Risk Management Specialist

At PG&E Corporation, we are seeking a highly skilled Compliance and Risk Specialist to join our team. This exciting opportunity is ideal for an individual who thrives in a dynamic environment and possesses excellent analytical and problem-solving skills.Job DescriptionThis role will support the development, implementation, and maintenance of our compliance...

Your RoleCompliance Program OversightThe Compliance Audit Services team at Blue Shield of California Promise Health Plan is responsible for ensuring the effective implementation and maintenance of our Compliance Program. As a Compliance Risk Management Specialist, you will report to the Senior Director, Compliance Audit Services, and play a key role in...

Your RoleThe Enterprise Risk Management team is responsible for balancing financial goals and membership objectives while protecting Blue Shield of California's bottom line from loss. The Group Underwriter will report to the Enterprise Risk Management Manager. In this role, you will directly contribute to the company achieving its financial and strategic...

Job SummaryTalentBurst, an Inc 5000 company, seeks a highly skilled Third Party Risk Operations Specialist to join our team. As a critical member of our risk management department, you will play a vital role in ensuring the integrity and security of our third-party vendors.About the RoleThis is a unique opportunity for a detail-oriented and analytical...

At Blue Shield of California, we are seeking a highly skilled Data Analysis and Risk Adjustment Specialist to join our Risk Adjustment Provider Partnership team. This is an exciting opportunity for a seasoned professional to leverage their expertise in data analysis, risk adjustment, and provider relations to drive business growth and improve patient...

Job Description">As a Care Facilitator at Fred Finch Youth & Family Services, you will play a critical role in supporting at-risk youth and young adults in achieving their full potential. This role involves assessing client needs, developing personalized care plans, and coordinating services with community agencies.">Key Responsibilities:">">Assess client...

Your RoleBlue Shield of California's Risk Adjustment (RA) Chart Review and Analytics team is a vital part of bringing healthcare into the digital age.The RA team is highly cross-functional, with each member deeply skilled in both business-operations and data-analytics; this enables us to deliver industry-leading results.We are seeking a Data Analytics Lead -...

Blue Shield of California is seeking a highly skilled Strategic Actuarial Risk Manager to join its Risk Adjustment Analytics and Reporting team. This role will report to the Senior Manager of Risk Adjustment Analytics and Reporting.About the RoleThis position involves providing analytical support for various prospective programs across multiple lines of...

Company OverviewZurich Insurance Company Ltd. is a leading global provider of commercial property-casualty insurance solutions and risk management products and services. With over 150 years of experience, we serve more than 25 industries, from agriculture to technology, and insure 90% of the Fortune 500.SalaryThe estimated salary range for this position is...

About the RoleWe are seeking a highly skilled and detail-oriented professional to join our team as an Electronic Banking Support Specialist.Key ResponsibilitiesBUILD STRONG RELATIONSHIPS WITH CLIENTS AND TEAM MEMBERS THROUGH EFFECTIVE COMMUNICATION.Maintain and organize authorization forms for online access, ensuring accuracy and compliance.Conduct periodic...

Company OverviewMotion Recruitment, a leading staffing agency for the financial services and digital payments industry, is seeking a highly skilled Third Party Risk Data Specialist to join their team. This fully remote role offers an exciting opportunity to work with a reputable client in the field.Estimated Salary: $80,000 - $110,000 per annumJob...

**Company Overview:**Ottimate, a leading fintech company, is seeking an experienced Director of Risk and Fraud to lead our fraud and payments risk program. Our innovative technology, including Artificial Intelligence, Payment Tech, and Neural Networks, is transforming entire industries.The ideal candidate will have a strong background in risk management or...

**Job Title:** Care Management SpecialistAbout the Role:We are seeking an experienced Care Management Specialist to join our team at Alameda Health System. The successful candidate will coordinate continuum of care and discharge planning activities for a caseload of assigned patients, developing plans of care and discharge plans, monitoring all clinical...

Company OverviewBlue Shield of California is a leading healthcare organization that aims to bring healthcare into the digital age. Our Risk Adjustment team plays a crucial role in delivering industry-leading results by leveraging data analytics and business operations expertise.Your RoleIn this role, you will enhance our data-driven decision-making process...

Overview of the RoleThe Risk Adjustment Provider Partnership team at Blue Shield of California plays a crucial role in supporting various functions within the risk adjustment program, including collaboration with cross-functional teams and contracted provider groups.This senior-level position reports directly to the Manager, Risk Adjustment Provider...

We are Sila Nanotechnologies, a pioneering battery materials company at the forefront of the clean energy revolution. Our mission is to create a better future by designing and manufacturing innovative battery materials that increase energy density, reduce size, and accelerate the adoption of electric vehicles.As a Safety and Risk Mitigation Expert, you will...

About the JobIn this key position, you will be responsible for improving recapture rates, understanding clinical suspects, and ensuring accurate documentation and coding. As a seasoned risk adjustment consultant, you will work closely with provider group leaders to implement effective solutions and meet CMS and risk adjustment coding guidelines.Key...

Job SummaryThis key individual contributor plays a crucial role in researching and determining the likelihood of financial risk to our organization. They support actuarial documentation, product line evaluation, and actuarial modeling, as well as assist with financial risk and opportunity analyses.Key Responsibilities:Pursue self-development and effective...

We are looking for a highly motivated and experienced Environmental Cleanup Specialist Lead to join our team at LVI Associates in Oakland.The estimated salary for this position is $110,000 - $140,000 per year, depending on experience.Job Overview:The Environmental Cleanup Specialist Lead will be responsible for leading remediation projects, developing...

Job DescriptionThis Claims Examiner role involves managing claims from inception to conclusion, adhering to best practices and State of California statutes. The ideal candidate will possess excellent interpersonal and conflict resolution skills to work effectively with clients, injured workers, agents, vendors, and attorneys.ResponsibilitiesReview and...