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Demonstrated ability in the following skill set: Interpretation of technical data specifications Critical thinking Excel spreadsheet use Problem-solving Research Project management EMR and data aggregator software Communication, verbal and written Presentation Skills ESSENTIAL FUNCTIONS Provides administrative support to ensure success of IPA's Medicare Risk Adjustment, HEDIS and CMS STARS initiatives.
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The Sr. Director, Technology Risk at Santander US and Santander Bank NA is responsible for all independent risk management and assurance activities over the assigned business area’s technology footprint as part of the second line of defense Technology and Information Risk organization.
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Participate in relevant governance committees and working groups as a delegate of the Head of Technology, including the Operational Risk Committee, Technology Executive Working Group, Information Security & Data Management Committee, Architectural Review Board, AI Evaluation Forum.
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Identify and assess technology risks and counsel business units managers, IT GRC, CDO and/or CISO stakeholders on risk management issues to ensure awareness and accountability for technology risks.
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15+ years overall professional experience in IT risk management roles in a matrix organization. This role is established in the second line of defense and requires collaboration across CISO, Data Office, IT, Operational Risk, Internal Audit and other relevant functional stakeholders within the organization in the management of existing and emerging technology risks.
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IT Service Management e.g. IT Change Management, Capacity Management, Configuration Management etc. Activities may include independent 2nd line of defense independent assurance over technical risk analysis, risk identification and remediation.
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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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Minimum of five years of Quality Assurance, Internal Audit, Risk, Compliance or Second Line Third Party Risk Management experience in the Financial Services industry.
$186,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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3+ years of experience in HEDIS record collection and risk adjustment (coding). Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.
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Domain Level: Advanced Performance and Process Improvement - Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals.
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Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CBCS.
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Benefits:The Quality Assurance Engineer will work a 9/80 work week while receiving market leading pay, paid time off, paid winter holiday shutdown, educational refund plan, medical, dental, and vision insurance options and service-based retirement contributions with additional 401k match.
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The Senior Audit Manager (SAM) for Infrastructure & Service Management will support the Director of CNB Infrastructure & Service Management in providing independent, objective assurance over the design and operation of CNB's IT risk management practices, governance processes and the system of internal controls.
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Awareness of quality principles and tools such as quality engineering, reliability engineering, Design of Experiments (DoE), management of change (MOC), document control systems, quality codes and standards.
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risk management change quality assurance jobs Title: project manager Company: Atkinsralis
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