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This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical ConditionCategory (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits.
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Production of ERM's quarterly cyber risk accumulation analyses, reports, and presentations to various product boards and risk committees. The candidate will focus on Cyber risk, and be responsible for data analysis and modeling supporting quarterly and annual deliverables for cyber product boards and risk committees.
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The Patient Safety, Advocacy and Risk Management Specialist will have responsibility for data entry into the Midas Event Reporting system, the Pennsylvania Patient Safety Reporting System (PA PSRS) including external reporting to PA PSRS and the PA DOH, and running reports and performing data analysis from each of these data bases.
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Experience in Risk-Based Test Management and Test Automation - Tosca, Performance Testing, Regression Testing, Disaster Recovery Testing, and Data Migration Testing. Experience in Risk-Based Test Management and Test Automation - Tosca, Performance Testing, Regression Testing, Disaster Recovery Testing, and Data Migration Testing.
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Proficiency in Risk-Based Test Management and Test Automation - Tosca, Performance Testing, Regression Testing, Disaster Recovery Testing, and Data Migration Testing. This will include, but is not limited to Portal, Natural Language IVR contained telephony, Chatbot, email/ forms, walk-in, and social media.
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Knowledge as a global domain expert in one or more of the following offerings within DRC (KYC, AML, Sanctions, Fraud, Controls and Risk Management) + Minimum of 7 years experience in risk and compliance.
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Serves as a leader and subject matter expert on interest rate risk management for Asset Liability Committee, Enterprise Risk Management, Treasury, and lines of business. Ten or more years of experience in asset/liability management, interest rate risk management in the financial services industry.
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Risk and Compliance - Financial Crimes Compliance Senior Consultant. Protiviti is looking for a Risk and Compliance Senior Consultant to join our growing Financial Crime Compliance team.
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The Dealer Relationship Manager is responsible for the total dealer relationship that includes but is not limited to the relationships with key dealer personnel, loan originations, portfolio performance, loan quality, risk tolerance, and loan servicing which includes title perfection.
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Project Leadership: Lead and supervise geotechnical engineering projects, covering site characterization, foundation design, and risk assessment for transportation, residential, and commercial facilities.
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ERM's Climate Risk and Opportunity Advisory (CROA) team, within our broader Corporate Sustainability & Climate Change (CS&CC) function, is growing quickly. This role will focus on quantifying the financial implications of climate risk, but there are opportunities for the candidate to contribute to all of our team's work across the climate change space (including relating to the low-carbon energy transition and net zero.
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Experience in risk assessments and audits related to all products and functions FICO/AM/Procurement/ Payroll, BPS/BW-BO/BASIS and Fiori. We are seeking a SAP GRC (Governance, Risk, and Compliance) Implementation Team Lead to join our team supporting an Internal Revenue Service (IRS) client.
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Demonstrated successful track record working in IT compliance, governance, or risk management, internal audit or external audit with a strong focus on SOX compliance, with minimum 5 years' experience.
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Experience with relevant FEMA, NOAA, and associated state tools such as the Resiliency Analysis and Planning Tool, National Risk Index, etc. Climate, Resilience, and Sustainability- related credentials, including: Envision Sustainability Professional (ENV SP); ACCO Certified Climate Change Professional (CC-P); GARP Sustainability; and Climate Risk Certificate (SCR.
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The Senior Clinical Director, working closely with the CMO and COO, is responsible for developing and facilitating the quality assurance, risk management, regulatory compliance, and operational performance improvement activities for all clinical services.
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risk job in Harrisburg, PA
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