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  •  ...Job Description Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product...  ...risk arrangements. - Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and... 
    Risk

    Lightbeam Health Solutions

    Dallas, TX
    8 days ago
  • $19.6 per hour

     ...Responsibilities As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...  ...system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Dallas, TX
    3 days ago
  •  ...We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment... 
    Risk
    Full time
    Shift work

    Harris-jones-staffing-recruiting-llc

    Dallas, TX
    14 hours ago
  • $77.97k - $171.06k

    Overview Job Description 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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Dallas, TX
    3 days ago
  • $50k

     ...Description Job Description Senior Workers’ Compensation Claims Adjuster · Texas Claims Experience A Must · Texas Adjusters License...  ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator... 
    Risk
    Work at office
    Work from home

    North American Risk Services, Inc. (NARS)

    Dallas, TX
    3 days ago
  • Overview Join to apply for the Independent Insurance Claims Adjuster in Allen, Texas role at MileHigh Adjusters Houston . IS IT TIME FOR...  ...Texas Independent Insurance Claims Adjuster in Frisco, Texas 35548 Risk Management Auto Claims Specialist Independent Insurance Claims... 
    Risk
    Full time
    Remote work

    MileHigh Adjusters Houston

    Allen, TX
    1 day ago
  • $58.49k - $67.59k

     ...and testing new accounts. Once live, the Analyst ensures ongoing risk management, compliance, account maintenance (including data...  ...necessary. Assess and resolve rejected payment items, making adjustments as needed to customer accounts. Maintain and update customer... 
    Risk
    Remote work
    2 days per week

    Pushpay

    Allen, TX
    4 days ago
  • Summary The Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics needs and provide insights which address business questions and influence decision-making. You will... 
    Risk

    The Cigna Group

    Plano, TX
    4 days ago
  •  ...Job Description Job Description Corporate Insurance Risk Manager Pillar Income Asset Management, Inc. is seeking a Corporate...  ...industry and macroeconomic trends to proactively mitigate risk and adjust insurance program structures. Educate business units on... 
    Risk
    Contract work

    Premier Payroll Administration

    Dallas, TX
    19 days ago
  • Overview 35548 Risk Management Auto Claims Specialist Join to apply for the 35548 Risk Management Auto Claims Specialist role at Garland...  ...Bachelor’s degree in a related field Texas Claim Adjusters License A.R.M., C.S.R.M., or TASBO Certification, preferred Experience... 
    Risk
    Full time

    Garland Independent School District

    Garland, TX
    1 day ago
  •  ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related...  ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Work at office

    Sedgwick

    Dallas, TX
    3 days ago
  •  ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are...  ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Remote job
    Work at office
    Flexible hours

    Sedgwick

    Dallas, TX
    14 hours ago
  •  ...and delivery of technology projects using PMI best practices. Develop project charters, work breakdown structures, schedules, and risk management plans. Coordinate cross-functional teams including field technicians, engineers, analysts, and business stakeholders.... 
    Risk
    Full time
    Work experience placement
    Work at office
    Remote work

    Texas Data and VoIP

    Allen, TX
    7 days ago
  •  ...Financial Services & Insurance Commercial Property Claims Desk Adjuster - Remote after training PRIMARY PURPOSE : Handles losses and claims...  ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Remote job
    Work at office
    Local area

    Sedgwick

    Dallas, TX
    1 day ago
  • $60k - $65k

     ...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll...  ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Local area
    Work from home
    Flexible hours

    Sedgwick

    Dallas, TX
    14 hours ago
  •  ...documentation, providing underwriting support, onboarding, setting up, and testing new accounts. Once live, the Analyst ensures ongoing risk management, compliance, account maintenance (including data cleaning), and customer support via phone and ticketing systems. The... 
    Risk

    Pushpay Holdings Limited

    Allen, TX
    3 days ago
  •  ...to be a trusted advisor both internally and to the client. # Risk Management and new loan originations: Work closely with credit...  ...whether it’s a service problem, a financial solution that needs adjusting, or an operational concern. # Compliance and Documentation :... 
    Risk
    Full time
    Work experience placement
    Work at office
    Monday to Friday

    THIRD COAST BANK

    Dallas, TX
    28 days ago
  •  ...address business needs. In This Role, You Will: Lead and support the Risk department in developing and achieving department goals. Work...  ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover... 
    Risk
    Full time
    Temporary work
    Part time
    Relocation package
    Flexible hours

    Mariner Finance. LLC

    Plano, TX
    3 days ago
  • $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... 
    Risk
    Work experience placement

    Molina Healthcare

    Dallas, TX
    2 days ago
  •  ...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... 
    Risk
    Full time
    Work at office
    Local area

    Sedgwick

    Dallas, TX
    2 days ago
  • $95k - $140k

    Senior Liability Adjuster - NY Labor Law Join to apply for the Senior Liability Adjuster - NY Labor Law role at Berkshire Hathaway GUARD...  ...contracts and insurance policies to identify coverage issues and risk transfer strategies. Proactively negotiate claims to achieve favorable... 
    Risk
    Full time
    Work at office
    Remote work
    3 days per week

    Berkshire Hathaway GUARD Insurance Companies

    Dallas, TX
    3 days ago
  •  ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Southwest 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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dallas, TX
    4 days ago
  •  ...development. This role involves drafting and negotiating complex legal documents, conducting due diligence, and advising clients on legal risks and compliance issues associated with commercial property matters. Duties : Candidates should possess experience in... 
    Risk
    Work at office
    Remote work

    Trigild

    Dallas, TX
    a month ago
  •  ...stakeholders, addressing performance metrics and strategizing adjustments to meet lender requirements if required. Resident Experience...  ...fostering a culture of high performance and accountability. Risk Management & Compliance Ensure compliance with local regulations... 
    Risk
    Full time
    Work at office
    Local area

    Mapletree

    Dallas, TX
    2 days ago
  •  ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record...  ...the Claim Payment Integrity  Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure... 
    Risk
    Work at office
    Local area

    Catalyst Clinical Coding and Analytics

    Dallas, TX
    10 days ago
  • $77.97k - $155.51k

    Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team...  ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine... 
    Risk
    Work experience placement
    Work at office

    Molina Healthcare

    Dallas, TX
    14 hours ago
  •  ...Risk Management Specialist Under general direction of the Sr Risk Management Services Manager or Sr Enterprise Risk Management...  ...including conducting site visit and/or investigations with insurance adjusters. Supports the analytics: trending of incident and claims to... 
    Risk
    Contract work
    For contractors

    DallasFort Worth International Airport Board

    Dallas, TX
    1 day ago
  •  ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related...  ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dallas, TX
    3 days ago
  •  ...statements of individuals and/or firms to determine the degree of risk involved by performing the following duties for the preparation...  ...required by this job include close vision and ability to adjust focus. Work Environment The work environment characteristics described... 
    Risk
    Contract work
    Work at office
    Local area
    Remote work

    Origin Bank

    Dallas, TX
    4 days ago
  •  ...widespread global presence. Specialising in complex, commercial, and niche markets, the company offers comprehensive loss adjusting, claims, and risk management services, along with forensic technical services, auditing, and pre-risk surveying. McLarens' extensive global... 
    Risk
    Local area
    Flexible hours

    Halliwell

    Dallas, TX
    2 hours ago