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- ...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskFull timeRemote workFlexible hours
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government...RiskBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeShift workMonday to Friday
- ...more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast Region, specifically in GA/Gulf States. This role will have responsibility...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...do it all with heart, each and every day. CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours
- ...Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government...RiskFor contractorsWork at officeLocal area
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...professional, educational and life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of analytics capabilities that power Datavant's risk...Risk
- **Become a part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support for business segments and the company at large. The Director, Risk Adjustment Strategy...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...reports, meetings, and status updates, etc.). + Identify project risks that impact the quality of our product and services delivery to... ...on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse...Risk
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, with a focus on risk adjustment operations. The role involves varied...RiskFull timeTemporary workApprenticeshipRemote work
- ...MRA programs and related STP operations + Identify process gaps, risks, and opportunities for efficiency or quality improvement +... ...healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, cost...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...Practice Coding Team** is looking for an **experienced Medical Coder with General Medicine: Multi-Specialty experience.** This is a... ...Medicine (some HCC) Coding experience** with Certified Risk Adjustment Coder (CRC) certification in an active status, and have endless...RiskHourly payApprenticeshipWork at officeLocal areaRemote workLive inFlexible hoursShift workMonday to Friday
- ...seeking a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing... ...Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC) Licensed Clinical Social Worker (LCSW) Licensed Independent...RiskHourly payFull timeTemporary workLocal areaFlexible hours
- ...Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you bring... ...on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG)... ...DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding...RiskWork at officeLocal areaRemote workLive inShift work
- ...assumptions—ensuring we’re building the right thing the right way. Execution & Risk Management Manage projects with urgency, transparency, and ownership—resolving blockers and adjusting plans without losing momentum. Identify risks early, lead mitigation...Risk
Holley Performance
Opelika, AL8 days ago - ...project team members. Identify and mitigate potential project risks and develop contingency plans. Design Coordination and Review... ...Review and track project costs, including change orders and budget adjustments Proactively identify and resolve construction-related issues...RiskLocal area
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) **PRIMARY PURPOSE** : To investigate... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
Claims Adjuster - Workers Compensation (Remote w/ any of exp in MI, MN, TX, UT, CO, IL, IN, WI & KY)
...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote w/ any of exp in MI, MN, TX, UT,... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal areaRemote work- ...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area
- ...Work® Fortune Best Workplaces in Financial Services & Insurance Adjuster General Regional **PRIMARY PURPOSE** **:** To handle losses or claims... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
- ...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...standardization efforts. + Supports program alignment with Firm APRs, policy, risk management and compliance. + Provide deployment support and... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskWork experience placementWork at office
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal areaFlexible hours
- Commercial General Liability Claim Adjuster Join to apply for the Commercial General Liability Claim Adjuster role at Davies Commercial General... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskFull timeTemporary workFor contractorsRemote work
- ...needs of the organization and develops strategies for scalability, risk management, compliance, and maintainability. This position is... ...distance vision, peripheral vision, depth perception and ability to adjust focus. About i3 i3 is a technically diverse, 100% team member...RiskWork at officeRelocation
- ...paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may...RiskHourly payWork at officeRemote workFlexible hours
- ...Loved Workplace® Forbes Best-in-State Employer Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** : To handle losses and claims for property... ...** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal areaRemote work
- ...strategic priorities and mitigation of confidentiality and privacy risks across the Deloitte US Firms. This role will primarily support... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship
- ...Most Loved Workplace® Forbes Best-in-State Employer Auto Claims Adjuster (Per Diem/Remote) This is a remote per-diem role. **PRIMARY PURPOSE... ...** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskDaily paidContract workWork at officeLocal areaRemote work
