Senior Risk Adjustment Coding Project Lead
Datavant
Datavant is seeking a Client Coding Project Manager to enhance their auditing processes. This role requires expertise in risk adjustment coding, and involves monitoring operations, reporting findings, and training staff. Ideal candidates will have a Bachelor's degree or equivalent experience, strong interpersonal skills, and proficiency in Microsoft and G-Suite applications. The position offers a comprehensive benefits package including health, dental, vision insurance, and opportunities for career growth. #J-18808-Ljbffr Datavant
$86.4k
...plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities... ...direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of current direction/projects/operations and recommends strategies and...RiskFor contractorsWork at officeLocal areaRemote work$118.7k - $218.6k
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Our Deloitte Regulatory, Risk & Forensic team... ...underpaid claims, assess documentation, coding, and policy interpretation issues,... ...range estimate has not been adjusted for the applicable geographic differential...SeniorRisk- ...Senior Architect, AI And Emerging Technology... ..., Transformational Projects, and a Growing Team... ...needs Partner with Lead Architects and... ...Support governance and risk processes that... ...transformational change. Able to adjust plans, priorities... ...with agentic coding tools such as...SeniorRiskWork experience placementLocal area
$118.7k - $218.6k
PowerToFly is seeking a Senior Consultant in Health Insurance focusing on Risk Regulatory & Compliance. This role involves reviewing medical records, conducting claims appeals, and applying coding standards such as ICD-10 and CPT. Required qualifications include a Bachelor...SeniorRisk$125k - $160k
...trust. We provide services that take a project from start to finish—from a feasibility... ...Job Overview: We are currently seeking Senior Gas Project Engineer(s) for our gas group... ...and detailed comparisons including Risk Assessment Code and Compliance Reviews, Gap Analyses, O...SeniorRiskTemporary workFor contractorsLocal areaFlexible hours$73.9k - $122.7k
...pricing tools to maintain market-leading technical capabilities.... ...responsibilities and contribute to projects. Eager to develop leadership... ...Casualty Actuarial Society Coding experience in languages such as... ...AXA XL, the P&C and specialty risk division of AXA, is known for...SeniorRiskFlexible hours$140k - $160k
Join Us Lead with Purpose as a Bridge Design Build Project Manager — Deliver Enduring Bridge Solutions Are you a seasoned... ...Portland, ME; or Keene, NH . This senior ‑ level role will focus on... ...thoroughly understanding project risks, financial measures, and design ‑...SeniorRiskContract workFlexible hours$171.6k - $392.1k
...assurance, transactions and risk, as well as our work in... .... As an SAP Tech/Arch Senior Manager, you will play... ...be responsible for coding, programming, and creating... ...In this role, you will lead the delivery of complex... ...for program/project management and engagement...SeniorRiskSummer holidayFlexible hours- 4062 Aetna Resources, LLC seeks a Lead Director - Revenue Integrity (Medicaid) to drive performance initiatives across Medicaid markets... ...candidate will possess extensive experience in Medicaid risk adjustment, strong leadership capabilities, and an ability to influence stakeholders...Risk
- ...Senior Software Engineer Location: Bloomfield, CT Job ID: #724... ...Continuous integration. - Experience leading multiple projects and priorities... ...architecture. • Establish and enforce coding standards and promote code... ...our products against new risks. • Partner with field customers...SeniorRiskHourly payContract workWork experience placementRemote work
$68k - $80k
...Financial Services & Insurance Claims Adjuster - Workers Comp This role... ...a rapidly growing, industry-leading global company known for its... ...properly documented and claims coding is correct. May process complex... ...is the world’s leading risk and claims administration partner...RiskContract workFlexible hours$144k - $329.1k
...- Data Architecture – Senior Manager – Power & Utilities... ...the opportunity to lead and develop your skill... ...transformative technology projects and programs that align... ...quality and effective risk management. You will drive... ...platforms, including code efficiency and...SeniorRiskSummer holidayFlexible hours$118.45k - $284.28k
...a time. Position Summary The Senior Manager, Exposure Management leads a team of remediation engineers responsible... ...for reducing enterprise security risk across the organization’s technology... ...environments Knowledge of secure coding practices and common vulnerabilities...SeniorRiskHourly payFull timeTemporary workLocal area- ...best in class products. Senior Electrical Engineers... ...ensure Wilcox stays on the leading edge of technology and... ...large-scale hardware projects or complex system designs... ...and mitigates risks early, making strategic... ...vision, and the ability to adjust focus to work. Prolonged...SeniorRiskPermanent employmentFor contractorsFor subcontractorWork at officeNight shift
$186.07k - $218.9k
...fully supported. We are looking for a Senior Software Engineer to join the Payment Rails... ...production—writing high-quality, well-tested code and operating services that must be... ...teams across Coinbase (e.g., FinHub, Ledger, Risk) to ensure seamless money movement across...SeniorRiskLocal area- ...AI, and agentic AI systems. Partner with lead architects and domain teams to advance enterprise... ...calling patterns. Support governance and risk processes for safe and compliant AI... ...prompt engineering). Proficiency with agentic coding tools such as Claude Enterprise/CLI/Code,...SeniorRiskWork experience placementLocal area
$86.5k - $142.7k
...architectures, writing and reviewing code, building proofs‑of‑concept,... ...to validate correctness and risk. • Guide teams on effective... ...& technical leadership • Lead technical workshops and whiteboarding... ...the course of an engagement, project or year. Under our flexible...SeniorRiskSummer holidayFlexible hours$100k - $231.54k
...Director of Revenue Integrity (RI), the Lead Director - Revenue Integrity (Medicaid)... ...segment-level performance across Medicaid risk adjustment and revenue integrity initiatives. The... ...enterprise‑wide impact. Skilled at influencing senior stakeholders and driving change within...RiskTemporary workWork experience placementWork at officeLocal area$76.2k - $114.3k
...plus AK. The opportunity: The Senior Manager, Insurance and Claims Advocacy... ..., Sun Life U.S. Health and Risk Solutions. In this role, you will lead a comprehensive advocacy program that... ...denials and appeals, billing errors/coding discrepancies, out-of-network disputes...SeniorRiskLocal areaFlexible hours- ...Patient Safety team as a Senior Physician where you'll... ...across assigned projects. You'll also mentor junior... ...Assisting the Project Lead/Functional Lead for audits... ...Activities (MedDRA) code, review narrative Identify... ...to, Periodic Benefit-Risk Evaluation Reports (...SeniorRiskInternshipWork at officeLocal areaRemote workWork from homeFlexible hours
$54.3k - $145.86k
...Market Manager for our Risk Adjustment programs. This is a... ...adjustment performance to senior leaders and market... ...individual in this role will lead monthly market... ...as appropriate. Apply project management skills to coordinate... ..., or medical coding and documentation. Deep...RiskFull timeWork experience placementLocal area$143k - $243k
...the future of pharmacy with us.Senior Principal Actuary - REMOTEJob... ..., and the RFP process.Lead, manage and review ad hoc complex... ...using market research, financial projections, and complex actuarial... ...experience in underwriting or risk adjusted rate setting.Management/People...SeniorRiskWork experience placementLocal areaRemote workVisa sponsorshipWork visa$150k - $200k
...Senior Software Engineer Vantage Group Holdings Ltd... ...on our clients' risks. We add creativity to tech... ...creative application design, coding, and debugging methods... ...approaches to achieve project and program objectives.... ...to mitigate them. Leads architecture and design...SeniorRiskRemote workFlexible hours$77k - $214k
...reporting requirements, aiming to optimise tax positions and minimise risks for businesses. Responsibilities Deliver innovative tax... ...You Apart Master's Degree Skilled in cloud computing and backend coding Skilled in programming languages like Python and SQL Experienced...SeniorRiskH1b$128.4k - $192.6k
...Senior Security Engineer - IS07FE We're determined to make a difference... ...to the Enterprise Cyber Focal Lead. This role is responsible for... ..., vulnerability management, risk prioritization, and automation.... ...software development, including code scaffolding, refactoring, test...SeniorRiskTemporary workWork at office3 days per week- ...Senior DevOps Engineer (AI/Cloud Modernization) Fully... ...DevOps Engineer will lead the design, implementation... ..., technology stacks, coding standards, version... ...federal IT modernization projects preferred. ~ Experience... ...disciplinary federal teams Risk management and...SeniorRiskFull timeContract workTemporary workWork at officeLocal areaRemote workFlexible hours
$171k - $390.6k
...better working world. **Senior Manager - Financial... ...heart of that mission, leading engagement teams, working... ..., in a wide variety of projects including: + Model development... ...progress, manage risk and ensure key stakeholders... ...key platform library coding modules specific to...SeniorRiskSummer holidayWorldwideFlexible hoursShift work- A leading risk and claims administration partner in Connecticut is seeking a Field Adjuster. The successful candidate will leverage their 5+ years of experience in property insurance to efficiently resolve complex claims. Responsibilities include conducting loss inspections...SeniorRiskHourly pay
$125.8k - $212.1k
...Specialty - North America, a leading specialty insurance provider dedicated... ...underwriting, claims, and risk management expertise to our... ...always one step ahead! The Senior Claims Specialist in the Financial... ...will also direct the adjusting and litigation process, strategically...SeniorRiskTemporary work$95k - $106k
...your knowledge to design, code, and test cutting-edge... ...experiences you need to lead and deliver value at this... ...objectives of your project or role and how your work... ...business operations. As a Senior Associate, you will leverage... ...and mitigating risk. Analyze business requirements...SeniorRiskFull timeWork experience placementH1b
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