A company is looking for a Risk & Quality Performance Manager to support their Risk & Quality Solutions team.Key ResponsibilitiesCollaborate with Health Plan Risk and Quality leaders to manage data collection strategies and reportingOversee Risk / Quality data ingestion activities to ensure accuracy and completenessEnsure compliance with regulatory audit guidelines and proactively communicate project status to stakeholdersRequired QualificationsBachelor's degree or equivalent combination of education and experience2+ years of program and / or project management experience in risk adjustment and / or quality2+ years of experience supporting HEDIS engine activity and risk adjustment reporting systemsFamiliarity with running queries in Microsoft Azure or SQL serverHealthcare experience with functional risk adjustment and / or quality knowledge
Manager of Insurance and Risk Operations
A company is looking for a Manager of Insurance & Risk Operations to oversee risk reporting, evaluation, and mitigation across operations. ...
Advisory - Cyber & Strategic Risk - Cyber Identity - SailPoint Manager
Perform role of counselor and coach; provide input and guidance into the staffing process; actively participate in staff recruitment and retention activities; provide leadership and support for delivery teams and staff in local offices. Identify and evaluate complex business and technology risks, in...
Senior Manager Governance Risk and Compliance
A company is looking for a Senior Manager, Governance, Risk and Compliance to oversee the GRC framework and ensure alignment with industry standards and regulatory requirements. ...
Regional Quality and Food Safety Manager
DescriptionThe Regional Quality & Food Safety Manager is primarily responsible for providing leadership, oversight, and support in food safety, quality programs, and Quality Assurance (QA) personnel in designated regional Trinidad/Benham Corp. Oversee training of all employee owners in company f...
Clinical Quality & Risk Manager
Most of the work involves obtaining and analyzing data from direct observations of health center operations and clinical practice, audits, chart reviews, incident reports and other sources to monitor the quality of care, identify exposures to risk, and to apply these data to develop and implement qu...
Risk Control, Boiler & Machinery Field Manager
Represent the company at jurisdictional meetings and ensure field consultants and Regional Director understand current and developing jurisdictional rules and regulations. Understands the nature of mechanical and electrical equipment, fired boilers and pressure vessels, and the related control and s...
PLS Tech Delivery Sr. Manager (Manufacturing and Quality Experience)
To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be an authentic and inclusive leader, at all grades/levels and in all lines of service. Understanding of data and integrations between manufacturing and quality applications; a...
Senior Manager, Market Risk and Liquidity Risk Model Validation
Model Risk Oversight is a strategic function within the broader Corporate Risk Management umbrella to provide oversight over a broad spectrum of models that create innovative products for our clients, and prudently manage our financial risk using sophisticated quantitative approaches. The analyst wi...
Quality Program Manager (utility Construction & Service)
We support the federal government, military institutions, municipalities, and major utilities across the US, with financing, design, engineering, construction, and ongoing operations and maintenance for electrical transmission and distribution systems, as well as outdoor street, sport, and other rec...
Manager, Enterprise and Operational Risk Management
ERM Strategy and Governance supports Schwab in managing and mitigating risks within risk appetite across risk categories using a consistent risk management process that enables effective risk identification and assessment, response, measurement and monitoring, and reporting and escalation through Sc...