Medicaid Risk Adjustment Market Lead
$54.3k - $145.86kHispanic Alliance for Career Enhancement
CVS Health is seeking a Medicaid Market Manager to drive engagement in risk adjustment programs. This high-visibility role requires 5+ years in healthcare operations and strong qualitative skills. The ideal candidate will manage project execution, lead market meetings, and analyze performance data to deliver actionable insights. Responsibilities include creating executive presentations and collaborating with clinical teams to improve outcomes. A Bachelor's degree is needed, along with proficiency in MS Excel and PowerPoint. The position offers a comprehensive benefits package and a salary range of $54,300.00 - $145,860.00. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
- ...across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to... ...for all. Centrum Health’s Sr. Manager of Risk Adjustment and Quality will be responsible for... ...records, coding, and billing operations. Lead a team to drive risk adjustment performance...RiskTemporary workWork at office
- ...Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal...Risk
- Job Description SummaryLEVEL II - RISK ADJUSTMENT CODING SPECIALIST (Intermediate)(Includes all Level I responsibilities + the following)ResponsibilitiesAbstract and assign ICD 10 CM diagnosis codes supported in encounter documentation and work independently with minimal...Risk
- ## Manager, Risk Adjustment Data ScienceApplylocations: Florida, USAtime type: Full timeposted on: Posted Todayjob requisition id: M103632**... ...financial performance in value-based contracts. The Manager will lead the design and deployment of scalable data products,...RiskContract work
- ...Mosaic Health, LLC. is seeking a Manager, Risk Adjustment Data Science in Florida. This role combines analytics, machine learning, and AI to... ...adjustment for Medicare Advantage and ACO populations. You will lead data product design, predictive modeling, and work closely...Risk
- Cano Health, LLC is seeking a Risk Adjustment Coder to join our hybrid team in New York. The coder will identify and document coding information crucial for Clinical Condition Categories and ensure diagnosis code accuracy. This role involves regular collaboration with healthcare...Risk
- Suvida Healthcare is seeking a Risk Adjustment Coder to enhance the documentation and coding accuracy for patient care. This position plays a crucial role in supporting the primary care team by conducting thorough reviews of medical records and ensuring compliance with...Risk
- Millennium Physician Group is seeking a Level II - Risk Adjustment Coding Specialist in New York. Responsibilities include abstracting ICD-10-CM codes from documentation, auditing medical records for accuracy, and analyzing Medicare Risk Adjustment data. The ideal candidate...Risk
$88k - $120k
...Claims Management Services Ltd is seeking a Construction Defect Adjuster to handle complex third-party bodily injury and property damage... ...advanced expertise in liability determination, coverage analysis, and risk transfer. The ideal candidate will possess a Bachelor's degree...RiskRemote job$75k - $92k
...insurance needs of the wheels‑based transportation industry. We offer risk financing solutions across all 50 states, including traditional... ...and alternative risk transfer programs. Position Workers Comp Adjuster – fully remote (USA) Essential Job Functions And...RiskFull timePart timeSeasonal workRemote work$16.4 - $31.97 per hour
...maintain project plans and documentation, track action items and risks, facilitate communication among stakeholders, and provide... ...Experience: Pediatric experience preferred; knowledge of Florida Medicaid preferred Benefits and Compensation Pay Range: $16.4 - $31.97...RiskHourly payWork experience placementWork at office- ...Inhouse Counsel / Manager Legal, Compliance & Risk Management / Outpatient Clinics / Full-... ...healthcare laws (e.g., HIPAA, Medicare/Medicaid regulations) and employment practices.... ...employees. Violations of this policy will lead to disciplinary action, including termination...RiskFull time10 hours per weekShift work
$87.5k - $90k
...Overview Position Title: Professional Liability Adjusting Specialist Location: Maitland, FL (Hybrid... ...clients to solve their most complex risk management challenges, delivering... ...ourselves. We look for team members who: Lead with transparency We build trust by being...RiskWork at officeLocal area- ...data and advanced AI to surface risk, automate compliance, and... ...across Sales Engineering, Product, Marketing, Customer Success, and more.... ...of high‑potential accounts and lead with a consultative, strategic... ...is periodically reviewed and adjusted to align with evolving business...RiskRemote work
$88k - $120k
Construction Defect Adjuster The Commercial General Liability (CGL) Claims Adjuster is responsible for the end‑to‑end handling of complex... ...coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi‑jurisdictional and...RiskWork experience placementWork at officeLocal areaFlexible hours$88k - $120k
...Association of Women in Construction is seeking a Construction Defect Adjuster to manage complex third-party claims under commercial general... ...years' experience in similar claims handling, with expertise in risk transfer and litigation management. The ideal candidate will...Risk$80k - $120k
...project costs using appropriate verification techniques. Balance risk management and cost optimization to minimize potential risks... ...specifications and approved submittals. Meet budgetary objectives and make adjustments to project constraints based on financial analysis. Develop...RiskImmediate start- ...governance frameworks. Implement structured reporting mechanisms, risk mitigation strategies, and ongoing program assessments to... ...Performance Report, summarizing program activities, risks, and strategic adjustments. Benefits A competitive salary with performance bonus...RiskFull timeContract work
- ...Project Manager* Develop and manage the project scope, timelines, risks, and quality management across the entire project lifecycle.*... ...manner.* Maintain monthly forecast submissions, including adjustments to resource allocations and vendor payment schedules.* Conduct...Risk
$13 - $16 per hour
...Senior Team Lead - Westfork 13 Essential duties and responsibilities... ...operational delivery of marketing campaigns and promotions of feature... ...the ROM. Monitoring risk management as it pertains to the... ...vision, depth perception and ability to adjust focus. #J-18808-Ljbffr...RiskFull timeWork at officeLocal area- ...patient records and monitors for compliance with core measures, risk, quality and re-admission or other identified concerns. Notifies... ...healthcare team in the development of a plan of patient care. Provides Medicaid patient information to KePRO within one working day to ensure...Risk
- ...for US sports. This role will own the market making, positioning, and risk management for the core sports... ...maintaining the pricing models. You will lead the trading function through a... ...exposure and risk limits in real time, adjusting strategy in response to betting patterns...RiskWork at officeFlexible hours
- A fintech company is seeking a remote Underwriting & Compliance Specialist to evaluate merchant applications. This role focuses on risk management and compliance to ensure merchants meet standards before platform onboarding. Candidates should have 2-5 years of experience...RiskRemote work
- ...meetings focused on quality and performance improvement. Conduct risk management activities, internal investigations, and provide... ...measures, ensuring compliance with Dr. Tripp & Associates, DCF, and Medicaid regulations. Ensure strict compliance with HIPAA, confidentiality...Risk
- ...recipients.* ## Attends safety and abuse risk management training as assigned.* ## Provides... ...and interested parties to discuss youth adjustment and growth in the programs.* ## Directs... ...judgment.* ## Ability to successfully lead a team of associates.* ## Proficient in use...RiskCasual workWork at officeShift work
- ...Sweet Additions, located in the Town of Florida, seeks a Marketing Manager to oversee all marketing aspects. This position involves developing strategies for brand management, digital marketing, and customer engagement. Ideal candidates will have a Bachelor’s degree in...
- ...A defense and aerospace firm in New York is seeking a highly experienced Risk Management Analyst to develop and assess risk management strategies. The ideal candidate will have a Bachelor's degree, strong experience in systems engineering, and strong communication skills...Risk
$72k
...disciplines, addresses complaints and resolves problems. Provides risk management training for all new employees at all residential... ...that all licensing, accreditation, contracts, rate agreements, Medicaid applications, and other standards for programs and services are...RiskFull timeTemporary workRemote work- ...Lending Manager is responsible for leading the credit union's consumer... ...satisfaction and target goals. Portfolio & Risk Management Manage performance of... ...strategic objectives. Analyze market trends and member needs, making adjustments and recommendations to keep the program...RiskContract work
$20 per hour
A healthcare technology firm based in the United States is seeking a Risk Adjustment Analyst to enhance AI models by evaluating their logic and performance. The ideal candidate will be an expert in healthcare with a strong background in areas like Revenue Cycle Management...RiskRemote jobHourly payFor contractors
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