Risk Adjustment QA & Audit Analyst (Contract)
The Cigna Group
The Cigna Group is seeking a Risk Adjustment Quality & Review Analyst to perform medical coding and evaluate complex medical conditions. This temporary role focuses on compliance and data improvement with a strong emphasis on medical coding guidelines. Applicants should have a high school diploma and relevant coding certifications, along with experience in medical audits. The position offers competitive hourly pay and benefits, including medical, dental, and vision coverage. #J-18808-Ljbffr The Cigna Group
$40k - $60k
...software Estimates using carrier audit standards and manages the... ...w/ insurance companies, and adjusters via phone and email in a timely... ...documents and assess project risks Review quotes and estimates... ...does not create an employment contract, implied or otherwise, and employment...Contract workRisk- ...DescriptionThe Senior Casualty/Property Liability Adjuster manages all aspects of liability claims... ...coverage issues, liability and damages, risk transfer opportunities, litigation and... ...visits and phone contact; obtaining contracts, job files, and appraisals; conducting insured...Contract workRiskFor contractorsWork at office
$68k - $80k
...Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct... ...plan pursuant to the claim or client contract. Manages subrogation of claims and negotiates... .... Sedgwick is the world’s leading risk and claims administration partner, which...Contract workRiskFlexible hours- ...Ncontracts leads the industry in integrated risk management and compliance solutions,... ...proper revenue treatment and alignment with contract terms. • Manage the billing terminations... ...and supporting schedules. • Assist with audit requests and serve as a liaison to...Contract workRiskFull timeTemporary workPart timeFor contractorsInternshipLocal areaRemote workFlexible hours
- Honest Health in Nashville, TN is seeking a Risk Adjustment Auditor to ensure accuracy in risk adjustment coding and documentation. This role is critical in auditing clinical data and ensuring compliance with Medicare standards. The ideal candidate should possess strong...RiskRemote job
- Audit Senior Manager - Healthcare Apply locations: Nashville, TN;... ...complex economic and regulatory risks within the healthcare industry... ...a properly executed written contract for a specified position by an... ...perception, and the ability to adjust focus. Cognitive/Mental Requirements...Contract workRiskPrivate practiceWork at officeFlexible hours
- ...Conduct daily site safety inspections, audits, and hazard assessments Ensure compliance... ...enforce safety standards Monitor high-risk activities (fall protection, crane... ...STSC or CHST Certification This is a Contract Based Position Will oversee all safety...Contract workRiskFor subcontractorLocal area
- ...team of managers, engineers, and analysts charged with daily operations... ..., and monitored to strengthen risk management and compliance,... ...cybersecurity aspects of vendor contracts, including NDAs and MSAs Demonstrated... ..., with an emphasis on audit readiness, regulatory compliance...Contract workRiskFull timeFor contractorsWork at officeRelocationRelocation package3 days per week
$36.83 - $42.74 per hour
Honest Medical Group LLC is seeking a Risk Adjustment Auditor to ensure the accuracy and compliance of risk adjustment coding for providers and patients. The role requires auditing documentation and claims, identifying inaccuracies, and translating findings into educational...RiskRemote jobHourly pay$85 per hour
...Senior Manager, Audit Facilitation / PMO Lead (Healthcare) | Onsite Nashville (Brentwood) | Interim Contract Start: ASAP Duration: Estimated 4 months (interim) Location... ...leadership: project plan, status reporting, risk/issue tracking, and driving accountability...Contract workRiskFull timeInterim roleImmediate start- ...company in its search for a Financial Analyst. The Financial Analyst role is a short-term contract opportunity, expected to span... ...analysis and identify trends, risks, and opportunities Support month... ...function Finance, Accounting/Auditing, and Analyst Industries Hospitals...Contract workRiskHourly payTemporary workFlexible hours
- ...growth, and high-impact Contract Development... ...compliance and external audits, while simultaneously... ...eye for controls and risk, and the confidence to... ...with the Senior FP&A Analyst to deliver timely and... ...completed with minimal adjustments and no material control...Contract workRiskLocal area
$69.92k - $125.85k
...Opportunity As a dedicated Property Adjuster Specialist, you will work within defined... ...conduct in-person inspections. Ensures risks associated with business activities are... ...Proficient knowledge of property claims contracts and interpretation of case law and state...Contract workRiskHourly payH1bLocal areaRemote workRelocationAfternoon shift$146.3k - $306.4k
...regulatory compliance, lease and contract obligations, permitting,... ...including Logistics Managers, Audit & Compliance Managers,... ...and manage property-related risks involving land use, environmental... ...amendments, re-entitlements, parcel adjustments, updated permits, revised...Contract workRiskTemporary workWork at officeLocal areaFlexible hours- ...project charters, schedules, risk management plans, communication... ...data sources. Work with business analysts and architects to translate... ...Ensure that projects comply with audit requirements. Identify and... ...federal, state, or local government contract #J-18808-Ljbffr Blockchain...Contract workRiskPermanent employmentLocal area
- ...between program leadership, fiscal partners, contracts, procurement, and federal funders to keep... ...decisions and maintain documentation for audit readiness. · Ensure internal partners... ...-in meetings and provide status updates, risks, accomplishments, and upcoming milestones...Contract workRiskWork at officeRemote work
$25.34 per hour
...Junior Internal Auditor assists in conducting audits from the planning phase to the reporting... ...environment. Assists in assessing risk and applying appropriate audit procedures... ...statement of gross revenues to determine contract compliance and revenue obligations. Research...Contract workRiskLocal area$1,690 per week
...Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 6/2... ...for intervention. Identify potential risks and complications, such as arrhythmias,... ...other continuous monitoring devices, adjusting care as necessary. Provide post-...Contract workRiskFull timeShift workNight shift- ...Job Title: Accounts Receivable Analyst Reporting Line: AR Manager... ...accurate invoicing in alignment with contract terms and sales agreements... ...receivables data to identify trends, risks, and opportunities to improve... ...with company policies and audit requirements Identify and...Contract workRiskWorldwide
$25.35 - $43.62 per hour
...Junior Internal Auditor assists in conducting audits from the planning phase to the reporting... ...environment. Assists in assessing risk and applying appropriate audit procedures... ...statement of gross revenues to determine contract compliance and revenue obligations. Research...Contract workRiskHourly payFull timeWork at office- ...orders, including reviewing notes, documents, contracts, and submittals. Facilitate... ...clients, executives, and team members. Risk Management: identifying potential risks and... ...include close vision and the ability to adjust focus. Employees must maintain a high level...Contract workRiskFor contractorsFor subcontractorWork at office
- ...candidate will have 3+ years of Concur experience. Role Overview: ~Contract Role: 9 months ~Pay: $28.43/hr on W2 Responsibilities:... ...adherence to company T&E policies. ~Prioritize identified risks, document policy infractions, and generate requested reports...Contract workRiskHourly payFreelanceWork at office
$1,772 per week
...Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/3/... ..., according to protocols. Monitor and adjust invasive monitoring devices such as... ...safe environment for patients, reducing the risk of hospital-acquired infections. Emergency...Contract workRiskFull timeImmediate startShift work$67.9k - $91.35k
...decisions with budgeting, licensing, and risk requirements, using asset data and analytics... ...plans, optimization opportunities, and audit responses. Key Responsibilities... ...databases. Monitor license usage and contract terms to ensure compliance, reduce over-licensing...Contract workRiskWork experience placementWork at office- ...privately-owned, high-growth, and high-impact Contract Development Manufacturing Organization (... ...to regulatory compliance and external audits, while simultaneously building and... ...foundation, a sharp eye for controls and risk, and the confidence to operate independently...Contract workRiskLocal area
$1,915 per week
...Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 7/20... ..., according to protocols. Monitor and adjust invasive monitoring devices such as... ...safe environment for patients, reducing the risk of hospital-acquired infections....Contract workRiskFull timeImmediate startShift workNight shift- ...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
$1,772 per week
...Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 8/3/... ..., according to protocols. Monitor and adjust invasive monitoring devices such as... ...safe environment for patients, reducing the risk of hospital-acquired infections. Emergency...Contract workRiskFull timeImmediate startFlexible hoursShift work- ...HOT JOB# Senior Financial Analyst## Job DescriptionJob Title: Senior... ...analytics, regulatory compliance, and audit oversight. Their work will... ...** to reduce transaction risk.* **Oversee financial report production... ...**, **pricing**, and **contract negotiations**.* **Support external...Contract workRisk16 hoursFull timeWork at officeLocal areaRemote work
$99k - $266k
...meeting their tax obligations while minimising risks of non-compliance. Enhancing your... ...(e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and... ...environments with complex transactions Lead contract maintenance and renewals Focus on...Contract workRiskFull timeH1b
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