The manager coordinates Risk Adjustment and Quality coding operations, overseeing retrospective and prospective chart review programs. They act as the operational bridge between Risk Adjustment and HEDIS teams to improve RAF performance and STARs quality outcomes.
Remote Other Jobs in United States (33,340)
Remote in = United States
Job category = Others
Implement and configure SAP Incentive Management solutions, including the design of compensation plans and commission calculations. Manage the end-to-end lifecycle from gathering business requirements to go-live and hypercare support.
Lead the operational onboarding and transition of new acquisitions and construction projects onto the company platform. Coordinate across multiple departments to ensure operational readiness, system setup, and seamless handoff to Store Operations.
The Estimator is responsible for collecting quotes from vendors and analyzing labor and material costs to prepare detailed project estimates. They manage bids, maintain vendor relationships, and track win/loss data to improve company competitiveness.
Provider Corrective Action Coordinator
Staffing Solutions Organization LLC (SSO)
·
Full Time
·
2 Weeks Ago
Staffing Solutions Organization LLC (SSO)
Oversees corrective action processes for Disability and Brain Injury Services to ensure regulatory compliance and quality improvement. Coordinates with cross-functional stakeholders and analyzes compliance data to drive program enhancements.
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Provide individual and family outpatient therapy for children and adolescents, focusing on anxiety, OCD, depression, and ADHD. Participate in the Teen Intensive Outpatient Program and collaborate with a multidisciplinary team for case consultation and program development.
Provide hands-on support for day-to-day recruiting operations across the US and India, focusing on requisition audits, job postings, and interview coordination. Maintain data accuracy across various ATS and HR systems while resolving operational tickets for internal stakeholders.
The Vice President is accountable for all 3Cloud engagements within a designated market, owning delivery outcomes, revenue, and client satisfaction. A primary focus is executing the transformation of the delivery model from a 50/50 to a 20/80 onshore/offshore mix.
Lead the end-to-end response process for RFPs, RFIs, and security questionnaires to showcase cybersecurity capabilities and compliance. Coordinate across Sales, Legal, and Engineering teams to develop persuasive, high-quality proposal content and maintain a knowledge base of product capabilities.
Own end-to-end revenue forecasting and partner with GTM teams to analyze pipeline health and growth metrics. Prepare high-visibility reporting packages for the Board of Directors and executive leadership to drive strategic decision-making.
Own the full relationship with Tier 1 connectivity partners to drive growth and align partner behavior with Airbnb's strategic objectives. Act as the bridge between partners, product teams, and internal stakeholders to optimize API integrations and marketplace dynamics.
Lead and develop a team of Territory Business Managers to achieve sales objectives for neuroscience products. Provide strategic direction, coaching, and performance management to exceed goals within the New England North region.
The OE Manager establishes and executes operational excellence functions, focusing on cross-functional coordination and independent validation across the project lifecycle. This includes monitoring Stage-Gate compliance, tracking long-lead items, and providing executive-level reporting to the COO organization.
The role provides daily administrative and operational support to the Corporate Behavioral Health Insurance Department, focusing on risk management and special projects. Key duties include coordinating medical malpractice claim responses, maintaining facility databases, and managing patient safety assessments.
Senior Director, Special Assets
Star Mountain Capital
·
Full Time
·
2 Weeks Ago
Star Mountain Capital
Lead the workout and resolution of a concentrated portfolio of impaired middle-market credits, personally owning the strategy for 3-5 active credits. This includes negotiating directly with borrowers and sponsors, directing outside counsel on enforcement actions, and managing Chapter 11 proceedings.
Create original placement graphics and allover textile designs for high-volume childrenswear collections. Collaborate with design and sales teams to produce production-ready artwork and maintain a digital library across multiple brands.
Perform preventative maintenance, troubleshooting, and repairs on power generation engines. Provide high-quality customer service and technical support for CHP and DG power solutions.
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Perform preventative maintenance, troubleshooting, and repairs on power generation engines. Coordinate with customers and service teams to ensure reliable energy solutions and operational efficiency.
Manage media operations and strategies specifically for the marketplace segment. Oversee the execution of media campaigns to drive growth and engagement.
The role serves as a regional advisor providing functional and regulatory expertise to execute People & Culture strategies across North America. Key duties include guiding leaders on talent development, managing compliance risks, and supporting organizational design and performance processes.
Carbonation System Inspection and Testing Specialist
Bureau Veritas
·
Full Time
·
2 Weeks Ago
Bureau Veritas
Perform in-service inspections of Carbon Dioxide storage pressure vessels and operational testing of leak detection systems. Ensure all activities comply with NFPA, National Board, and International Fire Code standards while documenting results.
The Cartographer creates accurate, detailed maps and visual stories to communicate complex environmental data regarding water security. They collaborate with GIS specialists and scientists to produce spatial information that informs policy and decision makers.
Lead the strategy, design, and development of the core pentest execution, orchestration, and data infrastructure for the NodeZero platform. Manage multiple engineering teams to scale platform systems that execute and analyze autonomous pentests across complex enterprise environments.
Oversee end-to-end logistics performance across the fulfillment ecosystem, including inbound, outbound, and returns. Lead strategic network expansion and implement AI-driven operational improvements to optimize cost and customer experience.
Acts as the primary liaison between business users and technical teams to ensure enterprise applications align with user needs. Responsibilities include managing change requests via ServiceNow, tracking backlogs in Jira, and conducting system demonstrations.
Lead the company's audit and assurance strategy, owning external audit success and maturing the internal technical audit program. Drive the transformation of GRC processes through AI-enabled automation and continuous control monitoring to ensure the organization is always audit-ready.
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Provide analytical support for natural gas and electricity energy managers, focusing on data validation, reporting, and invoice auditing. Manage daily natural gas operations including nominations, confirmations, and pipeline coordination.
Lead security and IAM advisory engagements by performing current-state assessments and developing solution recommendations. Partner with sales and delivery teams to translate client requirements into actionable strategies and deliverables.
Conduct policy-relevant research and analysis on cybersecurity, artificial intelligence, and emerging technology issues. Produce written publications, multimedia content, and briefings to advance market-oriented policy solutions.
The RevOps Manager coordinates the RFP process and proposal delivery while supporting consultants and brokers throughout the sales cycle. They are responsible for maintaining CRM accuracy, tracking deals, and streamlining internal sales workflows to reduce friction.
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