Health Plan Risk & Quality Reporting Specialist
Molina Healthcare
Molina Healthcare seeks a data analyst to support health plan risk and quality reporting, designing custom reports for Medicaid, Medicare, Marketplace and MMP programs. You will educate users on reports and assist with performance improvement projects including root-cause analysis. The role emphasizes QA for HEDIS and interventional reporting in a fast-paced environment. Responsibilities include building ad hoc reports, validating data quality, and collaborating with the national risk and #J-18808-Ljbffr Molina Healthcare
$34 per hour
...Job Title: Quality Specialist If qualified and interested: Reach out to... ...contribute to reducing cost and risk by verifying routine product... ...subject to specific elections, plan, or program terms. If... ...and long-term disability • Health Spending Account (HSA) • Transportation...RiskHealth InsuranceWeekly payContract workTemporary workWork experience placementWork at officeLocal areaShift workDay shiftAfternoon shift$60k - $65k
Florida Litigation Reporter Department: Content Editorial & Research Employment Type... ...business audience, helping leaders assess risk, identify opportunities and understand... ...each year. Choice of three Cigna health insurance plans, two dental plans, and vision coverage...RiskHealth InsuranceFull timeTemporary workLocal areaShift work- ...Maintains a written Quality Management Plan, along with related policies... ..., an internal reporting structure for quality... .... Collaborates with Risk Management, Regulatory... ...direct impact on the health care system enterprise... ...quality management specialist initiatives for the assigned...RiskFull timeWork at office
- ...As Director Tax Reporting, you; Are part of... ...ABOUT YOU Key qualities. Strong organizational... ...shareholder reports and Risk factors Act as the... ...for ETR forecasting and planning alignment) External... ...Retirement/Pension Plan Health & Wellbeing...RiskInterim role
$103.6k - $189.9k
...Nashville Tax - Compliance and Reporting - Tax Compliance - Manager At... ...development of governance, risk, and compliance frameworks,... ...solutions, or projects, ensuring quality and risk management. Drive... ...and leading workstreams from planning through closure. Navigate...RiskHealth InsuranceSummer holidayFlexible hours$132.7k - $303.2k
...that comes with producing high-quality, valued work and advice. Your... ...and assistance managing risks and across tax compliance and/... ...monitor team's work, progress reporting, workload, quality and utilization... ...coverage, pension and 401(k) plans, and a wide range of paid time...RiskHealth InsuranceWork experience placementSummer holidayFlexible hours$103.6k - $189.9k
...world. Tax - Compliance and Reporting - Tax Compliance - Manager Will... ...development of governance, risk, and compliance frameworks, and... ..., ensuring a strong focus on quality and effective risk management... ...and leading workstreams from planning through closure. You’ll learn...RiskHealth InsuranceSummer holidayFlexible hours- ...Risk Management Analyst Lennar is one of the nation's leading... ...and Associates by building quality homes and providing... ...outside sources. Assist in reporting General Liability claims to... ...Associates have access to robust health insurance plans, including Medical, Dental,...RiskHealth InsuranceLive inWork at officeLocal area
- ...along with its affiliated health plans known as Florida... ...to promoting a higher quality of life and maximizing... ...quality member care and risk management. Ultimately... ...Provider Credentialing Specialist (CPCS) or equivalent.... ...submit credentialing reports and documentation for...RiskHealth InsuranceWork at office
- ...so does our legacy in high-quality health care. Since 1949, Mount Sinai... ...Summary The Quality Specialist supports the Wellness & Preventive... ...include managing quality reports, monitoring provider-level performance... ...of HEDIS data to health plans. The Quality Specialist...Health Insurance
- ...business. You are not a regular reporter; you are the technical... ...measures. Budgeting & Capacity Planning: Formally manage and report on... .... Requirements Elite Credit Risk Background: 5+years of proven... ...grant Annual performance bonus Health, dental, and vision plans Remote...RiskHealth InsuranceRemote work
$48.01k
...Job Title: Quality Control Specialist Location: Miami, Florida... ...distribute regular quality control reports, including statistical... ...we offer eligible employees health and welfare benefits coverage... ...life insurance, voluntary plans, as well as participation...Health InsuranceWork at officeLocal area$95.4k - $119.2k
...findings and recommendations. Gather and document analytics and reporting requirements in collaboration with stakeholders.... ...professional growth. Our Associates have access to robust health insurance plans, including Medical, Dental, and Vision coverage, ensuring their...RiskHealth InsuranceWork at officeLocal area- ...A client of Insight Global is looking to add a Quality Control Specialist to their team to help support their MRO for engine manufacturing in... ...root cause analysis to prevent future occurrences and create reports • Ensuring regulatory compliance: Verify that all...Health Insurance
- ...into life at Ware Malcomb and the programs we offer. -at-ware-malcomb/ As a Quality Management Specialist, you will support project teams by improving document quality and reducing risk through technical expertise, coordination, and targeted reviews across multiple...RiskFull timeWork at office
- ...professionals worldwide, we help clients plan, execute, and optimize large-... ...navigate complexity, manage risk, and achieve strategic goals... ...analysis and prepare variance reports Perform cost and resource... ..., legal, and supplemental health plans ~401(k) with day-one eligibility...RiskHealth InsuranceFor contractorsWorldwide
$127.9k - $291.9k
...US and global tax information reporting and withholding matters. You will... ...progress reporting, workload, quality and utilization/overtime... ...manage opportunity and engagement risk for engagements. Understand... ...coverage, pension and 401(k) plans, and a wide range of paid time...RiskHealth InsuranceSummer holidayFlexible hours$76k - $125.3k
...that comes with producing high-quality, valued work and advice. Your... ...and assistance managing risks across tax compliance and/or advisory... ...suggestions on implementation plans Manage engagements and teams... ..., tax returns and related reporting Build effective long-term relationships...RiskHealth InsuranceSummer holidayFlexible hours$165.5k - $206.9k
...and Associates by building quality homes and providing exceptional... ...counsel, balancing legal risk with practical, business-aligned... ...of litigation and risk reports to the Audit Committee of the... ...Associates have access to robust health insurance plans, including Medical, Dental,...RiskHealth InsuranceContract workLive inWork at officeLocal area- ...Consistently maintains the Incident Reporting System and all related reports for Risk Management Committees, monitors... ...drug, dental, vision, behavioral health and telemedicine services Wellbeing... ...retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of...RiskHealth InsuranceTemporary workFlexible hours
$1,786.83 per month
...pain, and improve their quality of life through... ...care to promote physical health and function. Key Responsibilities... ...a tailored treatment plan. Developing... ...Documentation and Reporting : Maintain accurate... ...help patients reduce the risk of future injuries....RiskHealth InsuranceWeekly payTemporary workShift work- ...dedicated to delivering high-quality Phase I–IV clinical trial execution... ...: The Quality Control Specialist is responsible for oversight... ...(ICH) guidelines, Health Insurance Portability and Accountability... ...queries for systemic issues. Report feedback to Site Leadership...Health InsuranceContract work
$120k
...description: SUMMARY The Compliance and Risk Manager is responsible for overseeing... ...adherence to federal, state, and health plan requirements, as well as internal policies... ...ongoing monitoring. Documentation & Reporting Prepare compliance reports, board level...RiskHealth InsuranceFor contractorsFor subcontractor- ...elevate total rewards programs, including health benefits, retirement plans, paid time off, and other offerings,... ...their benefits experience. Support risk management and employee well‑being... ...processes, including injury reporting, claim tracking, and required documentation...RiskHealth InsuranceHourly payNight shiftAfternoon shift
- ...Health Plan Compliance Analyst We are seeking a Health Plan Compliance... ...to promoting a higher quality of life and maximizing independence... ...to identify compliance risks and recommend corrective actions... ...corrective actions. Prepare reports and present findings to...RiskHealth Insurance
- ...physician orders, progress notes, consultation reports, diagnostic reports, operative and... ...to support audits requested by Health Plans Ensure compliance with all applicable... ...coding and documentation guidelines for Risk Adjustment. Educate Physicians regarding...RiskHealth Insurance
$34 per hour
...Job Description Job Title: Quality Specialist If qualified and interested... ...contribute to reducing cost and risk by verifying routine product... ...to specific elections, plan, or program terms. If eligible... ...and long-term disability • Health Spending Account (HSA) • Transportation...RiskHealth InsuranceWeekly payContract workTemporary workWork experience placementWork at officeLocal areaShift workDay shiftAfternoon shift$129.5k - $240.5k
...scale, reach, and impact. The Department: Risk Risk at Gemini is a team dedicated to... ...changes Own the operational risk event reporting process end-to-end — from identification... ...a new hire equity grant Comprehensive health plans 401K with company matching Paid Parental...RiskHealth InsuranceContract workWork at officeRemote workFlexible hours- ...direct and indirect tax returns, and reform calculations, using standardized processes and technology. The role emphasizes governance, risk, and compliance frameworks aligned with business objectives. The ideal candidate has 4-6 years of tax experience, CPA or attorney...Risk
- Alivi, located in Miami, is seeking a Compliance and Risk Manager to oversee enterprise-wide compliance and risk management programs. This role requires ensuring adherence to federal, state, health plan requirements, and internal policies. The ideal candidate will have...RiskHealth Insurance
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