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- Software Guidance & Assistance, Inc., (SGA), is searching for a Risk Adjustment Coders for a Contract assignment with one of our premier Healthcare clients in Greensboro, NC. Responsibilities : The Coding Educator Risk Adjustment provides coding trainings...RiskContract work
$68.7k - $123.7k
...States. Position Purpose: Executes Line 2 oversight of Risk Adjustment activities, including monitoring, auditing, and supports Line... ...Certifications: LVN, LPN or RN required and Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required NP or...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours- ...Job Description JOB SUMMARY: The Director of Risk Adjustment is responsible for the strategic design, implementation, and oversight of CCOK’s risk adjustment program for both ACA and Medicare Advantage businesses. This individual will coordinate with various areas...Risk
$25 - $30 per hour
...We are seeking experienced and highly accurate Value-Based Coders to join a project dedicated to in-home health assessments for... ...full spectrum of each patient’s health. This includes: Risk adjustment (HCC) diagnoses aligned with CMS-HCC and HHS-HCC models. Social...RiskContract workFor contractorsRemote work$72.5k - $105k
...POSITION SUMMARY : The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment Coding Team. This... ...partnership with key stakeholders, supports management of oversight of Coders and continuously works to improve people, process, and...RiskFull timeFixed term contractFlexible hours$94k - $110k
...professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: The Manager, Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor management. This role is...RiskRemote jobWork at office$35 - $40 per hour
3-6 Month - Remote - Medical Coder W2 Candidates Only $35-$40/hr Must have strong experience with RADV Must comfortable code for Government and State Models Coders assist with code abstraction and coding quality audits using the Official Coding Guidelines...RiskRemote job$75k
...Department: Quality - Risk Adjustment Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $75,000 - $85,000 / year... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeHome officeMonday to Friday$88.6k
...~1+ years of provider-facing or leadership-facing experience ~ Knowledge of Health Care Quality measures ~ Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder (CPC via AAPC). If you do not have both the CRC AND CPC, it will be required...RiskFor contractorsWork at officeRemote work2 days per week- ...considered. 1+ years of provider-facing or leadership-facing experience Knowledge of Health Care Quality measures Certified Risk Adjustment Coder (CRC via AAPC) or Certified Professional Coder (CPC via AAPC). If you do not have both the CRC AND CPC, it will be required...RiskFor contractorsWork at officeRemote work2 days per week
$100k - $125k
...Director of Risk Adjustment Analytics Denver, CO, US $95,000 – $125,000 / year + bonus The Director of Risk Adjustment Analytics is a strategic leadership role responsible for setting the vision and ensuring the operational excellence of all risk adjustment-related...RiskContract work- ...Responsibilities Coding Education & Training Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC,... ...coding accuracy. Identify coding trends, discrepancies, and risks; partner with leadership to build targeted education plans....RiskPermanent employmentTemporary workCasual workLocal areaRemote workShift work
$193k - $220.3k
Senior Manager, Technology Risk Guide - Enterprise Services Risk The Enterprise Services Risk organization is expanding with... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal area$158.8k - $200.69k
...program and manage the portfolio manager staff to ensure accurate risk ratings and compliance with loan document requirements.... ...abilities required by this job include close vision and ability to adjust focus. Why CalPrivate Bank? This isnt just another bank job...RiskFull time- ...Job Description Melville area based Public Adjuster seeks experienced Risk & Claim Manager to lead risk initiatives and oversee complex Property Damage claims across Residential and Commercial portfolios. Responsibilities include strategic risk oversight; identify,...Risk
$63.59k - $121.53k
...impactful. The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible... ...you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures...RiskContract workWork at officeRelocation package3 days per week$103.45k - $197.73k
...organizational process changes. You will drive execution of operational risk management, regulatory compliance training, policies, and... ...skills. ~ Acquisition and maintenance of applicable insurance adjuster license within 6 months’ time in role. What sets you...RiskH1bWork at officeRelocation packageFlexible hours- ...carriers. We provide end-to-end claim administration and loss adjustment services by working closely with Managing General Agents, Wholesalers... ...communication. Proactively generate Large Loss Reports or Risk Alerts as required, communicating critical exposure risks to...RiskContract workWork at office
$57.97k - $97.82k
...and impactful. The Opportunity As a dedicated Injury Adjuster- FPI , you will responsible to adjust non-attorney involved... ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskContract workH1bWork at officeRelocation packageMonday to FridayAfternoon shift3 days per week- ...budgets and rolling forecasts, monitor variances, and recommend adjustments to align financial goals with business strategies. Optimize... ...departmental bottlenecks, and ensure strategic execution. 4. Risk Management & Compliance: Identify risks (e.g., revenue inflation...Risk
$63.59k - $117.99k
...impactful. The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible... ...you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures...RiskContract workWork at officeRemote workRelocation package3 days per week- ...recommendations. You will evaluate the impact of identified site risks and constraints on development costs and schedules. The... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...Risk
$70k - $90k
...Job Description Network Adjusters is seeking experienced claims adjusters with at least 3 years of insurance claims handling experience... ...Defect, Directors & Officers (D&O), Cyber, and Builder’s Risk. While experience in all areas isn’t required, you should be a...RiskTemporary workRemote work$51.37k - $92.06k
...special and impactful. The Opportunity As a dedicated Auto Adjuster you will manage file ownership including investigation, taking... ...additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week$225.4k - $257.2k
Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per week$48.34k - $50.34k
...is all about learning and growing. Our Associate Auto Claims Adjuster role may be a new career for you. There’s a lot to learn, but the... ...travel with minimal notice during designated CATs. Ensure risks associated with business activities are effectively identified,...RiskWork at officeRelocation packageMonday to FridayShift workAfternoon shift2 days per week- ...Responsibilities Coding Education & Training Deliver physician and coder education for assigned groups, with emphasis on Pro Fee (ASC,... ...coding accuracy. Identify coding trends, discrepancies, and risks; partner with leadership to build targeted education plans....RiskPermanent employmentContract workTemporary workCasual workLocal area
- ...software, electrical and mechanical engineers, coders, product managers, project managers, and... ..., and change orders; report status, risks, and issues to senior management. ~ Team... ...and implement mitigation strategies; adjust plans as needed. Project Contracting &...RiskFull timeFor contractorsFor subcontractorRemote workWork from homeWorldwideHome officeFlexible hours
$69.92k - $133.62k
...special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bWork at officeLocal areaRemote workRelocationAfternoon shift3 days per week$68.7k - $123.7k
...Risk Adjustment Compliance Auditor You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours









