Provide strategic management oversight in designing, implementing, directing, and monitoring the Alliance’s Risk Adjustment Department functions.
Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations.
Direct, manage, and supervise Risk Adjustment Department staff
Central California Alliance for Health is a regional non-profit health plan. They are committed to providing accessible, quality health care guided by local innovation, with over 500 dedicated employees and a culture that is respectful, diverse, professional and fun.
Lead a team of analytics and strategy professionals for the Fraud Strategy & Analytics team focused on new account screening.
Design, lead, and implement analytics, technology, and process improvement decisions focused on digital account controls.
Utilize descriptive and predictive approaches to mitigate fraud trends, including reporting, fraud rules, and leveraging technology.
Fifth Third Bank connects great people to great opportunities. They are committed to taking care of their customers, employees, communities and shareholders, and aim to be the nation’s highest performing regional bank, valued and trusted by all.
Lead end-to-end fraud and risk management, including prevention, detection, resolution, and innovation, for U.S. cash transfer projects.
Build and manage work plans, budgets, and reports on Internal Audit KPIs while overseeing operational metrics to drive program excellence.
Directly manage and develop a culturally aligned Internal Audit team, including hiring, performance reviews, and fostering problem-solving and analytical skills.
GiveDirectly delivers cash transfers directly to people living in poverty across 15+ countries. We are a growing organization with a candid, analytical, and non-hierarchical culture that supports high ownership and professional growth.