Hybrid/Remote Risk Adjustment Strategy Consultant
Highmark Health
- Remote job
Highmark Inc. is seeking a Senior Strategy role to lead analytics and strategy for the Risk Adjustment Accuracy Management (RAAM) department. You will analyze business issues, design analytics, and develop formal recommendations for senior leadership to inform strategic decisions. The position supports a hybrid or remote work arrangement; onsite is required 3 days a week (T, W, TH) if you live within 50 miles of an office. #J-18808-Ljbffr Highmark Health
$108.6k
...supports leadership of the Risk Adjustment Accuracy Management (RAAM)... ...essential to RAAM’s program strategy and operational goals. Provide... .... This role can be hybrid or remote. However if you live within... ...internal or external strategy consulting resources. Serve as subject...Remote workRiskFor contractorsLocal area3 days per week- ...agency in California is seeking a Workers' Compensation Claims Adjuster II to join the Risk Management team. This role involves investigating claims,... .... The County values a diverse workforce and offers a hybrid work schedule, along with a generous benefits package. Candidates...Remote jobRisk
$40 per hour
Hybrid | Des Moines, IA (Onsite Tues-Thurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and...Remote workRiskContract workWork at officeLocal areaMonday to Friday$84.4k - $152.3k
...development.Job SummaryAs a member of the Risk Adjustment Execution & Enablement team,... ...support of information-related strategies.Experience solving complex... ...Richardson, TXSchedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote.Sponsorship: Sponsorship is not...Remote workRiskFull timeWork at officeFlexible hours$85.8k - $143k
...conceptualize service concepts aligned to strategies defined by product and... ...compliance/operational risk controls in accordance with Company... ...conducting remote and in-person workshops; strong... ...Locations:This role follows a hybrid work model, requiring onsite presence...Remote workRiskFull timeWork at office$91k - $145k
...Strategist - Balance Sheet Strategy & Financial Resource... ...and counterparty risk standards—this role offers... ...SFT), Credit Valuation Adjustment (CVA), and Market Risk.... ...requirementsMizuho has in place a hybrid working program, with... ...opportunities for remote work depending on the...Remote workRiskFull timeWork at officeLocal areaWorldwide$190k - $210k
...Account Strategist leads strategy development and... ...healthy skeptic to identify risks and recognize... ...empower employees with our hybrid working policy, allowing... ...offices/projects and remote locations enabling them... ...support or reasonable adjustments with regards to the recruitment...Remote workRiskFull timeWork at office- ...translating complex data into actionable strategies crucial for patient and market success... ...have over 4 years’ experience in risk adjustment analytics and proficiency in Excel and... ...and comprehensive benefits, including hybrid-remote flexibility. #J-18808-Ljbffr Strive HealthRemote workRisk
$99k - $124k
...chronic conditions by identifying risk earlier, coordinating... ...at Strive! Benefits & Perks Hybrid-Remote Flexibility -Work from home... ...seeking a Lead Analyst, Risk Adjustment Analytics to join our high-performing... ...data into actionable strategies. Your work will directly...Remote workRiskWork at officeWork from homeFlexible hours2 days per week$30 - $36 per hour
...Overview RD Nutrition Consultants LLC is seeking a Registered... ...per month, primarily remote via telehealth. Join... .... This is a part-time, hybrid-remote assignment. Schedule... ...patient progress and adjust care plans as needed to... ...intervention for individuals at risk, recognizing that...Remote workRiskHourly payPart timeMonday to FridayFlexible hours$50k
Category/Area of Expertise: Risk Management & Insurance... .... Our flexible/hybrid work schedule includes... ...our core locations and 4 remote days. This position can... ...of the claim to develop strategies that provide optimal outcome... ...: Licensed adjuster or ability to obtain license...Remote workRiskFull timeLocal areaFlexible hours- ...Remote / Work from Home / Virtual / Hybrid Department CDI Team Schedule Full-time Facility Shadeland Station Shadeland Ave Indianapolis , IN 46256... ...coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for: Timely, accurate, and complete...Remote workRiskFull timeLive inWork from homeRelocation
- ...deliver highly personalized risk and claims management... ...Senior Casualty Claim Adjuster role requires deep,... ...AZ office. We offer a hybrid work schedule with 4 days... ...the office; and 1 day remote where it makes sense to... ...To Develop and execute strategy to manage casualty claims...Remote workRiskFull timeWork experience placementWork at officeFlexible hours
- ...to deliver highly personalized risk and claims management through a... ...Responsibilities This role, Auto Damage Desk Adjuster is a key contributor to the... ...Phoenix, AZ office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so....Remote workRiskFull timeWork experience placementWork at officeFlexible hours
- ...Role Details Job Title: Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman... ...needs change.) Help us insure it Tokio Marine HCC - Public Risk Group, a member of the Tokio Marine group of companies, is...Remote workRiskFull timeWork at officeLocal area
$30 - $40 per hour
...is the nation’s leading specialty risk manager for self-insured... ...rehabilitation plans. Establish, monitor, and adjust monetary case reserves when... ...Range: $30-$40 per hour Position is hybrid, 3 days in office in Glendale or Orange. Remote candidates will not be considered...Remote workRiskHourly payTemporary workWork at office- ...County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program... ...this job: You will be part of a dynamic team We offer a hybrid remote work schedule You will have access to a generous...Remote workRiskPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate start
- ...to deliver highly personalized risk and claims management through a... ...This role, a Senior Property Desk Adjuster is a key contributor to the... ...Phoenix, AZ office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so....Remote workRiskFull timeFor contractorsWork at officeFlexible hours
- ...Seattle seeks a Docket Specialist to support the firm’s Docketing Risk Management Department. You will handle Federal, State, and... ...communication, and proficiency with CourtAlert or similar software. A hybrid remote option is available to balance client service with work‑life...Remote workRiskLocal area
$60 - $65 per hour
...Asset Management (SAM/HAM Hybrid) Description: Role:... ...manger followed by panel > remote inteview protocol and... ..., identify trends and risks, recommend improvements... ...reclamation, reuse, renewal adjustment, retirement,... ...improvement, operational strategy, technology adoption, asset...Remote workRiskFull timeContract workTemporary workWork at officeFlexible hours$90k - $100k
...nation’s leading specialty risk manager for self-insured organizations... ...’ Compensation Claims Adjuster III at AvonRisk, you are a... ...& Work Arrangement: Remote or hybrid depending on candidate location... ...defense counsel, setting strategy, retaining experts, managing...Remote workRiskPermanent employmentWork at office$111.17k - $212.25k
...are currently seeking a AI Strategy & GTM Consultant - Insurance to join our team... ...customer experience, distribution, risk management, and operational... ...starting pay range for this remote role is $111,172.00-$212,250... ...positions offer remote or hybrid work options, these...Remote workRiskFull timeTemporary workWork experience placementWork at officeFlexible hours$102k - $208k
...executing the Commercial Liquidity Strategy while driving revenue growth,... ...product teams to deliver consultative liquidity solutions for the... ...applicable policies, procedures, and risk standards. Duties &... ...community, and do their best work. Remote roles will also have the...Remote jobRiskWork at officeWork from homeFlexible hours- ...navigate an increasingly complex risk landscape. We are seeking a... ...United States and offers remote or hybrid work flexibility. The role... ...understanding of Hanover’s strategies and appetites and will use internal... ..., monitors performance, adjusts plan to ensure a substantial...Remote workRiskFull timeLocal area
- ...Reviewing medical records and validating diagnosis information, the full-time Risk Adjustment Coding Specialist will work remotely to ensure accurate risk adjustment coding while adhering to established guidelines and departmental procedures. Key Responsibilities Review...Remote workRiskFull time
$60k - $100k
...Underwriter (Honolulu, HI) - HYBRID Location ~1440... ...– 3 days in office/2 days remote Reports to ~ Deputy... ...regulatory requirements Analyze risk data of prospective... ...and regulatory changes to adjust underwriting strategies accordingly Review data...Remote workRiskFull timeWork at officeLocal areaMonday to Friday- ...authentic application experience. Location: El Segundo, CA Remote Status: Hybrid Job Id: 616 # of Openings: 1 Job Title: RiskAdjustment... ...can make a lasting impact. The Role We are looking for a Risk Adjustment Coding Specialist to own retrospective CDI chart review...Remote workRiskFull timeTemporary workWork at officeFlexible hours
$45.77 - $83.17 per hour
...progress, identify execution risks, remove barriers, and... ..., waste reduction strategies, fresh process... ...effectiveness and recommend adjustments that improve execution... ...results. Work Environment: Hybrid Role: This role... ...and retail stores, with remote work. The hybrid model...Remote workRiskHourly payWork at officeShift work- ...Microservices Developer (FTE/Hybrid) to join our team in... ..., and potential risks. Contribute to strategies for modernization... ....Ability to adjust priorities quickly as... ...application services. our consulting and Industry... ...many positions offer remote or hybrid work options...Remote workRiskWork at officeFlexible hours
- ...Life & Annuity) - Onsite Hybrid to join our team in... ...changes, cost, or resource adjustments. Establish and provide... ..., and managing risks, issues, and status reporting... ...8 + years of Business Consulting-Program/Project... ...many positions offer remote or hybrid work options...Remote workRiskFlexible hours
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