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Certified Risk Adjustment Coder qualification or another AAPC/AHIMA certification, such as Certified. 6+ years experience as a Risk Adjustment coder at a Health Plan, including working on RADV audits.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories.
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Specialist in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and Derivatives Counterparty Credit Risk (SCCR) RWA under the Basel III rules and the proposed Basel III Endgame enhancements.
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Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 contract only.
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The Associate Director, Senior Quantitative Analyst is a critical member of the model validation team within the Model Risk Management (MRM) Responsibilities range in activities including risk governance and reporting, model inventory, model validation and model performance oversight.
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Understanding of Liquidity Risk Regulatory requirements pertaining to Reg YY and FINRA, CFTC, NFA or FDIC. 2+ years EPS Liquidity Risk/ALM/Treasury experience gained within a bank, regulatory agency or swap/broker dealer.
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On a monthly basis, present to several committees for the transparent dissemination of model compliance statistics, aggregate model risk analysis, Model Performance Tracking Results and the socialization (and escalation) of any model risk management-related concerns.
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Responsibilities:Manages the model validation team responsible for model validation and other Model Risk Management activities for a broad range of models developed and used by function areas across Citi in areas including Liquidity Risk, Operational Risk, Scenario Design, Regulatory/Economic Capital, etc.
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We are seeking a Vice President to focus on Non-Trading Market Risk (or Interest Rate Risk on Banking Book) and Liquidity Risk Management (Treasury/Balance Sheet Risk Management.
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Advising first line teams, ERM team members, and management on regulatory compliance requirements and best practices with respect to effective model risk management. Supporting the Fortitude Re ERM Model Risk Management function.
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Familiarity with IT risk management and compliance standards. Reporting to the VP of Global Service delivery, the Senior Director of Service Delivery (Americas) plays a crucial and prominent role within our organization's IT leadership team.
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Position Title: Model Risk Management - Senior Director. Coordinate Model Risk Management meetings; prepare meeting agenda; collect/organize meeting materials and track action items.
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The individual will work in concert with the operational risk management team, including the vendor risk management and business continuity management teams, to ensure close coordination, integration, transparency and awareness of information risks across all risk management programs.
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Approve credit reviews as a first line of defense underwriter (Credit Officer CO/Senior Credit Officer SCO designation) including assessment of portfolio risk, liquidity of client positions, credit limits and risk appetite ratios.
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Work closely with the Director, Accelerator Program Success to identify Fellows who may be at risk or in need of additional assistance. This role will be a member of the Innovation Team and report to the Director, Program Success.
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director risk adjustment jobs Company: Metroplus Health Plan in Jersey City, NJ
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