Columbus, OH · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... P roven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior ...
Columbus, OH · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... P roven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior ...
We are looking for a Senior Security Risk & Compliance Analyst to support and strengthen APCO ... Act as a liaison between internal stakeholders and external auditors Internal Audit * Perform ...
We are looking for a Senior Security Risk & Compliance Analyst to support and strengthen APCO ... Act as a liaison between internal stakeholders and external auditors Internal Audit * Perform ...
We are looking for a Senior Security Risk & Compliance Analyst to support and strengthen APCO ... Act as a liaison between internal stakeholders and external auditors Internal Audit * Perform ...
Quick apply
We are looking for a Senior Security Risk & Compliance Analyst to support and strengthen APCO ... Act as a liaison between internal stakeholders and external auditors Internal Audit * Perform ...
The Senior Manager must have a strong understanding of audit and/or testing concepts and apply ... controls and risk-based auditing and/or testing techniques; management experience preferred.
The Senior Manager must have a strong understanding of audit and/or testing concepts and apply ... controls and risk-based auditing and/or testing techniques; management experience preferred.
We're looking for a Senior GRC Manager to own our GRC program end to end and keep ClearDATA aligned ... auditors to catch and close compliance gaps before they become findings. * Flag open risk or ...
New
We're looking for a Senior GRC Manager to own our GRC program end to end and keep ClearDATA aligned ... auditors to catch and close compliance gaps before they become findings. * Flag open risk or ...
New
Delaware, OH · On-site
We're looking for a Senior GRC Manager to own our GRC program end to end and keep ClearDATA aligned ... auditors to catch and close compliance gaps before they become findings. * Flag open risk or ...
New
Delaware, OH · On-site
We're looking for a Senior GRC Manager to own our GRC program end to end and keep ClearDATA aligned ... auditors to catch and close compliance gaps before they become findings. * Flag open risk or ...
New
Westerville, OH · On-site
$40 - $50/hr
Robert Half Management Resources is currently looking for an experienced Sr. IT Auditor to support ... At least 5 years of experience in IT audit, SOX compliance, IT risk management, or a similar ...
New
Quick apply
Westerville, OH · On-site
$40 - $50/hr
Robert Half Management Resources is currently looking for an experienced Sr. IT Auditor to support ... At least 5 years of experience in IT audit, SOX compliance, IT risk management, or a similar ...
New
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
Columbus, OH · On-site
$79K - $98K/yr
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
Columbus, OH · On-site
$79K - $98K/yr
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
Columbus, OH · On-site
$79K - $98K/yr
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
Columbus, OH · On-site
$79K - $98K/yr
As a Senior Auditor Associate in our Internal Audit group you will plan, execute and document audit ... Plan, execute and document audit reports, including risk assessments, audit planning, audit testing ...
$78K - $96K/yr
... The Senior Credit Auditor performs and completes internal credit audits as assigned while ... risk of business unit/subject matter Assist in determining staffing requirements for Audit Oversee ...
$78K - $96K/yr
... The Senior Credit Auditor performs and completes internal credit audits as assigned while ... risk of business unit/subject matter Assist in determining staffing requirements for Audit Oversee ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site +1
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. Maintain business process maps in accordance with enterprise standards.
Columbus, OH · On-site +1
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. Maintain business process maps in accordance with enterprise standards.
Columbus, OH · On-site
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. * Maintain business process maps in accordance with enterprise standards.
Columbus, OH · On-site
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. * Maintain business process maps in accordance with enterprise standards.
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site
$76K - $93K/yr
As a Senior Auditor Associate within Internal Audit - Home Lending & Auto, you participate in and ... You apply sound judgment and a disciplined approach to provide risk-based assurance that enhances ...
Columbus, OH · On-site +1
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. * Maintain business process maps in accordance with enterprise standards.
Columbus, OH · On-site +1
The Segment Risk Manager Sr is responsible for oversight and administration of operational and ... auditors / examiners. * Maintain business process maps in accordance with enterprise standards.
$51K - $57.2K
1% of jobs
$57.2K - $63.5K
2% of jobs
$63.5K - $69.7K
4% of jobs
$69.7K - $75.9K
7% of jobs
$80.6K is the 25th percentile. Wages below this are outliers.
$75.9K - $82.1K
14% of jobs
$82.1K - $88.4K
17% of jobs
The median wage is $89.7K / yr.
$88.4K - $94.6K
22% of jobs
$97.8K is the 75th percentile. Wages above this are outliers.
$94.6K - $100.8K
15% of jobs
$100.8K - $107K
8% of jobs
$107K - $113.3K
6% of jobs
$113.3K - $119.5K
3% of jobs
$51K
$91K
$119.5K
For Senior Risk Adjustment Auditor jobs, the most frequently searched job titles are:
The top searched job categories for Senior Risk Adjustment Auditor jobs are:
Cities with the most Senior Risk Adjustment Auditor job openings:
States with the most job openings for Senior Risk Adjustment Auditor jobs include:
The most popular types of Risk Adjustment Auditor jobs are:
Columbus, OH • On-site
$143K - $229K/yr
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 24 days ago
7.8
Based on 13 frontline employees who took The Breakroom Quiz
196th of 315 rated insurance
Job Description
As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing and pricing sophisticated insurance products. You will support company objectives by providing reliable, actionable actuarial insights and recommendations, proactively identifying and addressing complex risks and opportunities. This position requires adaptability to the evolving landscape of the industry, ensuring our actuarial practices remain at the forefront of innovation and excellence.What You'll Do
Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work
Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers
Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company
Communicate effectively with all levels and divisions within the organization, including Divisional Leadership
Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates
Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor
Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials
What You Bring
Bachelor's degree or advanced degree (where required)
Member of the American Academy of Actuaries
Fellow of the Society of Actuaries
7 years of relevant actuarial experience, related experience may be considered.
In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience.
Bonus Points
Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact analysis - Highly Preferred
Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred
Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their impact on risk adjustment outcomes.
Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations
What You'll Get
The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community.
Work-life balance, flexibility, and the autonomy to do great work.
Medical, dental, and vision coverage along with numerous health and wellness programs.
Parental leave and support plus adoption and surrogacy assistance.
Career development programs and tuition reimbursement for continued education.
401k match including an annual company contribution
Learn more
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
Skills
Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Affordable Care Act (ACA), Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.
Get the full story on Breakroom
Sourced by ZipRecruiter
Insurance services
5,001 - 10,000 Employees
Durham, NC, US
1933
