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$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$70k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland,... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager May assist or...RiskFull timeWork at officeMonday to Friday- ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD19 days ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$64.08k - $127.27k
Resp & Qualifications PURPOSE The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro‑active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets)....RiskFull timeContract workTemporary workFor contractorsLocal area
Advantage Engineering & IT Solutions Inc
Annapolis Junction, MD21 days ago $10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaMonday to FridayDay shiftColumbia Technology Partners
Annapolis Junction, MD20 days ago- ...health and care a reality—not a burden—every single day. Join us in creating a better way to care. Position Overview The Risk Adjustment & Quality Reporting Manager reports to the VP Quality & Risk Adjustment with accountability for providing strategy, judgment, organization...RiskLive inWork at officeLocal areaFlexible hours
CINQCARE
Washington DC5 days ago $10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskContract workTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD20 days ago$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaRemote workColumbia Technology Partners
Annapolis Junction, MD20 days ago$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services Risk... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Washington DC1 day ago$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD20 days ago- ...quality management activities for the site including patient care and relations, JACHO and other licensure accreditation compliance, risk management and safety, performance improvement and infection control. Develop strategic plans and policies for improved quality...Risk
NEWPSYCH LC
Columbia, MD13 days ago - ...with the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets).... ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums...RiskContract work
$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD12 days ago- ...ensuring seamless execution across cost management, scheduling, risk mitigation, and quality assurance, while directing highly skilled... ...customer. Full-time, Monday through Friday, with flexibility to adjust hours within the pay cycle to maintain work-life balance while...RiskFull timeContract workWork at officeLocal areaMonday to Friday
- ...conflicts to ensure smooth workflow. Resource Oversight: Track expenses, allocate resources efficiently, and adjust as required to avoid shortages or overlaps. Risk Management and Problem-Solving: Identify potential risks, develop mitigation strategies, and make quick...RiskContract workLocal areaRemote work
MVP360 Management
Silver Spring, MD7 days ago - ...Compliance Director provides strategic leadership and direction for all risk management, compliance, and quality assurance activities across... ...) or related credential (preferred) · Certified Professional Coder (CPC) or Certified Coding Specialists (CCS) recommended · 8+...RiskRemote jobWork at officeLocal area
National Spine & Pain
Rockville, MD11 days ago - ...advanced analyses of project performance, performing in-depth risk assessments, and developing strategies to improve project outcomes... ...resources accordingly • Monitor resource utilization and make adjustments as needed • Collaborate with team members to ensure efficient...RiskWork experience placement
$53.86 - $97.8 per hour
...departmental staff for Office of Emergency Management tasks. Implements Risk Management policies for the Department. As the Agency's... ...close vision, distance vision, depth perception, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described...RiskHourly payFull timeTemporary workPart timeWork at officeLocal areaWeekend workAfternoon shift$100k - $120k
...as development of new partnerships. Critically, this role will require expertise in stakeholder management, strategic thinking, risk mitigation, budget management and project execution, expertise in diabetes and related metabolic disorders. It is anticipated that this...RiskFull timeWork at officeRemote workFoundation for the NIH
Rockville, MD7 days ago$225.4k - $257.2k
...Senior Manager, Technology Change Risk Oversight at Capital One summary: The Senior Manager, Technology Change Risk Oversight leads... ...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 weekCapital One
Baltimore, MD2 days ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, and Acquisition Strategies... ...the allocation and tracking of resources; recommend funding adjustments as appropriate. Assist program managers in developing program documentation...RiskContract work
- ...the accuracy of the loan system records (including interest rate adjustments on adjustable-rate loans) and ensure related general ledger... ...state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required...RiskFull timePart timeWork experience placement
Harbor Bank of MD
Baltimore, MD22 days ago - ...including but not necessarily limited to time element, builders’ risk, and stock losses.### Maintains accurate, thorough field notes,... ...* ### 6-10 years’ experience in commercial property loss adjusting; experience with catastrophe claims; wide range of experience in...Risk
- ...post manual and electronic cash receipts, credits, and account adjustments to customer accounts. Monitor and apply daily payments accurately... ..., and enforce credit policies. Assess account balances for risk, recommending actions such as credit holds or escalations....RiskDaily paid
Robert Half
Columbia, MD1 day ago
