HCC Risk Adjustment Specialist
Gonzaba Medical Group
Gonzaba Medical Group in San Antonio, TX, is seeking a skilled Risk Adjustment Specialist to document acuity diagnoses for Medicare Advantage programs under capitated contracts. You will review medical records, apply ICD-10-CM, CPT, HCPCS guidelines, and ensure supporting documentation meets MA payor requirements. This role emphasizes accuracy, compliance, and collaboration with physicians and staff to meet deadlines. #J-18808-Ljbffr Gonzaba Medical Group
$127.31k - $243.34k
...policy and business needs.The OpportunityAs a dedicated Bank Credit Risk Analyst Senior, you will have a strong background in credit risk... ...of traditional and alternative credit data to drive risk-adjusted growth.Experience working with Experian Sandbox, alternate data...SuggestedFull timeH1bWork at officeRemote workHome office$63.5k - $117.8k
...working world. Government and Infrastructure - ACE- Technology Risk (IT Audit) - Senior Analyst From strategy to execution,... ...Ability to determine if structure of the project is accurate and if adjustments are required Ability to manage teams to meet tight deadlines...SuggestedSummer holidayWork at officeLocal areaImmediate startFlexible hours$105.4k - $207.8k
Position Summary Cyber Security & Risk Strategy Senior Consultant Our Deloitte Cyber team understands the unique challenges and... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...SuggestedLocal areaVisa sponsorship$93.77k - $179.24k
...needs.The OpportunityWe are seeking a Mid-Level Real Estate Credit Risk Analyst to support the development, implementation, and... ...estimating probability of default, loss given default, and risk adjusted return. Success in this role requires the ability to translate complex...SuggestedFull timeH1bWork at officeRemote workHome officeRelocation packageFlexible hours$127.31k - $243.34k
...modeling software driven models for pricing, valuation, and/or risk management.Reviews laws and regulations to ensure all processes... ...runs to Actuarial Leadership.May make recommendations for model adjustments and improvements, when appropriate.Shares knowledge with team...SuggestedH1bRemote work$180.2k - $355.1k
...apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making Advise... ...organization (ACO) modeling6+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions,...Local areaVisa sponsorship$100.4k - $197.9k
...and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is...Local areaVisa sponsorship$100.4k - $197.9k
...evaluating pricing, financial, economic capital, and enterprise risk management models to support client decisionsSupporting engagements... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...Local areaVisa sponsorship$50k - $60k
Receivables Risk & Recovery Specialist (Hybrid) job at Vericast. San Antonio, TX. Vericast is the financial institution (FI) performance partner. We help banks and credit unions drive growth, improve efficiency, increase engagement and navigate change through the power...Work at officeWork from homeMonday to Friday2 days per week3 days per week- ...empowers you to achieve your full potential. Unleash your talent and redefine what’s possible.Job Description:Parsons is seeking a GMP and Risk Analyst to join our Owner’s Advisor team supporting the Medical Enlisted Training Campus (METC) Recapitalization Program at Joint...Full timeTemporary workFor contractorsFor subcontractorFlexible hours
$91k - $321.5k
...At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice... .... The Opportunity As a Risk Management - Contract Specialist - Managed Services - Senior Manager, you will lead initiatives...Contract workH1b$100.4k - $197.9k
...and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is...Work at officeLocal areaVisa sponsorship$127.31k - $229.16k
...Charlotte, NC.Relocation assistance is not available for this position.What you'll do:Direct and oversee multiple initiatives in support of risk and/or regulatory compliance related initiatives including but not limited to: oversight of procedures/process, accurate regulatory...Full timeH1bWork at officeRemote workHome officeRelocation packageFlexible hours$114.08k - $218.03k
...remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.The OpportunityThe Risk & Compliance Advisor Senior provides independent second-line oversight and effective challenge of fraud risk management activities,...Full timeH1bWork at officeRemote workHome officeRelocation packageFlexible hours- ...allowability of costs associated with the requirementPerforming adjustments, as neededEvaluating accounting and estimating... ...employee in the GS-1102 series or equivalent capacity as a contract specialist/administrator or procurement analyst.Knowledge of contracting...Full timeContract workFor contractors
$26 per hour
...experience in cash posting andreconciliation, EOB analysis, balance transfers, posting refunds, misc. cash, write offs and contractual adjustments.Knowledge, Skills, and Abilities: Overall knowledge of business procedures. General knowledge of third payers, and billing...Contract workTemporary workLive inRemote work$83.4k - $98.11k
Senior Investment Risk AnalystSan Antonio, TX or Boston, MAAbout Victory Capital:Victory Capital (NASDAQ: VCTR) is a diversified global asset management firm. We serve institutional, intermediary, and individual clients through our Investment Franchises and Solutions Platform...Full timeWork at officeLocal areaFlexible hours$143.32k - $273.93k
...for active-duty military spouses consistent with applicable policy and business needs.The OpportunityOur Property & Casualty (P&C) Risk team is seeking a Quantitative Risk Analyst Lead to leverage advanced analytics, actuarial principles, and risk management expertise...Full timeWork experience placementH1bWork at officeRemote workHome officeFlexible hours$46.5k - $63.12k
...playbooks - reforecasting, skilling changes, queue and routing adjustments, overtime/undertime, and backlog recovery - to protect service... ...dashboards, and briefings covering workforce performance, staffing risk, and mitigation recommendations. Lead workforce planning for...Full timeContract work- ...relevant stakeholders as needed Identifies and mitigates potential risks associated with contract terms and conditions Provides... ...environment (e.g., people, processes, structure, or culture); adjusting effectively to change by exploring the benefits, trying new approaches...Full timeContract workLocal area
- ...Quantitative Risk Modeling Analyst II page is loaded## Quantitative Risk Modeling Analyst IIlocations: San Antonio, TX - One Frosttime type: Full timeposted on: Posted Todayjob requisition id: R252291# **Job Description*****It’s about giving people a sense of security...
- ...carrying out directives.Consult with managers to ensure that budget adjustments are made in accordance with program changes.Perform cost-... ...reengineering, organizational development, strategic communications, risk management, or Lean Six Sigma. NOTE: Similar to AFSC 86M.What...Temporary workFlexible hours
$257.25k
...analysis of competitor pricing and segmentation models, to include modeling programs against competitors to evaluate relative lift.Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and...Full timeH1bWork at officeRemote workHome office3 days per week$164.78k - $314.96k
...innovative alternatives to achieve financial and market goals.Represent USAA's interest at industry level committee meetings.Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance...Full timeTemporary workH1bWork at officeRemote workHome office- ...Job Description - Temporary Position Job Title : Compliance & Risk Analyst This position is based in our historic downtown San Antonio headquarters. Summary : This is a temporary 16-week (approximate) contract position with the potential to transition into...Hourly payPermanent employmentTemporary workWork experience placementInternship
$50k - $57k
USA - Assurance - SDC - Government & Infrastructure Technology Risk - Associate Analyst At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go...Summer holidayImmediate startFlexible hours$105.4k - $207.8k
...ll do As a Senior Engineering Management Specialist on the Cyber team, you will be... ...strengthen security posture and reduce risk. A successful candidate would possess these... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...Local areaVisa sponsorship- ...dedicated support to the Middle Office by translating complex risk oversight, performance measurement, data, reporting, and workflow... ...environment (e.g., people, processes, structure, or culture); adjusting effectively to change by exploring the benefits, trying new approaches...Full timeWork at officeLocal area
- ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...Full timeWork at officeLocal areaFlexible hours
- Job Opportunity Location: San Antonio, TX Required Skills & Qualifications Applicants must be able to work directly for Artech on W2. Must have ACAS/FCAS designation or relevant designation in other actuarial societies. Must have P&C Insurance experience...Immediate start
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