Member Risk Adjustment Coordinator I
Randstad
Job TitleJob Description Assist members with scheduling office visits with primary care provider. Retrieves charts from electronic medical record systems and compiles medical records to send to other parties for coding. Requests medical records by making outbound phone calls to provider groups. Completes supplemental medical records requests using Excel files. Assist with providing updated member and provider information to vendors. Directs medical record requests to appropriate personnel.
- ...deliveries and transfer orders, coordinating outbound transportation with... ...scope, urgency and level of risk associated with a situation.... ...idea share, listen and be a member of a team while being respectful... ...vision, and the ability to adjust focus. The employee may be required...RiskWork at officeLocal areaImmediate start
- ...for you. Great American Insurance Group’s member companies are subsidiaries of American... ...Division has been helping farmers manage risk since 1915 and is one of the few private... ...fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for...RiskFull timePart timeSeasonal work
$143.62k - $229.79k
Job Description As a Consulting Actuary - ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical... ...Bachelor's degree or advanced degree (where required) Member of the American Academy of Actuaries Fellow of the Society...Risk$66k - $95k
...and preferred assignment types.The Field Coordinator supports onsite coordination, field... ...identification and escalation of field risks, safety concerns, and operational conflicts... ...you require further support or reasonable adjustments with regards to the recruitment process...RiskHourly payFull timeFor contractorsLocal area$134.5k - $265.1k
...and vulnerabilities. Our Cyber Risk practice helps organizations... .... Review deliverables and coordinate technical sessions to ensure... ...skills. Supervise and mentor team members (US and US-India), fostering... ...range estimate has not been adjusted for the applicable geographic...RiskLocal areaVisa sponsorship- ...LTSS Svc Coordinator-Clinician This field-based role enables associates to primarily operate... ...RN, with overall responsibility for the member's case, as required by applicable state law... ...RN in identifying members for high risk complications. Obtains clinical data as...RiskContract workTemporary workWork at officeLocal areaMonday to Friday1 day per week
- Entry Level Workers' Compensation Claims Adjuster Johnston & Associates is a family‑owned safety and risk management consulting company located in Thompsons Station, TN. We have been in business for over 35 years and continued to grow. We offer excellent benefits, including...RiskFull timeLocal areaFlexible hours
$38k - $50k
...Representative - State Farm Agent Team Member As a Customer Service Representative... ...career while resolving customer inquiries, coordinating with other agency team members, and... ...Our mission is to help people manage the risks of everyday life, recover from the unexpected...RiskFor contractorsWork at office$50k - $90k
...contribute to office business objectives.Work closely with team members to ensure a consistent and positive customer experience.QualificationsStrong... ....About Our AgencyOur mission is to help people manage the risks of everyday life, recover from the unexpected and realize their...RiskFor contractorsWork at officeLocal area$95.2k - $130.9k
...of life. As a Lead Utility Engineer or Coordinator in our Transportation practice, you'll play... ...recommendations that minimize project risks, costs, and schedule impactsCollaborate... ...you require further support or reasonable adjustments with regards to the recruitment process...RiskFull timeFor contractorsRemote workRelocation- ...leads the industry in integrated risk management and compliance... ...lead generation processes and adjust as needed Continually... ...marketing ops Assist sales team members with proper lead capturing best... ...pre‑con training and onsite coordination for hosted events as needed Operational...RiskFull timeContract workTemporary workPart timeFor contractorsInternshipLocal areaFlexible hoursNight shift
$130.9k - $268.7k
...foster a culture of innovation.Tech/Quality Risk Management: Establish and evolve... ...Engage stakeholders at all levels—from team members to middle management to executives—building... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskWork at officeLocal areaVisa sponsorship3 days per week$45k - $65k
...ensure a consistent customer experience. Collaborate with team members to achieve office objectives. Qualifications:... ...About Our Agency Our mission is to help people manage the risks of everyday life, recover from the unexpected and realize their...RiskFor contractorsWork at office$130.9k - $268.7k
...foster a culture of innovation.Tech/Quality Risk Management: Establish and evolve... ...Engage stakeholders at all levels—from team members to middle management to executives—building... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...RiskWork at officeLocal areaVisa sponsorship3 days per week$37.87 per hour
...Concentric Methods is accepting resumes for Physical Fitness Coordinators (PRN) to lead on-site Physical Fitness Exams with professionalism... ...-minute standardized readiness briefing (hydration, heat/cold risk, stop criteria) to every cohort or candidate. Complete a 10-...RiskHourly payReliefWork at officeFlexible hours- ...The Incident Response Coordinator, Senior leads tactical coordination of complex IT incidents to minimize mission impact. The role facilitates... ...updates/executive briefings translating technical impact/risk/remediation into clear business language; maintain SSOT. Cross...RiskContract workWork experience placementWork at officeShift work
$93k - $171.3k
...Work you'll do As a Specialist Manager, Risk Compliance on the Personal Consultation team... ...and providing direction to staff team members, including reviewing documentation related... ...disclosed range estimate has not been adjusted for the applicable geographic differential...RiskWork at officeVisa sponsorship$109k - $155.4k
...analyzing and mitigating safety risks as well as ensuring the... ...on safety risks. Cross-team coordination, project management, executive... ...drivers, partners, community members, and other vulnerable road users... ...a workplace accommodation or adjustment during the application and hiring...RiskWork at officeFlexible hours$163.4k - $322.1k
...responsible for… Develop and execute strategies for integrated risk management (IRM), governance, risk, and compliance (GRC), and Security... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskLocal areaVisa sponsorship$93k - $171.3k
...issues clearly, align on independence risks, and drive timely decisions across a... ..., and strategizing on next steps in coordination with senior team members, managing multiple active... ...disclosed range estimate has not been adjusted for the applicable geographic differential...RiskWork at officeVisa sponsorship- ...by researching accounting, auditing, and risk management matters, developing practical... ...for a specified position by an authorized member of the Talent Acquisition team become the... ...vision, depth perception, and the ability to adjust focusCognitive/Mental RequirementsWhile...RiskFull timeContract workWork at officeFlexible hours
$37.87 per hour
Concentric Methods is accepting resumes for Physical Fitness Coordinators (PRN) to lead on-site Physical Fitness Exams with professionalism... ...five-minute standardized readiness briefing (hydration, heat/cold risk, stop criteria) to every cohort or candidate. Complete a 10-...RiskHourly payReliefWork at officeFlexible hours$115.7k - $161.97k
...references through the effective coordination, administration and... ...and respect of internal team members and stakeholders.Develop, monitor... ...Develop and maintain project risk assessments, qualitative and... ...with estimate validation and adjustments and comparative cost analyses...RiskFull timeFor contractorsLocal area- ...Disease Specialty Coordinator Of Neonatal Services Discover Vanderbilt University Medical... ...lectures on prevention and reduction of risk factors and assuring follow-up of patients... ...informal guidance and support to team members. Core Capabilities : Supporting Colleagues...RiskTemporary workWork experience placementFlexible hours
$19.39 per hour
...edits/prior authorizations. By reviewing member claims history, clearly defines the... ...sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL... ...drug products. Recommend staffing adjustments necessary to appropriately maintain a...For contractorsLocal area$60k - $75k
Implementation Coordinator Location: Remote with periodic on-site presence in Nashville, TN Employment Type: Full-Time Compensation: $60... ...helps reduce symptoms in students, improve outcomes, decrease risk, and allow schools to operate more efficiently across their behavioral...RiskFull timeRemote work- ...analysis?In this role within the IB Business Risk Management - Travel and Expense Team,... ...changes effectively•partner with team members and control functions to review expense... ...and if you need reasonable accommodation/adjustments throughout our recruitment process, you...RiskFlexible hours
$100.35k - $205k
...interactions with client’s project team members and Deloitte project leadership members.Delivery... ...systems, agile resourcing models, risk, provision and compliance. QualificationsRequired... ...disclosed range estimate has not been adjusted for the applicable geographic...RiskContract workWork at officeLocal area- ...This role powers the member experience after signup — onboarding, lifecycle emails, and... ...in HubSpot, keep our CRM data clean, and coordinate projects across teams. About Switchyards... ...promotes personal growth, collaboration, and risk-taking ~ Equipment and tools you need...RiskFull timeContract workLive inWork from home
- ...Board Member, Medical Devices About the Company Respected medical device & diagnostics organization Industry Medical Devices... ...should possess a deep understanding of financial management, risk assessment, and corporate governance. The ideal candidate will have...Risk
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