Instill governance to ensure complete and accurate diagnosis codes are identified and submitted to CMS for all members for risk adjusted payment.
Ensure timely, accurate, and complete submission of risk adjustment data to CMS and reconciliation of plan payments.
Oversee internal and vendor processes, controls, and reporting, ensuring effective processes are in place throughout the organization.
Provide analysis of complex trades, risk estimation of the prospective trades by estimating the firm’s market, credit and liquidity risk, which serves as an important input for trade risk control and approval. Participate in regulatory stress testing requirements including Comprehensive Capital Analysis and Reviews
The Model Risk Oversight (MRO) team within Corporate Risk Management is responsible for identifying and managing model risk at the company. We are looking for an experienced model risk professional to join this highly engaged, driven and innovative team. The successful candidate will work on various highly visible and impactful projects that promote robust model risk practices.
The position is a key leader in Corporate Strategy team reporting to the SVP, Corporate Strategy & Development and integral leader in coordinating and managing the firm’s corporate strategic planning process, corporate strategy projects, as well as lead our competitive intelligence and management reporting teams.
