Risk Adjustment Compliance Project Lead - Audit & Policy
Medica
Medica is seeking a Risk Adjustment Compliance Project Manager responsible for leading compliance initiatives across Medicare Advantage, Medicaid, and ACA lines of business. The role includes coordinating audits, developing policies, and ensuring regulatory adherence. Ideal candidates will possess a Bachelor’s degree in a related field and 5+ years of relevant experience. Strong leadership and project management skills are essential. This role requires onsite work in Omaha, NE. #J-18808-Ljbffr Medica
$160.3k - $272.51k
...success.Summary of the Job:The Head of Risk and Compliance - Wealth and Trust leads first-line risk management and... ...maintain division-wide compliance policies, procedures, and control frameworksOversee... ...trusted relationships with legal, audit, finance, enterprise risk, and...PolicyWork experience placement- ...seeking an IT Security Compliance Analyst to join our... ...sensitive information, reduce risk, and support business... ...assessments and audits of IT systems, applications... ...and maintain security policies, procedures, and... ...compliance requirements into projects and daily operations....PolicyTemporary workWork at officeRemote workFlexible hours
$198k - $368k
...career, KPMG provides audit, tax and advisory... ..., Security Compliance to join our Digital... ...level knowledge of risk, compliance, and information... ...responsibility to lead execution for an... ...on multiple key projects, programs and... ...adhere to company policies, exercise sound judgment...PolicyTemporary workH1bLocal area- ...career, KPMG provides audit, tax and advisory services... ...Microsoft Purview Ops Lead to join our Digital... ...governance, protection, and compliance services Manage the... ..., and sensitivity policies to ensure compliance with... ...effectively to manage data risk, discover and classify...PolicyH1bLocal area
- ...health, capacity, and risk. This role plays a hands... ...consistent application of project and delivery lifecycle... ...•Assist with embedding compliance and control checkpoints... ...controls.•Coordinate audits, reviews, and readiness... ...adhere to all corporate policies to include but not...PolicyFull timeWorldwide
$122.29k - $209.64k
...experienced Financial Crimes Model Risk Manager-Emerging Threats to... ...governance documentation, audit-ready records, and change... ...regulatory examinations and ensure compliance with applicable banking and... ...all applicable enterprise policies and procedures. Acts in compliance...Policy$54k - $65k
...client interactions. Maintain risk awareness and compliance; identify problems in a... ...with standard resolution policy, the established corporate... ...assist with any company‑wide projects and activities, and attend... ...are modifications or adjustments to the hiring process that...Policy- Quanta Services, Inc. is seeking a Senior Project Manager in Omaha, NE, to spearhead large electrical construction projects. This position... ...offers an excellent benefits package including health coverage and a generous PTO policy. #J-18808-Ljbffr Quanta Services, Inc.Policy
$86k - $101.5k
...Garage Bodily Injury Claims Adjuster Argo Group is an underwriter of specialty insurance products in the property and casualty market... ...and improved claim management. Analyzing claims forms, policies and endorsements, client instructions, and other records to determine...PolicyLocal area- ...employees to shape the future of global risk services. Join a team where your ideas are... ...licensed professionals. The work emphasizes policy interpretation, liability analysis,... ...legal reasoning. Although this is a claims adjuster role, we intentionally seek candidates with...PolicyWork at officeImmediate startFlexible hours
- ...Workers' Compensation Claims Adjuster Argo Group International Holdings, Inc. and American... ...Toronto-listed public company. BWS is a leading wealth solutions provider, focused on... ...parties. Analyzing claims forms, policies and endorsements, client instructions, and...PolicyHourly payTraineeshipWork experience placement
$21 per hour
...duties may be assigned. Reviews hotel audit pack contents to confirm totals for tray... ...makes collections calls. Writes off or adjusts accounts with approval as necessary. Assists... ...or at front desk as needed. KHC Policies: Responsible for following all KHC...PolicyHourly payPart timeWork at officeFlexible hours- ...confidentiality, and compliance. In addition to payroll... ...functional Total Rewards projects and initiatives. The... ..., and retroactive pay adjustments as needed. Maintain... ...continuity and audit readiness. Assist with... ...Employment It is the policy of MMT Ambulance to provide...PolicyTemporary workLocal areaRemote workFlexible hours
- ...deactivation or amendment. Audit and process expense... ...quality, on‑time payments, and compliance with company policies. Represent ALI in financial... ...deductions with appropriate adjusting entries. Manage... ...manage multiple concurrent projects. Flexibility to handle changing...PolicyFor contractorsWork at officeLocal areaWorldwideWeekend work
$78k - $100k
...ensuring regulatory compliance. Also, assist... ...responsible for leading the approaches and... ...internal and external audits of payroll... ...payroll programs, policies, and procedures.... ...Managing paycheck adjustments, stop payments, and... .... Established project management skills...PolicyContract workRemote workRelocation package$64k - $95k
...exchange activities, and key project work while applying... ...Principles and audit requirements Ensure... ...financial statements in compliance with Generally Accepted... ...temporary service agreements, policy updates, business... ...and frequently, adjusting the level of detail based...PolicyTemporary workWork at officeLocal areaFlexible hours- ...multi-family housing and have completed 22 projects with 18 more under construction in states... ...meetings Demonstrates adherence to EC policy and processes and teaches EC policy and processes... ..., peripheral vision and the ability to adjust focus. The noise level in the work...PolicyFor contractorsApprenticeshipFor subcontractorSeasonal workLocal area
$37.66 - $44.33 per hour
...): TEMP - Workers' Compensation Claims Adjuster Employment Type: Contingent Worker... ...help us with a temporary assignment with a projected end date of 9 October 2026, and work... ...submit timesheets in accordance with company policy. Overtime may be assigned as business...PolicyTemporary workLocal areaRemote work$101.18k - $120.46k
...Liability & Workers' Compensation Claims Adjuster Employment Type: Full-Time... ...-mining industry. Rockwood has become a leading underwriter of workers' compensation for... ...thoroughly Analyzing claims forms, policies and endorsements, client instructions, and...PolicyFull timeLocal area$90k - $120k
...business owner policies, commercial package... ...of impactful projects and strategic initiatives... ...maintaining compliance with all... ...development , adjust workloads for optimal... ...tasks. Lead underwriting audits , enforce best... ...with agricultural risks. Demonstrate...PolicyLocal areaFlexible hours- ...quarterly analysis of loss and loss adjustment expense reserves and provide... ...the organization's internal policies, as well as regulatory,... ...Science, Mathematics, Statistics, Risk Management, Data Science, or... ...ideas. BUSINESS FOCUS: Leads discussions with senior leaders...PolicyWork at officeImmediate startFlexible hours
- ...operations and ensures compliance with policy terms and financial... ...to identify trends, risks, exceptions, and opportunities... ...journal entries, adjustments, and other accounting... ...and analysis for audits, management reviews,... ...related duties or special projects as assigned by...PolicyWork at officeImmediate startWork from homeFlexible hours
$124.5k - $194.45k
...driven and curious client‑focused Project Manager in Nebraska to... ...As Project Manager, you will lead a multi‑discipline design team... ...Personalized Paid Time Off (PPTO) policy for full‑time salaried/exempt... ...support or reasonable adjustments with regards to the recruitment...PolicyFull timeLocal areaRemote work$69.92k - $133.62k
...spouses consistent with applicable policy and business needs. The... ...As a dedicated Property Adjuster Specialist , you will work within... ...equitable settlements in compliance with all state regulatory requirements... ...inspections. Ensures risks associated with business...PolicyHourly payH1bLocal areaRemote workRelocationAfternoon shift- Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Auto Claims Adjuster adept at managing complex bodily injury claims involving... ...claims and have extensive knowledge on policy interpretation and negligence standards. At Applied...PolicyImmediate startFlexible hours
$100k - $130k
Garratt Callahan Co is looking for a Construction Coordinator in Omaha, Nebraska to lead water treatment projects for data center clients. The ideal candidate will have a 4-year technical degree in sciences, at least 3 years of relevant experience in water treatment, and...$83.19k - $124.78k
Granite Construction is seeking a Project Manager for water well drilling and pumping projects in Omaha, Nebraska. This role involves overseeing project completion, financial forecasting, and establishing budgets, ensuring profitability and efficiency in operations. The...- Sheppard's Business Interiors in Omaha, Nebraska is seeking a Project Manager to oversee commercial furniture and demountable wall installations. The role includes evaluating and coordinating installations, managing logistics, and ensuring effective communication with clients...Work at office
- HDR is seeking a Senior Project Manager to lead complex engineering projects within our Water Business Group. The ideal candidate will have at least 10 years of related experience, including 5 years in project management, and hold a Professional Engineer (PE or P.Eng) license...
- A leading mechanical construction contractor is seeking a Senior HVAC Project Manager to oversee complex mechanical construction projects from preconstruction to closeout... ...managing teams, subcontractors, and ensuring compliance with project requirements and safety...For contractorsFor subcontractor
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