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
$102.96k - $185.33k
Risk Adjustment Strategic Manager Location: Virginia, Indiana, Georgia, Tennessee, Connecticut, New York, New Jersey, Maine, Kentucky This... ...the programs are in compliance with Center for Medicare and Medicaid Services (CMS) program requirements. Serves as a strategic partner...RiskTemporary workWork at officeLocal area2 days per week1 day per week- ...performance against the banking center goals by adjusting individual goals and initiating sales... ...fraudulent operations and unnecessary risks or exposures. Maintains a position of... ...registry with the Nationwide Mortgage Licensing System and Registry (NMLS), to comply with the S...RiskFlexible hours
- ...across all areas of the credit union, while also leading Enterprise Risk Management efforts to identify, assess, and manage risk... ...credit union. Works directly with third‑party providers to optimize system capabilities, ensure effective integration, and support ongoing...RiskWork at officeImmediate start
- ...Description Access Management Coordinator / System User Credentialing Specialist Onsite -... ...access, credential misuse, or security risks. Ensure password policies (expiration,... ...Healthcare) Payer portals (Medicare, Medicaid, UHC, BCBS) Billing/claims management systems...RiskFull timeWork at officeMonday to Friday
$17 - $29.75 per hour
...Operations, Deposit Operations, Internal Bank Support, Reconcilement, Risk Management, etc. Maintains and demonstrates in-depth... ...plus) Eligible to register with the National Mortgage Licensing System and Registry (NMLS) or currently NMLS registered . Relationship...RiskFull timeImmediate start- ...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
- 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
- ...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
- ...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.org...RiskWork experience placementWork at office
- ...the firm’s international headquarters, the Advisor Mastery Program (AMP) offers a... ...the client’s objectives, time horizon, and risk tolerance. In addition, the requirements... ...** Operating client relationship manager system and other required software applications...RiskApprenticeshipTraineeshipWork experience placement
- ...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
- ...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- ...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.org...RiskWork experience placementWork at office
- ...advice and guidance. Merrill's Financial Advisors and Wealth Management Client Associates... ...their objectives, resources, time horizon, risk profile and preferences Balancing... ...must register with the federal registry system and remain in good standing. Since your position...RiskInterim roleWork at officeLocal areaImmediate startShift workDay shift
- ...Chief Risk Officer - Kentucky/Tennessee Market Christian Wyatt Group is a leading nationwide executive search firm that specializes... ...directly with executive leadership and the Board as a strategic advisor, making sure risk governance stays separate from day-to-day...Risk
- 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
$203.4k - $279.8k
...a part of our caring community The AVP, Medicaid Business Integration is responsible for leading... ...accountability for results. Identify risks, remove barriers, and drive issue... ...value realization, incorporate feedback, and adjust priorities to maximize outcomes. Use your...RiskTemporary workApprenticeship- ...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
- Position Overview The Trust Real Estate Advisor II is responsible for managing all trust‑owned real estate assets—including residential,... ...owned real estate assets, identifying, mitigating, and escalating risks while acquiring, preserving, and managing these properties....RiskWork experience placement
- 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
- Ingenium Talent is seeking a Project Manager for Power Systems and Aftermarket Projects based in Louisville, Kentucky. In this high-impact role, you will lead capital and aftermarket projects, manage risks and budgets, and serve as the primary customer interface. The ideal...Risk
- A healthcare recruitment firm is urgently seeking a Medical Record Clerk to perform quality assurance of medical records with up to 75% travel to provider offices. The role requires strong communication and analytical skills, as well as proficiency in Microsoft Office applications...RiskWork at officeRemote work
$55k - $90k
...The Operations Systems Analyst II (WMS Analyst II) role has a national salary range of $55,000 - $90,000. For roles within California the... ...and reports Identify and address potential issues and risks Create and maintain dashboards using SQL Required Education And...Risk- ...for a temporary to permanent role in Louisville, KY. The position involves comprehensive assessments and care coordination for high-risk members, requiring at least an Associate's degree in Nursing and case management certification. The schedule is Monday to Friday, 8...RiskPermanent employmentTemporary workMonday to FridayWeekend work
- Elevance Health is seeking a Risk Adjustment Strategic Manager to develop metrics and oversee operations related to risk adjustment programs. Candidates must have a BA or BS and at least 5 years of experience in a managed care environment, focusing on CMS compliance and...RiskWork at office
- Director of Insurance & Risk Management page is loaded## Director of Insurance & Risk Managementlocations: USA, Louisville, KYtime type: Full timeposted on: Posted Todayjob requisition id: REQ-25447At GE Appliances, a Haier company, we come together to make “good things...RiskWork at officeFlexible hours
- ...Insurance Advisor This is an ideal opportunity to work at a growing... ...agency that has delivered risk management solutions since 19... ...in-depth analysis, adjustment considerations, and negotiation... ..., agency & document managing system. Required state licensing...RiskWork at office
$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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