Medicaid Risk Adjustment Systems Advisor
Elevance Health
Elevance Health is seeking a key member for their Medicaid renal/ESRD strategy in Louisville, KY. The role involves defining requirements, performing testing, and ensuring that technical solutions align with business needs. Applicants should hold a BA/BS in Information Technology or a related field and possess at least 6 years of relevant experience, ideally with knowledge of Medicaid. The company offers competitive benefits, flexibility for remote work, and an inclusive workplace environment. #J-18808-Ljbffr Elevance Health
- Position Overview A key member in our Medicaid renal/ESRD strategy area for both our Health... ...Specialty Revenue [ESRD] as well as Risk Adjustment. How You Will Make an Impact Defines... ...performance and support requirements of a system Creates and performs feature testing...RiskTemporary workWork at officeLocal area2 days per week1 day per week
- UofL Health, Inc. in Louisville, Kentucky, is looking for a System Director of Risk Management to lead the risk management program. This position is critical for ensuring patient safety and managing liability claims. Requirements include a Bachelor's degree, Kentucky RN...Risk
$75k - $139k
...enabling bp's franchise growth engine -- the systems, processes, and analytical rigor that... ...it easier to track progress, surface risks, and maintain accountability Champion... ...with an accessibility need may request an adjustment/accommodation related to bp’s recruiting...RiskFull timeContract workTemporary workPart timeWork at officeLocal areaRemote workRelocationRelocation packageFlexible hours- ...performance against the banking center goals by adjusting individual goals and initiating sales... ...fraudulent operations and unnecessary risks or exposures. Maintains a position of trust... ...with the Nationwide Mortgage Licensing System and Registry (NMLS), to comply with the S...RiskFull timePart timeWork at officeFlexible hours
- Description The Director of Enterprise Systems drives the strategic planning, execution and management of ISCO Industries' (ISCO) enterprise... ...platforms. Establish governance structures, manage program risks and ensure the initiative stays on schedule and within budget....RiskWork at officeImmediate start
- Robley Rex VA Healthcare System in Louisville, KY seeks an RN Risk Manager to lead risk management and quality initiatives. The role requires strong leadership, clinical nursing expertise, and the ability to navigate VA directives while coordinating incident review and...Risk
$64.2k - $116.4k
...The opportunity In the Engagement Business Advisor (EBA) – Senior Associate role, you will... ...proactive guidance, data‑driven insights, and risk‑informed recommendations to enable... ...and estimates to complete. Apply finance system, process, and policy expertise to identify...RiskContract workWork experience placementSummer holidayWork at officeFlexible hours- ...committed to empowering businesses to navigate risk effectively and foster resilient... ...more resilient businesses. As a trusted advisor, you will be instrumental in translating... ...work each day. We seek to make reasonable adjustments throughout our recruitment process to...RiskWork at officeLocal areaRemote workWork from homeWorldwideFlexible hours
$28.85 - $33.65 per hour
...impact. Join us! As a Financial Solutions Advisor Stage I (FSA I), your journey begins... ...must register with the federal registry system and remain in good standing. Since your position... ...Active Listening Attention to Detail Risk Management Policies, Procedures, and Guidelines...RiskHourly payWork at officeImmediate startMonday to FridayShift workDay shift- Position: Registered Nurse‑Risk Manager (Louisville, Kentucky 603) Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Registered Nurse‑Risk Manager Louisville, Kentucky 603. Basic Requirements: English Language Proficiency. In accordance...RiskPermanent employmentTemporary work
- ...office lighting, temperature, and noise. Equipment: Bloomberg System; Keyboard; Telephone; Calculator. Qualifications Bachelor'... ...7,63,65 licenses are helpful. Thorough understanding of risk-controlled asset allocation and cash flow analysis is required....RiskWork experience placementWork at office
- ...member of the platform staff. Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and... ...time of employment through the Nationwide Mortgage Licensing System (NMLS). The NMLS web site (mortgage.nationwidelicensingsystem.org...RiskWork experience placementWork at office
- ...a member of the platform staff. Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and... ...the time of employment through the Nationwide Mortgage Licensing System (NMLS). The NMLS web site (mortgage.nationwidelicensingsystem....RiskWork experience placementWork at office
- ...providing consistent client experience. Operate within established risk parameters/tolerances and meet internal/external risk and... ...In addition, this position requires National Mortgage Licensing System and Registry (NMLS) registration under the SAFE Act of 2008. As...RiskImmediate startAfternoon shift
- ...advice and guidance. Merrill's Financial Advisors and Wealth Management Client Associates help... ...objectives, resources, time horizon, risk profile and preferences Balancing investment... ...must register with the federal registry system and remain in good standing. Since your...RiskInterim roleWork at officeLocal areaImmediate startShift workDay shift
- ...assist our clients with transforming their governance, embedding risk in their decision‑making, and maintaining efficient compliance.... ...levels of management. Experience building compliance management systems, including performing compliance risk assessments. Experience...RiskRemote work
- ...mortgage loan originations must register with the federal registry system and remain in good standing. Since this position requires SAFE... ...on client needs and asset thresholds. Mitigates and controls risk as part of daily activities Identifies and engages potential new...RiskTemporary workWork at officeMonday to FridayShift workDay shift
- Job Description As a Financial Solutions Advisor Stage I (FSA I), you will obtain Securities... ...must register with the federal registry system and remain in good standing. Failure to... ...Active Listening Attention to Detail Risk Management Policies, Procedures, and Guidelines...RiskWork at officeImmediate startMonday to FridayShift workDay shift
- ## VP, Medicaid Clinical OperationsApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-4215... ...quality, cost, access, member experience, provider experience, and risk management across complex Medicaid populations, while partnering...RiskContract workWork at officeRemote workWork from homeHome office
- Summary Robley Rex VA Healthcare System - Louisville - Kentucky is currently recruiting for a Registered Nurse - Risk Manager Louisville - Kentucky 603. Qualifications Basic Requirements: English Language Proficiency In accordance with 38 U.S.C. 7403(f) - no person...RiskPermanent employmentFull timeTemporary workPart timeImmediate startRemote workRelocation packageMonday to FridayFlexible hoursShift work
- ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging and the opportunity...RiskFull timePart timeLocal areaFlexible hours
- ...partnership with Specialists (Financial Advisors, Mortgage Bankers, and Business Relationship... ...days of hire Operate within established risk parameters/tolerances and meets internal/... ...requires National Mortgage Licensing System and Registry (NMLS) registration under the...RiskImmediate startAfternoon shift
$270.46k - $386.37k
...and experience in a managed care delivery system. Knowledge of clinical outcomes and... ...improvement processes. Experience of population risk management or complex chronic disease... ...or equivalent with a Medicare or Medicaid patient population ~ Board eligibility...RiskWork at officeLocal area- ...providing consistent client experience. Operate within established risk parameters/tolerances and meet internal/external risk and... ...In addition, this position requires National Mortgage Licensing System and Registry (NMLS) registration under the SAFE Act of 2008. As...RiskImmediate startAfternoon shift
- ...Network Systems Specialist Job Overview: Join our team as a Network Communications Systems Specialist, where you'll lead in overseeing network management functions, integrated control centers, and multichannel communications systems. You'll play a pivotal role in managing...Full timeContract workPart timeImmediate startRelocation packageFlexible hours
- ...providing consistent client experience. Operate within established risk parameters/tolerances and meet internal/external risk and... ...In addition, this position requires National Mortgage Licensing System and Registry (NMLS) registration under the SAFE Act of 2008. As...RiskImmediate startAfternoon shift
- Encompass Health Corporation, located in Louisville, Kentucky, is looking for a Quality/Risk Director to lead their hospital-wide quality management program. The role involves ensuring compliance with regulations, developing quality improvement programs, and collaborating...Risk
- ...opening for a Private Wealth Advisor (PWA) . This is an exclusive... ...to determine financial goals, risk tolerance, and investment... ...investment portfolios, making key adjustments based on market trends and... ...National Mortgage Licensing System (NMLS) registration. Established...RiskTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week
- ...Experience managing a major gift portfolio utilizing metrics, systems, and relationship-building skills to maximize strategic cultivation... ..., including individual and large groups. Ability to assess risk combined with a willingness to take calculated risks. A tolerance...RiskFull timeContract workLocal areaNight shiftWeekend workAfternoon shift
$1,000 per month
...recommendations Gain exposure to proprietary planning software platforms Engage in weekly coaching, training, and development meetings Receive Risk Product State Licensing: Life, Accident, and Health Build life skills that create future career opportunities Qualifications Are you...RiskFull timeInternshipLocal area
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