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Certification in risk management, audit, or business continuity management (Certified Business Continuity Professional (CBCP), Certification in Risk Management Assurance (CRMA), Certified Internal Auditor (CIA), Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (CRISC.
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7+ years of experience in a combination of IT Audit, IT Project or Product Management, IT Risk Management, IT Compliance, and/or IT Assurance & Advisory Services.
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Works with Resource Management Office (RMO) and Project Management Office (PMO) and Engagement Manager (EM) in scheduling and managing engagements. Provides comprehensive professional services delivery as related to infrastructure consulting, design, implementation, configuration, and knowledge transfer to Logicalis clients.
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Possession of a Bachelor's degree with 21 semester (32 term) credits in one or a combination of the following: computer science, data processing, computer information systems, data communications, networking, systems analysis, computer programming, information assurance, IT project management or mathematics.
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Minimum eight years of relevant experience in international development, global operations, and project financial management of equally large and complex USAID projects. We provide these services across many sectors including, but not limited to, agriculture, resilience & food security, conflict & crisis, democracy & governance, economic growth & trade, education & human capacity development, energy & infrastructure, environment & climate change, global health & WASH and humanitarian and disaster assistance.
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Quality Assurance/Quality Improvement ProgramsThe Adult System of Care division of the Health & Human Services Department is seeking a Quality Management Supervisor to oversee the Quality Assurance/Quality Improvement programs for both In Home Supportive Services and the county Behavioral Health Plan (mental health and substance use services.
$47.6 - $59.45 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Requires a Bachelor's degree in Business Administration, Economics, or a related field of study and four (4) years of experience in the position offered or four (4) years as a Model Reviewer, Portfolio Risk Manager, Model Developer, Risk Analyst, Associate, Director, or a closely related occupation.
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Minimum of 10 years of electrical system design experience in the water/wastewater industry or related experience; experience with design-build, design-bid-build, and construction management at risk (CMAR) project delivery ideal.
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Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters.
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Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
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Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. 3+ years of experience in HEDIS record collection and risk adjustment (coding.
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Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CBCS.
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Collaborates with: Variable, depends on project/ portfolio, but examples include safety, communications, aviation, business development /marketing, education/quality, revenue cycle, regulatory agencies and internal and external customers and partners.
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For Trillium Community Health Plan / Oregon: License/Certification: No license/certification is required. Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
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This role sits in Enterprise Risk Analytics (ERA), and will review and challenge the stress testing process, which requires proven partnership, leadership and credit and market risk expertise as the team will coordinate across multitude of stakeholders in first line of defense teams, ERM governance, model development, reporting, technology, Internal Audit, and external regulators.
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