... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives in enterprise risk management ...
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives in enterprise risk management ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... code: 363984 Job ID 363984
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... code: 363984 Job ID 363984
Senior Field Credit Risk Examiner - Dealer Finance
Atlanta, GA · On-site
$120 - $150/hr
Work Model #LI-OnSite (4 days a week) What You Will Do We're seeking a senior credit risk ... Recommend financial statement and working capital adjustments * Prepare concise field examination ...
Senior Field Credit Risk Examiner - Dealer Finance
Atlanta, GA · On-site
$120 - $150/hr
Work Model #LI-OnSite (4 days a week) What You Will Do We're seeking a senior credit risk ... Recommend financial statement and working capital adjustments * Prepare concise field examination ...
Outpatient Medical Billing and Coding Analyst and Cost Reviewer [PR0001C]
Fort Stewart, GA · On-site
$17.25 - $22/hr
... risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ... combination of education and experience; (Medical terminology, anatomy & physiology required)
Outpatient Medical Billing and Coding Analyst and Cost Reviewer [PR0001C]
Fort Stewart, GA · On-site
$17.25 - $22/hr
... risk adjustment coding or Hierarchical Condition Category (HCC) coding required; or equivalent ... combination of education and experience; (Medical terminology, anatomy & physiology required)
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Advisory Consulting Services - Senior Manager, you will lead initiatives in enterprise ...
... code of conduct, and independence requirements. The Opportunity As a Risk Management - Contract Specialist - Advisory Consulting Services - Senior Manager, you will lead initiatives in enterprise ...
Claims Attorney
Atlanta, GA · On-site
$80 - $120/hr
Senior Claims Operations Manager **Employment Type:**Full time **Job Req ID:**2026 **Req Begin Date ... Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today ...
New
Claims Attorney
Atlanta, GA · On-site
$80 - $120/hr
Senior Claims Operations Manager **Employment Type:**Full time **Job Req ID:**2026 **Req Begin Date ... Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today ...
New
Senior Leader, Government Health Actuary We are seeking a talented individual to join our ... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ...
New
Senior Leader, Government Health Actuary We are seeking a talented individual to join our ... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ...
New
Senior Leader, Government Health Actuary We are seeking a talented individual to join our ... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ...
New
Senior Leader, Government Health Actuary We are seeking a talented individual to join our ... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ...
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Support Managing Director and Senior Consultants with client work, sales initiatives and other ... adjustments to participate in the job application, interview process and to perform essential job ...
Support Managing Director and Senior Consultants with client work, sales initiatives and other ... adjustments to participate in the job application, interview process and to perform essential job ...
Senior Manager, Data Acquisition
Alpharetta, GA · On-site
$104K - $174K/yr
Senior Manager, Data Acquisition About the Business LexisNexis Risk Solutions is the essential ... If you have a disability or other need that requires accommodation or adjustment, please let us ...
Posted today
Senior Manager, Data Acquisition
Alpharetta, GA · On-site
$104K - $174K/yr
Senior Manager, Data Acquisition About the Business LexisNexis Risk Solutions is the essential ... If you have a disability or other need that requires accommodation or adjustment, please let us ...
Posted today
As a Senior Associate, you will build meaningful client connections and learn how to manage and ... code of conduct and independence requirements - Leading compliance training sessions to educate ...
As a Senior Associate, you will build meaningful client connections and learn how to manage and ... code of conduct and independence requirements - Leading compliance training sessions to educate ...
Risk Management Actuary
Alpharetta, GA · On-site
$150 - $200/hr
This role partners closely with Underwriting, Pricing, Reserving and senior leadership to ensure ... Code of Professional Conduct. * Other duties, as requested. KNOWLEDGE, SKILLS AND ABILITIES
Risk Management Actuary
Alpharetta, GA · On-site
$150 - $200/hr
This role partners closely with Underwriting, Pricing, Reserving and senior leadership to ensure ... Code of Professional Conduct. * Other duties, as requested. KNOWLEDGE, SKILLS AND ABILITIES
Risk Management Actuary
Alpharetta, GA · On-site
$150K - $200K/yr
This role partners closely with Underwriting, Pricing, Reserving and senior leadership to ensure ... Code of Professional Conduct. * Other duties, as requested. KNOWLEDGE, SKILLS AND ABILITIES
Quick apply
Risk Management Actuary
Alpharetta, GA · On-site
$150K - $200K/yr
This role partners closely with Underwriting, Pricing, Reserving and senior leadership to ensure ... Code of Professional Conduct. * Other duties, as requested. KNOWLEDGE, SKILLS AND ABILITIES
Senior Financial Analyst
Alpharetta, GA · Hybrid
$71K - $119K/yr
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If you have a disability or other need that requires accommodation or adjustment, please let us ...
Senior Financial Analyst
Alpharetta, GA · Hybrid
$71K - $119K/yr
LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If you have a disability or other need that requires accommodation or adjustment, please let us ...
SENIOR PROJECT MANAGER
Atlanta, GA · On-site
This role requires strategic planning, resource allocation, and risk management to successfully ... They are accountable for maintaining compliance with safety regulations, building codes, and ...
SENIOR PROJECT MANAGER
Atlanta, GA · On-site
This role requires strategic planning, resource allocation, and risk management to successfully ... They are accountable for maintaining compliance with safety regulations, building codes, and ...
About the Business LexisNexis Risk Solutions provides customers with solutions and decision tools ... Implementing successful development processes, coding best practices, and code reviews under senior ...
New
About the Business LexisNexis Risk Solutions provides customers with solutions and decision tools ... Implementing successful development processes, coding best practices, and code reviews under senior ...
New
Senior Java Developer, Risk
Atlanta, GA · On-site
$90 - $150/hr
Overview Job Purpose As a Senior Java Developer in Risk, you will play a key role in building ... Plan and execute unit tests to ensure developed code is free of functional defects * Collaborate ...
Senior Java Developer, Risk
Atlanta, GA · On-site
$90 - $150/hr
Overview Job Purpose As a Senior Java Developer in Risk, you will play a key role in building ... Plan and execute unit tests to ensure developed code is free of functional defects * Collaborate ...
About the Business LexisNexis Risk Solutions provides customers with solutions and decision tools ... Implementing successful development processes, coding best practices, and code reviews under senior ...
New
About the Business LexisNexis Risk Solutions provides customers with solutions and decision tools ... Implementing successful development processes, coding best practices, and code reviews under senior ...
New
R&I Managed Services Deals Desk Senior Manager
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... and the firm's code of conduct What You Must Have - At least a High School Diploma or the ...
R&I Managed Services Deals Desk Senior Manager
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... and the firm's code of conduct What You Must Have - At least a High School Diploma or the ...
R&I Independence Technology Team (ITT) Senior Manager
Atlanta, GA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... Firm's code of conduct and independence requirements - Initiating open and honest coaching ...
R&I Independence Technology Team (ITT) Senior Manager
Atlanta, GA · On-site
$91K - $321K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... Firm's code of conduct and independence requirements - Initiating open and honest coaching ...
Senior Hcc Risk Adjustment Coder information
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Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted yesterday
PwC rating
8.3
Based on 77 frontline employees who took The Breakroom Quiz
26th of 72 rated business consultants
Job description
Industry/Sector
Not ApplicableSpecialism
IFS - Risk & Quality (R&Q)Management Level
Senior ManagerJob Description & Summary
At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively.
Those in enterprise risk management at PwC will focus on identifying and mitigating potential risks that could impact an organisation's operations and objectives. You will be responsible for developing business strategies to effectively manage and navigate risks in a rapidly changing business environment.
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
- Craft and convey clear, impactful and engaging messages that tell a holistic story.
- Apply systems thinking to identify underlying problems and/or opportunities.
- Validate outcomes with clients, share alternative perspectives, and act on client feedback.
- Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.
- Deepen and evolve your expertise with a focus on staying relevant.
- Initiate open and honest coaching conversations at all levels.
- Make difficult decisions and take action to resolve issues hindering team effectiveness.
- Model and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives in enterprise risk management, focusing on business continuity, risk model implementation, and regulatory management. You will play a pivotal role in identifying and mitigating risks, confirming that operations and core business functions remain resilient against unforeseen disruptions. As a Senior Manager, you will leverage your strategic advising skills and influence to drive project success and maintain operational excellence. You will be responsible for developing high-performing teams, solving complex problems, and applying sound judgment to make informed decisions. Your role will involve crafting clear and impactful messages, validating outcomes with stakeholders, and fostering a culture of continuous improvement.
As a contract specialist, you will negotiate risk, legal, and commercial terms in services contracts with PwC's clients (sell-side contracts, not procurement). Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients' procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance. In this role, you will collaborate across diverse teams to implement risk management frameworks and enhance business processes, driving firm success through innovation, large-scale leadership, and strategic guidance in a dynamic environment that builds your expertise and strengthens your ability to represent PwC.
Responsibilities
- Manage contract reviews and support engagement planning by applying risk management frameworks and governance considerations that strengthen delivery and contract compliance
- Drive sell-side services contract negotiations by redlining and negotiating risk, legal, and commercial terms directly with clients' procurement, legal, and outside counsel
- Collaborate with R&I risk management and PwC business teams to identify, assess, and mitigate contract, operational, and performance risks across managed services engagements
- Translate contract provisions and risk positions into clear guidance by educating stakeholders and clients, enabling effective execution and proactive issue prevention
- Establish and enhance internal controls and contract compliance processes to promote consistent delivery, reduce exposure, and confirm adherence to negotiated terms
- Lead contract risk alignment and governance across engagements by applying sound judgment to drive timely stakeholder decisions, documenting positions and approvals, and maintaining clear audit trails throughout the contract lifecycle
What You Must Have
- At least a High School Diploma
- At least 6 years of experience
What Sets You Apart
- Juris Doctorate degree preferred
- Leading the substantive negotiation of complex commercial contracts;
- Reviewing and redlining detailed risk, legal, and commercial contract terms;
- Understanding of managed services offerings and related contract terms and conditions, performance metrics, and experience with (1) finance managed services - payroll, accounting, reporting, treasury and broader finance and accounting operations, (2) technology managed services - IT infrastructure, cloud, data analytics, application delivery maintenance application managed services, (3) cyber managed services, or (4) risk & regulatory managed services - regulatory compliance and enterprise risk programs;
- Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations;
- Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties;
- Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience
Travel Requirements
Not SpecifiedJob Posting End Date
The salary range for this position is: $91,000 - $321,500. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glanceAs PwC is anequal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.Learn more about how we work: https://pwc.to/how-we-workFor only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlinesAbout pwc
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We know that the future success of our firm is contingent on equitable experiences for our people. From recruitment to partnership, we’re working hard to give every person an equitable opportunity to grow and to thrive as part of our community of solvers. We understand that establishing and maintaining a fair, equitable and welcoming environment for all people requires building a culture of belonging: a shift from awareness to empathy — while demonstrating inclusive leadership that cultivates trust among our people and our clients. PwC is committed to advancing diversity, equity and inclusion (DEI) through an evidence-based strategy designed to achieve well-defined and meaningful aspirational goals. Our aim is to solve problems for the long term, as that is how we build trust and continue to build on our culture of belonging. At the core of this endeavor are stated goals and a series of linked programs enabling targeted interventions at key moments in our employees’ career trajectories.
Industry
Finance and insurance
Company size
10,000+ Employees
Headquarters location
London, London, UK