- UpvoteDownvoteShare Job
- Suggest Revision
Drive market-level projects to optimize quality, risk adjustment, utilization management, financial performance, and membership growth. Collaborate cross-functionally with Quality Management, Risk Adjustment, Clinical Services, and Sales to monitor and enhance performance trends.
$161,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The ideal candidate will leverage expertise in high-level complex SaaS sales in supply chain risk, vendor risk management, and/or third-party risk management. Familiarity with Supply Chain Risk Management, Governance, Risk & Compliance, and Third-Party Risk Management.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Establish, implement, and oversee the Operational Risk Management activities of a Hedge Fund or Family Office including reporting Key Risk Indicators (KRIs), Third-Party Risk Assessments, conducting Risk & Control Self-Assessments (RCSAs.
$400 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Serves as a principal advisor and key resource to senior leadership and other parties, and as liaison between appropriate agencies, on all matters pertaining to patient and public safety, risk assessment, and other factors relating to security excellence.
$158,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Familiarity with Governance, Risk, and Compliance (GRC) technologies such as RSA Archer or ServiceNow. The Governance, Risk, & Compliance (GRC) Compliance Assurance Senior Analyst will be responsible for performing a variety of tasks within controls, issues, and certifications management.
$196,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The successful candidate will review AML account closure, risk-rating override, and account restriction risks end-to-end across the organization and provide insights and emerging trends on these AML related risk mitigation activities for the AML BSA Officer and designated governance committees.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Credit and Model Risk Oversight, Transaction Monitoring & Risk Capabilities: provides independent challenge and ensures that significant Credit and Model risks are properly evaluated and monitored, and Anti-Money Laundering (AML) risks are mitigated through the transaction monitoring program.
$87 an hourInternExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Advisory Compliance team serves as a regulatory advisory function and is responsible for overseeing the management of the broker dealer's compliance risk, and is represented by the Chief Compliance Officer as either a member or observer of various committees such as the New Product, Underwriting, Risk Management, Compliance, and Trainingcommittees.
$250,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
CRC - Certified Risk Adjustment Coder (R) Create and maintain Risk Adjustment and Diagnosis coding tip sheets and educational material for all coding. have the tools and resources to support accurate and adequate risk adjustment documentation and coding.
$110,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provide clarity for regional MCA reviews and drafting and serving as the subject matter point of contact for client retention/ risk mitigation functions including AML account closures, Red Flags list and KYC/ risk rating feedback loops.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Review claims that may have paid incorrectly and communicate findings for adjustment; Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts etc.
$49,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Commercial Insurance Inspector- (Flatbush / Kings County (Brooklyn) NY.) Brooklyn, NY, USA ● Flatbush, Brooklyn, NY, USA ● Kings County, Brooklyn, NY, USA Req #26699 Wednesday, August 28, 2024 The CompanyCommercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Perform independent review and model validation activities compliant with Model Risk Management policies and procedures, regulatory guidance, and industry leading practices. 5 years' in relevant risk management experience including model risk management and risks analytics preferred for Vice President.
$200,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Participate and/or leading other efforts to build exemplary AML risk management programs or lead the design and/or closure of issues and Corrective Action Plans (CAPs). The scope of this role includes providing consistency and coordination for the client close-out, risk-rating override, and account restriction processes through global AML stakeholders (AML Country Officers [AMLCO], Client Review and Investigations Units [CRIU], and Country Risk and Compliance Officers[CRCO]), while also enhancing the control points for of the AML Account Closure Standard and corresponding Procedures.
$300,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Director, RBC IT Audit leads audit plan management and execution, strategic initiatives, and resource management in relation to internal audit operations across within RBC US. Key audit areas this role will cover can potentially include, IT Risk Management, Data Risk, Cybersecurity, supporting IT Functional coverage (such as AML or Regulatory Reporting.
InternExpandApply NowActive JobUpdated Today
candid domain risk adjustment jobs Company: Pwc in New York, NY
FEATURED BLOG POSTS
What Makes a Company a Great Place to Work
After one too many after-hours emails, you’re on the hunt for a new gig. But what makes a company a great place to work? And how will you know when you find one? Finding a motivating, safe, and productive work environment is important for our mental and physical health. If you’re financially frustrated, creatively stuck, or just plain over it, it’s time to find a healthier workplace where you can flourish.
What Makes a Good Boss? The Top 12 Qualities & Attributes
Think back to the best boss you’ve ever had—does someone come to mind? We hope so! Okay, now think back to the worst boss you’ve ever had. I’m sure you can conjure up a few faces.
How to Recruit and Retain Gen Z Employees
As Boomers and the oldest Gen X are exiting the workforce, younger Millennials and Gen Z are flowing in. While the younger generations seem to be completely different than the older generations, many care about some of the same things- financial security, working conditions, etc. However, due to social and cultural differences in the era that Gen Z has grown up in, they have concerns that were never even workplace topics of discussion 20 years ago.
How Does Temp to Hire Work? Benefits, Concerns, & More
Whether you’re just starting out your career or are looking for the next opportunity, the job market has never been more burgeoning with opportunities. From flexible work options and freelancing gigs to seasonal and temp-to-hire work, people today are spoiled for choice when it comes to finding engaging and fulfilling work.
Explore Your Skill and Find the Best Way to Make Money From Home
When you just can’t stomach another drive-thru coffee on your morning commute, close your navigation app on your phone and search for easy ways to make money from home instead. With a computer and some niche skills, there are countless opportunities for you to earn a living from your couch. (Okay, fine, your home office.) Below, we’ll explore 30 different ways to make money from home, as well as a few “too-good-too-be-true" warning signs to know to keep you from booking the wrong remote gig.
What is Employment Participation Rate
According to economists, there are four factors of production that go into creating higher quality goods at lower prices. These are
How to Get Pay Stubs (From Previous Employee Also!)
Pay stubs are an important piece of document which shows your earnings in a given period, as well as any deductions made towards your health insurance or pension contributions. They’re also excellent for finding out how much your recent salary raise has bumped up your monthly net income.