risk Jobs in atlanta, ga

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Data Scientist - Fraud & Risk

Federal Soft Systems Inc.

Decatur, Georgia, USA

Contract

GA DHS - Data Scientist Hybrid- GA We are seeking a highly analytical and detail-oriented Data Scientist with experience in Risk and Fraud analytics to join our growing team. This role will focus on developing and deploying machine learning models, statistical methods, and data-driven strategies to detect risky behaviors and prevent fraudulent activities across our products and services. Key Responsibilities Collect, clean, and analyze large, complex datasets from multiple sources.Develop pre

Data Scientist Risk and Fraud analytics

Helishores Inc

Atlanta, Georgia, USA

Contract, Third Party

Role: Data Scientist Risk and Fraud analytics Location: Atlanta, GA (Hybrid) Visa: No Transfers, GC We are seeking a highly analytical and detail-oriented Data Scientist with experience in Risk and Fraud analytics to join our growing team. This role will focus on developing and deploying machine learning models, statistical methods, and data-driven strategies to detect risky behaviors and prevent fraudulent activities across our products and services. Key Responsibilities 12+ years of experience

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Decatur, Georgia, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Business analyst/product analyst in Risk Adjustment processes for a payor

SidRam Technologies

Atlanta, Georgia, USA

Contract

Job Description :: Experience in a healthcare or payer environment , specifically with knowledge of revenue cycle or risk adjustment. Identify gaps in risk adjustment analysis by evaluating existing payers, plans, and methodologies.Developing and maintaining alternative submission methodologies: Recapture missed coding opportunities and improve data accuracy.Collaborating with stakeholders: Work with medical directors and clinical staff to provide coding education and support Risk Adjustment ini

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Alpharetta, Georgia, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Technology Risk Testing Manager - Vice President

Morgan Stanley

Alpharetta, Georgia, USA

Full-time

Morgan Stanley is a leading global financial services firm providing a wide range of investment banking, securities, investment management and wealth management services. The Firm's employees serve clients worldwide including corporations, governments, and individuals from more than 1,200 offices in 43 countries. As a market leader, the talent and passion of our people is critical to our success. Together, we share a common set of values rooted in integrity, excellence, and strong team ethic. M

Product Owner/Product Manager for Financial Crime Risk Management (FCRM) / FCC

New York Technology Partners

Alpharetta, Georgia, USA

Third Party, Contract

Title: Product Owner/Product Manager for Financial Crime Risk Management (FCRM) / FCC Location: Alpharetta, GA (Onsite) Position: Contract Job Description: The Product Owner/Product Manager for Financial Crime Risk Management (FCRM) solutions will be responsible for leading the development and enhancement of financial crime compliance (FCC) products. This role ensures that the product meets regulatory requirements, industry standards, and client expectations by collaborating with internal stakeh

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Lawrenceville, Georgia, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Cyber Risk Management Business Analyst

Agile Global Solutions, Inc

Alpharetta, Georgia, USA

Contract

Minimum Qualifications 2+ w/Bachelors degree Additional Experience CISSP and/or CISA certified Knowledge, Skills, Abilities Excellent communication skills both written and verbalStrong analytical and critical thinking skillsDemonstrated use of ingenuity and creativity by taking actions to direct the analyses and solutions of problemsDeep understanding of and prior hands-on experience in all major information security, appropriate use, and survivable system engineering functions and activities in

Change Management Technology Risk Director P4

Morgan Stanley

Alpharetta, Georgia, USA

Full-time

Company Profile At Morgan Stanley, we advise, originate trade, manage, and distribute capital for governments, institutions, and individuals, and always do so with a standard of excellence. We are a leading global financial services firm that conducts its business through three principal business segments-Institutional Securities, Wealth Management (WM), and Investment Management. The Firm's employees serve clients worldwide from more than 1,200 offices in 43 countries. Our WM business is one

REMOTE - Security Risk Analyst

CSS Tec

Remote

Contract

100% REMOTE - Security Risk Analyst opportunity! Our client is seeking an experienced Security Risk Analyst for a long term contract opportunity. This position is 100% Remote. Job Description: We are seeking an experienced Security Risk Analyst to support our Information Security organization. This role will be critical in advancing key security risk management projects and initiatives. The focus will be on enhancing our Security Risk Management Program, specifically related to IT and Security r

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

Remote or Athens, Georgia, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause

Construction Project Manager

AgreeYa Solutions

Atlanta, Georgia, USA

Contract

This new position is for a field project manager that will manage work in the southwest Atlanta, GA area. The candidate needs to have past construction project management work. Key Responsibilities: Leads multiple projects from inception to completion; facilitates project planning sessions with internal stakeholders to determine the scope and objectives of each project; works with business stakeholders to establish project performance goals; designs project plan, develops timeline, identifies pr

Risk Adjustment Coder

Randstad Digital

Remote or St. Louis, Missouri, USA

Contract

job summary: Story Behind the Need Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes.Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage Foll

Risk Adjustment Coder

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Risk Adjustment Coder. This is a 06+ Months Contract opportunity with long-term potential and is located in Candidate must be local to EST/CST states(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-79224 Pay Range: $22 - $24/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Co

Information Security Risk Analyst (Third-Party Governance & Assurance Analyst)

Aziro Technologies LLC

Remote

Contract

Job Title: ITS Third-Party Governance & Assurance Analyst II Location: Remote Duration: 3+ Months (Contract) Must have VMO contract review experience, Cyber Security Helpful but not required Job Description: We are seeking a TS Third-Party Governance & Assurance Analyst II to support the operation of our Vendor Management Office (VMO) and third-party risk management program. The analyst will work closely with stakeholders across IT, procurement, legal, compliance, and cybersecurity teams to eval

Program Manager with Commercial Risk Insurance Broking exp -100% Remote

Smart Caliber Technology

Remote

Contract, Third Party

Program Manager with Commercial Risk Insurance Broking exp Duration: 6 Month contract to hire Location: 100% Remote MUST have solid recent business side Commercial Risk Insurance Broking exp. CANNOT be too IT focused, resume must clearly show these things Position: Program Manager. A 6-month contract-to-hire Risk Transformational Program Leader role focused on commercial insurance transformation. The position requires deep commercial risk insurance expertise combined with management consulting

Senior Data Scientist - Risk Prediction

CVS Health

Remote or New York, New York, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w

ServiceNow Product Consultant (Risk, Compliance & Security)

Avance Consulting

Remote

Full-time

Job Description Responsibilities include: Lead short term ServiceNow consulting/advisory assignment in the customer environment to: Lead discovery effort to design an approach and roadmap of Risk Management, GRC, TPRM using ServiceNow Integrated Risk Management (IRM) product suite Lead assessment of current ServiceNow IRM implementation and set up to recommend gaps, improvement areas, best practices, continual transformation. Work As a solution consultant and lead architect for ServiceNow Int

Oracle Risk Management Consultant

iTek People, Inc.

Remote

Third Party, Contract

Role: Oracle Risk Management Consultant Location: Remote Experience: 15+ Job Description: Bachelor's degree or foreign equivalent required from an accredited institution. 15+ years of overall Information Technology experience. Designing security solutions, conducting audits, assessing risks, and providing training on secure usage of Oracle Cloud Identifying, assessing, and mitigating security risks associated with Oracle Cloud services and applications Designing and implementing security solutio