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The Senior Analyst/ Consultant, TPRM will support the Third Party Risk Management team fulfill its review, challenge and reporting expectations, as well as operational risk management and control framework requirements.
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Manages the development and negotiation of FFS & VBC risk contracts with third party payers & providers. Responsible for leading and directing strategic activities associated with negotiating, implementing, and maintaining complex managed care contracts and relationships with third party risk bearing entities (i.e. payers and providers.
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Experience in population health and value-based care data repositories, third party software tools, and working with payer claims datasets highly preferred. The analyst monitors and reviews existing and new Center for Medicare and Medicaid Innovation (CMMI) Government Programs whether for the hospital system, the ambulatory providers, or the CIN, to understand the risk components and partners with the Chief Population Health and Growth officer and interdisciplinary team to assess feasibility and requirements for participation.
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The key responsibilities of the role include:Serves as a liaison between Global AML and corporate functions including Audit Services, Global Compliance Testing, Model Risk Management Group, Third-Party Management Office, Procurement, Global Business Continuity and Recovery Services, Operational Risk Management, and others.
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Execution of controls and risk assessments (e.g., third-party risk, privacy, data protection) Prestigious Financial Company is currently seeking an Information Data Governance and Protection Analyst.
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Makes written and/or verbal inquiries to third party payers to verify insurance status and obtain pre-certification. The Pre-Certification Specialist is responsible for processing referrals for services and obtaining needed authorizations from the patient’s payor source.
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Ensures that appropriate due diligence and ongoing monitoring of Global AML vendors and models is performed in accordance with Northern Trust’s Third-Party Management Practice Standard and Corporate Model Risk Management Policy, respectively.
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Integrate Intune with other Microsoft 365 services, such as Microsoft Entra ID, Exchange Online, Teams, and SharePoint Online, as well as third-party applications and tools. Advanced knowledge of other Microsoft 365 services, such as Exchange Online, OneDrive for Business, SharePoint Online, Teams, as well as integration with third-party applications and tools.
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The Structured Finance team works closely with investors, third-party consultants, and internal business teams to efficiently execute financing transactions and support RWE's strategic objectives.
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You preferably have professional information security certifications: Certified Information Security Manager (CISM), Certified Information Systems Security Professional (CISSP), Certified Information Systems Auditor (CISA), Certified Third Party Risk Professional (CTPRP.
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In-depth knowledge of Pricing, ATP and Backorder processing, Material determination, Rebates, intercompany, STOs, contracts, third-party processes, and other sub-processes; SAP Pricing & Rebates including pricing techniques and procedures, access sequences, routines/formulas, rebate agreements, calculations and settlements, and free goods; and, SAP DSD solution including route preparation, route accounting and settlement for all GTM models – van sales, pre-sales and pre-order.
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Collaborate with internal stakeholders across different departments, such as strategic sourcing, IT, third-party risk management, and security, to address legal matters affecting the business.
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Or add your expertise to our supply and trading operations, brokering renewable electricity, green gas, commodities, and CO2 emission allowances from one of our advanced energy trading floors. Join our renewables specialists, working across the clean energy spectrum to grow our operations to 50 GW by 2030 - with some of the world's largest on and offshore wind farms and industry-leading hydrogen initiatives.
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As a Systemically Important Financial Market Utility (SIFMU), OCC operates under the jurisdiction of the U.S. Securities and Exchange Commission (SEC), the U.S. Commodity Futures Trading Commission (CFTC), and the Board of Governors of the Federal Reserve System.
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Additionally, you will be responsible for supporting the implementation and continuous improvement of the firm's Third Party Risk Management framework. Support the development and maintenance of Third Party Risk Management policies and procedures.
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third party jobs Title: analyst Company: Ascensus in Chicago, Ada-county, Idaho
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