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$19.6 per hour
...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...RiskRemote jobFull timeWork at officeFlexible hours- ...healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, quality, and compliance coding. What's...RiskRemote work
MVP Health Care
Schenectady, NY4 days ago $193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk- ...healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, quality, and compliance coding. What's...RiskFull timeRemote work
$77.97k - $171.06k
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement$70k - $84k
...to realize our bold vision for healthcare. Auditing 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$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk$60.41k - $84k
Overview Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS Responsibilities The Risk Adjustment Coding Coordinator... ...informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskWork at officeWork from homeHome office$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$125k - $160k
...Description We are seeking an experienced Senior Actuarial Associate to lead initiatives within our Value-Based Care (VBC) and Risk Adjustment teams, playing a pivotal role in the strategic management of healthcare provider contracts and risk models. This individual will...RiskContract workRemote work- Join to apply for the Sr. Risk Adjustment Analyst role at MVP Health Care At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Sr. Risk Adjustment...RiskRemote work
- ...as the Health Coordinator to assure the provision of education, risk reduction, counseling and referral services to all patients regarding... ...initial treatment plans and reviews. Order, evaluate, adjust and terminate prescription of medication dosages using sound medical...RiskMonday to Friday
Tandym Group
Albany, NY12 days ago $40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Northeast Region 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 areaFlexible hours
- ...Transformation and Development About the business: LexisNexis Risk Solutions is a pioneering leader in providing information-based... ...have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support...RiskTemporary workWork at officeWork from home
- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region Primary Purpose Primary Purpose : To... ...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 areaFlexible hours
$700 per month
...translates to a richer life. Summary The Financial and Quantitative Risk team at SMBC MANUBANK’s is responsible for providing 2nd line... ...influences over drivers that can impact the bank - making adjustments as necessary. Work collaboratively with all members of 1st and...RiskRemote jobLocal areaWorldwide$55k - $65k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...Agency Mgmt System-EPIC. When an order comes in: verifies rates, adjusts for any additional premium and expedites invoice. Assists with billing...RiskFull timeImmediate startWork from homeShift work$55k - $120k
...Able to communicate effectively with staff, customers, insurance adjusters, and property managers Professional appearance and demeanor... ..., and contribute to, company meetings Contribute to safety and risk management protocol If not already IICRC certified must be able...RiskWork at officeMonday to FridayWeekend work$100k - $140k
...allocation. Ensure projects are executed according to plan and adjust as necessary to meet project goals. Team Leadership : Lead and... ...concerns promptly. Build and maintain strong client relationships. Risk Management : Identify potential project risks and develop...RiskFull time- ...• Develop a roadmap with priorities and continuously review and adjust based on changes • Interface with Stakeholders to discuss, prioritize... ...the product backlog, continuous grooming. • Create a risk register, management, and mitigation plans for the projects....RiskWork at office
- ...to Sales and senior leadership, including progress reporting, risk management, and forecasted completion timelines. Ensure project... ...and oversee change management processes for scope or schedule adjustments. Facilitate customer meetings and ensure that all milestones...RiskTemporary workLocal area
$150k - $175k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal areaFlexible hours$31.5 - $45.9 per hour
...Responsibilities Diagnostic imaging Operate and adjust imaging equipment Explain procedure to patient,... ...-$90,551.20 1 week ago Surgical Profee Medical Coder - National Remote Albany, NY $60,367.47-$90,551.20 5 days ago Risk Adjustment Coding Specialist -St. Peter's...RiskHourly payFull timeLocal areaRemote workShift workNight shift$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in EMEA. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal area$106.9k
...Virtual Currency Financial Crimes Risk Associate The New York State Department of Financial Services seeks to build an equitable... ...also eligible to receive an additional $4,000 annual downstate adjustment. Appointment Status: Permanent. Appointment to this position is...RiskPermanent employmentWork at office- Overview Senior Professional Coder role at Albany Med Health System . Responsibilities Review, analyze, and validate CPT and ICD-1... ...Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. Conducts professional...RiskPart time
