Senior Associate, Anti Money Laundering/Prevention/Know Your Client Bring your ideas. Make history. BNY Mellon offers an exciting array of future forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the

Be the product leader to develop integrated product strategy for Patient Cloud solutions based on market intelligence, customer needs, and differentiation targeting the next wave of growth Lead a team of product managers who oversee individual product strategies and roadmaps within Patient Cloud. You'll drive alignment with the program level strategy and objectives, balan

Job Requisition ID 90325 Location Designation Fully Remote Location This is a remote position reporting to New York Life's headquarters in New York, NY. Applicants may work from a home office anywhere in the United States. Offered Wage $143,021/year Duties Executes automation and manual test cases on technology solutions to validate business requirements, design specifica

The Senior Director, Performance Improvement provides strategic leadership in the planning, development, implementation and execution of all aspects of a robust portfolio of value based programs and strategies within the Prominence Health umbrella. Emphasis will be centered around risk based contract performance, risk adjustment, and quality measurement performance across

The Senior Vice President of Product Management will be responsible for managing the growth and development of our entire product portfolio and building the new product pipeline to deliver profitable growth across all channels and regions. This leader will manage business plans to align departments and achieve company objectives while leveraging consumer insights to ident

This individual is responsible for collecting and/or making payment arrangements on patient portions on hospital services incurred in accordance with state and federal laws governing collection practices. Qualifications QUALIFICATIONS 1. High School graduate, GED, or Higher Education 2. 2 years healthcare experience or business/collections preferred 3. Proficient computer

Analyze large data sets and identify trends and patterns Use analytical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for diagnostic and predictive analytics efforts Create data visualizations and reports to communicate findings to stakeholders Communicate and present findings, orally and visually in a way that can

Part of a team of dedicated actuaries and data scientists to study the usage of ML based algorithms applied to historical pharmacy, inpatient notification data, prior authorization data and ultimate utilization and claims data to identify predictive capabilities that can enhance UHC's current trend forecasting models Work with the operational team to identify opportunitie

Assist in end to end behavioral health provider claims and help enhance call quality Assist in efforts to enhance ease of use of online provider portal and future services enhancements Contribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers Support development and management o

Review and analyze assigned automated transaction alerts produced from the bank's AML monitoring system. Conducts sufficient analysis of the customer patterns and activities in order to Provide clear written statement supporting disposition decision and documentation within the AML software. Meet productivity and quality expectations. Reviews assigned watchlist filtering

Utilize daily new customer report and import information into new customer risk scoring and rating tool. Review results from the output of the new customer risk scoring tool to identify new high risk customers that need to be scheduled for a 90 day Enhanced Due Diligence review. Review the output from the new high risk customer risk scoring tool to identify restricted or

West Creek 3 (12073), United States of America, Richmond, Virginia Anti Money Laundering Supervisor Complex Investigations Unit, Account Closing Job Title Anti Money Laundering (AML) Supervisor Level Sr. Associate The Anti Money Laundering (AML) Supervisor, also referred to as an AML Sr. Investigator II, supervises various AML processes, which might include suspicious acti

The Provider Enrollment Team Lead oversees the day to day operations of the provider enrollment team, ensuring the timely and accurate enrollment of healthcare providers with various payers and regulatory bodies. This role requires strong leadership skills, attention to detail, and knowledge of healthcare regulations and payer requirements. Responsibilities Lead and mentor

Bring your ideas. Make history. BNY Mellon offers an exciting array of future forward careers at the intersection of business, finance, and technology. We are one of the world's top asset management and banking firms that manages trillions of dollars in assets, custody and/or administration. Known as the "bank of banks" 97% of the world's top banks work with us as we lead

Lead, coach, and mentor team of associates to consistently gather claims data to ensure accuracy, resolve problems, and act on opportunities to meet driver needs, improve efficiency, drive results, and develop process enhancements. Set performance expectations and provide on going feedback to associates to improve individual performance and contributions. Establish and mo