects. Providing executive-level reporting on status, risk mitigation, and issue resolution to senior leadership, stakeholders, steerin...
Perform detailed analysis to identify, assess, escalate, and manage risk exposures across Risk Categories (Operational Compliance, Strategic, Reputational, etc), including material, emerging and concentration risks in accordance with enterprise Policies and the establishment of Key Indicators to mon...
The Joint Commission (TJC), Office of the Inspector General (OIG) and/or other accrediting organizations, experience with proactive risk assessments including developing and implementing system-wide improvement processes. Certified Professional in Health Care Risk Management (CPHCRM) preferred. ...
Position Overview:** The Risk Adjustment Coding Manager will lead our risk adjustment efforts to achieve effective documentation and coding practices while improving provider relationships. The Manager will identify and maximize practice and process improvement opportunities, provider performance tr...
As CAISO Program Manager, you will have responsibilities to build, execute, and measure performance of Stem's market operations in North American wholesale electricity markets. This effort includes developing, implementing, and monitoring program operations strategies, project planning, portfolio an...
The Planning and Operations Manager - Behavioral Health is responsible for monitoring and leading the advancement of behavioral health strategies, projects, initiatives and operations for either CCOs or BH Department across the department and lines of business. Career Opportunities: Planning and Ope...
Director of Cybersecurity Third Party Risk Management. You will develop and implement a third-party risk management strategy, framework and end-to-end process in collaboration with supply management, Governance, Risk and Compliance, Legal, internal Audit and other relevant stakeholders. Responsible ...
The Risk & Brand Protection (R&BP) teams are strategic enablers of growth by proactively identifying and managing quality, risk, professional conflicts of interest, and other business risks that Deloitte faces in the marketplace. Lead Analyst Third Party Risk Management. Firms' Risk and Bran...
The Procurement Compliance Manager sits in the Policy & Compliance team providing expertise on Government procurement regulation, supply chain, and subcontracting. The Procurement Compliance Manager uses procurement knowledge to support the linkage of compliance and quality assurance to ensure t...
Risk Adjustment Analyst page is loaded **Risk Adjustment Analyst**. Position Overview:** The Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. T...
Compliance Senior Analyst, Independence Consultation - Business Relationships, Independence & Conflicts Network (ICN). Do you have a focus on compliance with regulations and policies? Are you passionate about quality-assurance and risk-management in a professional services environment? Then our ...
SERVICENOW SENIOR BUSINESS SYSTEMS ANALYST - Hybrid role. Partner with the business process owners and stakeholders to address process improvement and drive efficiency within the ServiceNow platform. Liaison between the business partners and the IT group to support ServiceNow and provide analysis fo...
Contracts Compliance Analyst IV at Amentum in Boise, Idaho, United States Job Description The Contracts & Compliance Analyst IV maximizes the effectiveness and efficiency of Amentum's Contracts functions by providing strategic support for the design, implementation, and training of processes for the...
Operations Manager is responsible for managing daily operations of Manufacturing, Quality and Supply Chain by leading those teams and monitoring performance against operational goals. This role also audits, analyzes, and reports on operational effectiveness; implements company policies, procedures a...
Work directly with business lines throughout the organization to assist in determining business requirements, make recommendations for appropriate solutions and develop new process to achieve improved efficiency. Coordinate and collaborate with Credit Union team members and 3rd party vendors to impl...
Position Overview:** The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. The Senior RA Analyst will collaborate and coordinate with int...
The Procurement Compliance Manager sits in the Policy & Compliance team providing expertise on Government procurement regulation, supply chain, and subcontracting. The Procurement Compliance Manager uses procurement knowledge to support the linkage of compliance and quality assurance to ensure t...
Are you a talented and ambitious engineer looking to make a significant impact on community-changing projects? Our team at Axiom is opening the door for a Project Manager eager to work on transformative projects. JOIN OUR TEAM AS A PROJECT MANAGER AND LEAD TRANSFORMATIVE PROJECTS. We’re looking for ...
The HR Compliance Manager is responsible for developing, implementing, and managing a comprehensive compliance program to ensure adherence to federal, state, and local regulations. Develop and update compliance policies, guidelines, and training programs to educate employees on compliance requiremen...
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. ...
We are seeking a Project Manager/Estimator with a minimum of 3 years of experience managing heavy industrial & healthcare construction projects. The purpose of this position is to perform all pre-construction, estimation, and project management duties independently for assigned projects. Reviews...
The Project Manager/Estimator will be responsible for managing fire protection projects from inception to completion and preparing detailed cost estimates for fire alarm and sprinkler systems. This role requires a highly organized individual with strong project management and estimating skills, as w...
Manager, Quality Compliance - Customer Onboarding at Cardinal Health in Boise, Idaho, United States Job Description What Quality Compliance contributes to Cardinal Health Quality develops and implements quality policies, procedures, and processes to ensure products and services comply with regulator...
The BSA Technology Program Manager will oversee and direct all AML/CFT model risk management efforts including developing, tuning, calibration, segmentation, and optimization of AML/CFT models for regulatory compliance. The BSA Technology Program Manager will develop the foundation for future modeli...