CREDIT RISK MANAGER jobs in Reno, NV

CREDIT RISK MANAGER develops and implements policies and procedures that reduce credit risk for a financial institution. Manages the building of financial models that predict credit risk exposure to the organization. Being a CREDIT RISK MANAGER oversees the preparation of performance reports for management. May require a master's degree. Additionally, CREDIT RISK MANAGER typically reports to a head of a unit/department. The CREDIT RISK MANAGER manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a CREDIT RISK MANAGER typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Manager, Compliance and Risk Management
  • Universal Health Services, Inc.
  • Reno, NV FULL_TIME
  • Responsibilities

    Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

    Learn more at:

    Job Summary: The Manager of Compliance and Risk Management is responsible for managing and improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products including Medicare Parts C and D, large- and small-group health plans, third-party administration, and other commercial health plan products. The Manager of Compliance and Risk Management assists the VP, Compliance & Risk Management with oversight of the compliance and regulatory matters and is primarily responsible for overseeing the organization's operational areas. This position serves as an internal consultant to management and staff regarding compliance with Federal and State laws and regulations (Centers for Medicare and Medicaid, Nevada Division of Insurance, Texas Department of Insurance, Florida Office of Insurance Regulation, and the Florida Agency for Health Care Administration) contract provisions, accreditation standards, and internal policies and procedures. The Manager of Compliance and Risk Management will implement plan-wide initiatives, policies and processes related to the Compliance and Risk Management Program and be responsible for program implementation, risk assessment, incident reporting, reports creation, communications, education and training, auditing and monitoring, and corrective action planning. This position reports directly to the VP, Compliance & Risk Management.

    Benefit Highlights:

    • Loan Forgiveness Program
    • Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Career development opportunities within UHS and its 300 Subsidiaries! * More information is available on our Benefits Guest Website: benefits.uhsguest.com

    About Universal Health Services:

    One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.


    Qualifications

    Qualifications and Requirements:

    • Bachelor's degree in business administration, healthcare administration, public administration, public health or other related field required; Master's degree preferred.
    • Minimum five years' experience in health insurance or health care.
    • Minimum two years' demonstrated successful experience and increasing responsibility in compliance, quality improvement, risk management, administrative and/or operational duties in health care, preferably in a management role in a managed care organization.
    • Experience with the U.S. DHHS Office of Inspector General compliance program guidelines, State and Federal laws, regulations, policies and practices for the administration of Medicare Advantage, Prescription Drug Plan, and compliance programs in a managed care organization.
    • Experience with risk management and quality improvement methodologies to comply with Chapter 641.5, Florida Statutes and Chapter 59A-12.012, Florida Administrative Code, (Internal Risk Management Program), and URAC compliance program, internal controls, quality improvement, and risk management standards.
    • Ability to effectively communicate in English, both verbally and in writing.
    • Excellent computer skills. MS Word, Excel and PowerPoint proficiency.
    • Independent judgment and critical thinking skills required.

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Avoid and Report Recruitment Scams

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

    and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

    If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

    If you would like to learn more about the opportunity, please contact Bridget Gomez at:

     

  • 27 Days Ago

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Manager, Compliance and Risk Management
  • Prominence Health
  • Reno, NV FULL_TIME
  • Responsibilities: Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. P...
  • 1 Month Ago

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Manager, Compliance and Risk Management
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Pr...
  • 1 Month Ago

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Branch Manager I
  • Greater Nevada Credit Union
  • Sparks, NV FULL_TIME
  • Overview Greater Nevada Credit Union is looking for an enthusiastic professional with a passion for Helping More People Live Greater! About The Position: Branch Manager I is responsible for supervisin...
  • 13 Days Ago

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Security Officer - Reno
  • Brosnan Risk Consultants
  • Reno, NV FULL_TIME
  • Company Overview/Benefits Unarmed Security Officer Positions Pay rate: $20.00 an hour Shifts/Day: various shifts/various days Job location: Reno, NV Company Overview/Benefits: Brosnan Risk Consultants...
  • 5 Days Ago

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Investigator
  • Ethos Risk Services
  • Reno, NV PART_TIME
  • Ethos Risk Services is continuing to expand our team of Private Field Surveillance Investigators! We are looking for Experienced Licensed Investigators in the Reno area to investigate fraud and conduc...
  • 9 Days Ago

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0 CREDIT RISK MANAGER jobs found in Reno, NV area

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AviationTeam Coodinator
  • Q&D Construction
  • Sparks, NV
  • AVIATION TEAM COORDINATOR Job Description Reports to President and/or Operations Manager March 2024 COMPANY OVERVIEW: Es...
  • 4/25/2024 12:00:00 AM

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Mortgage Services Manager
  • Greater Nevada Credit Union
  • Carson City, NV
  • Greater Nevada Mortgage is looking for a dedicated team player with a passion for Helping More People Live Greater! Abou...
  • 4/25/2024 12:00:00 AM

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Youth Program Officer I/II
  • Douglas County, NV
  • Minden, NV
  • Salary: $25.78 - $39.44 Hourly Location : NV - China Spring Youth Camp, NV Job Type: Full Time Job Number: 23/24-00133 D...
  • 4/25/2024 12:00:00 AM

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Fraud Manager
  • Nelnet
  • Carson City, NV
  • Nelnet is a diversified and innovative company committed to enriching lives through the power of service as a student lo...
  • 4/24/2024 12:00:00 AM

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Compliance Analyst
  • UHS
  • Reno, NV
  • Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - Direct Hire, 12 Month Register AMENDED
  • Department Of The Treasury
  • Reno, NV
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 4/22/2024 12:00:00 AM

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CODING/BILLING SPECIALIST, Full Time
  • UHS
  • Reno, NV
  • Responsibilities Quail Surgical and Pain Management Center in Reno, Nevada, is an outpatient surgical center dedicated t...
  • 4/21/2024 12:00:00 AM

Reno (/ˈriːnoʊ/ REE-noh) is a city in the U.S. state of Nevada, located in the northwestern part of the state, approximately 22 miles (35 km) from Lake Tahoe. Known as "The Biggest Little City in the World", Reno is known for its casino industry. It is the county seat of Washoe County. The city sits in a high desert at the foot of the Sierra Nevada and its downtown area (along with Sparks) occupies a valley informally known as the Truckee Meadows. The city is named after Union Major General Jesse L. Reno, who was killed in action at the Battle of South Mountain on Fox's Gap. Reno, with an esti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for CREDIT RISK MANAGER jobs
$117,744 to $173,456
Reno, Nevada area prices
were up 2.5% from a year ago

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This position determines the risk of default to the lender, not with a simple yes or no but with an analysis that may lead to a more detailed report.
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