Remote Senior Analyst: Risk Adjustment Policy & Standards
Astrana Health Management
- Remote job
Astrana Health Management is seeking a Senior Analyst, Risk Adjustment Strategy to lead coding policy and documentation standards. The role reports to the Chief Quality Officer and guides coders, CDI reviewers, and provider education across multiple IPAs. Responsibilities include translating model specifications into coding rules, defining encounter rules, and maintaining regulatory and audit readiness. The position requires advanced ICD-10-CM knowledge, SQL/Excel skills, and travel up to 20% to #J-18808-Ljbffr Astrana Health Management
- Astrana Health Management is seeking a Senior Analyst, Risk Adjustment Strategy to lead coding policy and documentation standards. The role reports to the Chief Quality Officer and guides coders, CDI reviewers, and provider education across multiple IPAs. Responsibilities...Remote jobSeniorPolicy
$90k - $120k
Senior Analyst, Risk Adjustment Strategy Department: Quality - Risk Adjustment Employment Type:... ...authors and refines the coding policy and documentation standards that govern risk adjustment. You... ...Working Conditions This position is remotely based in the U.S. The home...Remote workSeniorPolicyFull timeContract workWork from homeHome office$73.4k - $145.4k
...professional to join our Tax Standards, Quality, and Risk (SQR) team. SQR is... ...internal Tax policies; administering the annual... .... As a Tax SQR Senior Associate, you will... ...estimate has not been adjusted for the applicable... ...be considered for a remote work arrangement, subject...Remote workSeniorPolicyContract workWork at officeLocal areaWorldwide$127.31k - $243.34k
...USAA roles may offer remote or hybrid flexibility... ...consistent with applicable policy and business needs.... ...Bank Credit Risk Analyst Senior, you will have a strong... ...UDAP, OCC Heightened Standards, OCC CREDIT RISK GUIDANCE... ...data to drive risk-adjusted growth. ~ Experience...Remote workSeniorPolicyH1bWork at office- ...itself to a high standard. This is not an entry... ...is a full-time, remote, contract-to-hire... ...Experienced or Senior GRC Analyst at Hotman Group... ...programs Develop risk registers,... ...Create and refine policies, standards, and procedures... ...be a significant adjustment....Remote workSeniorPolicyPermanent employmentFull timeContract workTemporary work
$105.4k
...health, specialty and standard commercial lines insurance... ...our customers manage risk with laser-focused expertise... ...with all points from senior executives to customers... ...abide by departmental policies and procedures,... ...regularly reviewed and adjusted in accordance with prevailing...Remote workSeniorPolicyWork at office$150k - $200k
...We're hiring a GRC Senior Analyst to help build the compliance... ...and third-party risk assessments as we expand... ...risk. Help standardize policies, controls, and compliance... ...compensation will be adjusted to reflect the... ...flexibility to work remotely. We believe this structure...Remote workSeniorPolicyFull timeWork at office2 days per week$72.7k
...Mid-Level Actuarial Analyst Position This job is a mid-level actuarial... ...others to ensure quality standards are being maintained.... ...accept criticism and feedback and adjust behavior accordingly to improve... ...business conduct and company policies. As a component of job...Remote workSeniorPolicyFor contractorsWork at officeLocal areaShift work- ...Working fully remote, the Senior Claims Adjuster will apply claims management experience to analyze and resolve... ...manner, adhering to corporate policies and regulatory requirements Required... ...FL) Knowledge of accepted industry standards and practices Computer experience with...Remote workSeniorPolicy
- ...Bassett is seeking an experienced Claims Adjuster to manage complex indemnity and lost... ...claims across DE, PA, and NJ. This remote-friendly role requires 5+ years in... ...while upholding industry standards and corporate policies. A Bachelor’s degree is preferred, with...Remote jobSeniorPolicy
- Gallagher Bassett is seeking a Claims Adjuster to manage workers' compensation claims with a remote work setup. The role involves... ...in line with procedures and policies. Ideal candidates have 5+ years... ...and familiarity with industry standards. A Bachelor's Degree is...Remote jobSeniorPolicy
$132.6k - $195k
...RoleThe Global Governance, Risk, and Compliance (GRC)... ...Management (TPRM) Sr. Analyst. If you are comfortable... ...continuous security standards to implementing & monitoring... ...IT) to refine internal policies and frameworks for... ...Jobs Located in NYC or Remote Jobs Associated With Office...Remote workSeniorPolicyHourly payContract workWork at officeLocal areaFlexible hours$86.6k
...health, specialty and standard commercial lines... ...customers manage risk with laser-focused... ...Engineering Senior/Executive Property... ...ConsultantUS Based Remote - Northeast/MidAtlantic... ...notices and policies, visit for more information... ...reviewed and adjusted in accordance with...Remote workSeniorPolicyFlexible hoursNight shift$200k - $275k
...data science, policy analysis, healthcare... ..., cost and risk, program performance... .... As a Senior Consulting Actuary... ..., risk adjustment, fiscal impact... ...scientists, healthcare analysts, provider finance... ..., hybrid, or remote arrangements. The... ...during Hawaii Standard Time working...Remote workSeniorPolicyWork at office- ...seeking an experienced Claims Adjuster to handle workers' compensation claims from a fully remote location. The role requires a... ...service in line with company policies. Ideal candidates will have a... ...degree, knowledge of industry standards, and proficiency with claims...Remote jobSeniorPolicy
- Astrana Health, Inc. is seeking a Senior Analyst, Risk Adjustment Strategy to define and govern coding policy and documentation standards. You will translate payer requirements into clear coding rules and ensure compliance across internal teams, audits, and training programs...Remote jobSeniorPolicy
- ...seeking a Litigation Claims Adjuster - Complex to manage high-severity claims remotely across eligible states in... ...while upholding company standards. The Senior Professional will analyze policy coverage, coordinate with... ..., and contribute to risk mitigation and regulatory...Remote jobSeniorPolicy
- ...enhancements of initiatives, policies, and practices. We hold... ...Security team, the IS GRC Senior Analyst - Risk & Compliance will be responsible... ..., HIPAA, or other global standards or regulations is highly preferredCertified... ...full time in an office and remote environment; physically...Remote workSeniorPolicyFull timeContract workWork experience placementH1bVisa sponsorshipRelocation packageMonday to Friday
$99k - $124k
...conditions by identifying risk earlier, coordinating... ...& Perks Hybrid-Remote Flexibility -Work from... ...DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our... ...assess program and policy impacts. Enable data-... ...recommendations to senior leadership, illustrating...Remote workPolicyWork at officeWork from homeFlexible hours2 days per week$101.18k - $119.78k
...Description Business Title(s) Senior Environmental Claims Adjuster Employment Type Full-Time... ...can fill this role fully remote except in the states of AK... ...company office during standard business hours. Essential... .... Analyzing claims forms, policies and endorsements, client instructions...Remote workSeniorPolicyFull timeLocal area- ...organization's cybersecurity and risk requirements.... ...independent judgment in a remote environment. Conducts... ...Management (i.e. Policies, Processes, and Procedures... ...including charters, policies, standards, processes, procedures,... ..., audit personnel, senior management, and the...Remote workSeniorPolicyWork experience placementWork at officeLocal areaRelocation
- ...Jurisdictional Experience: WI Active Adjusters' licenses : Applicable licensure... ...: This role is eligible for fully remote work How you'll make an impact... ...consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with...Remote workSeniorPolicyLocal area
- Description The Senior IT GRC Analyst leads policy development and audit execution within... ...CMG's IT Governance, Risk, and Compliance program, with... ..., and update IT policies, standards, and procedures to align... ...– This role is a remote position that is currently...Remote workSeniorPolicyWork at office
- ...Worker’s Compensation Claims Adjuster will manage a caseload of approximately... ...in this job description.Remote work opportunities vary by... ...’ Compensation law, industry standards and medical and legal... ...successfully adhere to company policies and procedures, as well as maintain...Remote workSeniorPolicyExtra incomeTemporary work
- ...Enterprise Solutions for Risk Management | Compliance... ...of assets, processes, policies and people delivering... ...DescriptionProSidian Seeks a Senior Consulting Actuary -... ...- Washington, DC (Remote) | Program Manager) to... ...development and documentation of standard procedures to address...Remote workSeniorPolicyContract workWork at office
$130k - $170k
...On Hybrid schedule: 2 days remote / 3 in‑office Predictable hours... ...related to trucking Review policy language to determine... ...Experience using claims systems and standard business tools Licensing Requirement... ...must hold an active adjuster license or be willing and able...Remote workSeniorPolicyWork at officeWeekend work- ...reciprocal. Location: This role is fully remote work. How you'll make an impact... ...with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory... ...Background: Minimum 3 years of experience adjusting a workers compensation desk,...Remote workSeniorPolicyLocal area
- Title: Senior Workers Compensation Claims Adjuster Company: Gallagher Location: Remote (California jurisdiction) Role Overview This role... ...with statutory and company policies. Interact extensively with... ...requirements and maintain ethical standards. Qualifications Minimum of...Remote workSeniorPolicyFull time
$160k - $195k
...trillion industry - which risks to take, and how to price... ...industry. This is a small, senior team working on the hardest... ...(laptop, screens, adjustable desks, etc.). Regular remote and in‑person hackathons,... ...compliance with our governance policies. We handle all background...Remote workSeniorPolicyInternshipWork at officeNight shift$63.59k - $121.53k
...USAA roles may offer remote or hybrid flexibility... ...consistent with applicable policy and business needs.... ...Opportunity As a Senior Property Adjuster, you will work within... ...of industry standards of inspection, damage... ...as needed. Ensure risks associated with business...Remote workSeniorPolicyHourly payFull timeH1bWork at officeLocal areaRelocation packageMonday to FridayShift workAfternoon shift3 days per week
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