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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$105.04k - $194.98k
Overview Risk Adjustment Manager- Encounters (Hybrid) at CareFirst BlueCross BlueShield Responsibilities Proactively create, manage and communicate Risk Adjustment related encounter or submission KPIs, OKRs, ROI, action plans, progress and risks within organizational teams...RiskWork experience placement$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$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA 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- ...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, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$69.92k - $133.62k
...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 payFull timeH1bLocal areaImmediate startRelocationAfternoon shiftUSAA
Baltimore, MD4 hours agonew- ...Agility: We welcome change; its the only constant. We embrace, adjust, adapt. Passion for Positivity: We greet each day with warmth... ...of wellbeing resources and benefits offerings. Compliance & Risk Management: Stay up-to-date with industry best practices, regulatory...RiskFull timeCasual workWork at officeLocal area
CAVA
Baltimore, MD18 days ago - ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department....RiskContract work
Charter Global
Baltimore, MD13 days ago - Senior Risk Management Analyst - Credit Strategy Schedule Work hours will depend on the business hours of the time zone serviced. To... ...abilities required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workRelocation packageFlexible hours
- ...feeds, and analytics that support investment decision-making, risk management, trading, compliance, and client reporting. Role focus... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email...RiskContract workLocal areaWorldwideFlexible hours
- .../ transfer for this position. Overview What is the Investment Risk Team responsible for? The Investment Risk Team's primary function... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please send an...RiskWork experience placementWork at officeLocal areaFlexible hours3 days per week
- ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department. MUST HAVE...RiskContract workWork at officeImmediate start
Vega Consulting Solutions, Inc
Baltimore, MD3 days ago - ...Reconciliation Supervisor to join the NA Reconciliation Utility Control Group. The ideal candidate will have strong leadership and risk management skills, experience with account reconciliations, and the ability to ensure quality output and regulatory compliance. A bachelors...RiskHourly pay3 days per week
ASK Consulting
Baltimore, MD5 days ago - ...or national organizations, as appropriate. Maintain oversight of risk and compliance management of all properties. Serve as a key... ...Develop department annual budget. Work with CFO in budget planning to adjust for changes in business strategy. Review and monitor budget vs....RiskTemporary workPrivate practiceLocal areaImmediate start
- ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency - Risk Management & Compliance Your Impact: ~ Monitor and manage assigned mortgage loan portfolios to minimize risk and maximize...RiskTemporary work
Dominion Financial Services
Baltimore, MD4 days ago - ...plans inclusive of training and communications, adequate resources, risk management, and post-launch support. Establish and maintain team... ...operational performance, using KPIs to assess improvements and adjust strategies accordingly. Enhance scalability with automation,...Risk
$60.63k - $107.49k
...responses to help patients resume life in the community and/or adjust to lifestyle changes. Communicates daily with direct caregivers... ...payor concerns such as LOS. Identifies delays in care and quality/risk issues and communicates information to appropriate individuals...RiskTemporary work$61.84k - $111.26k
...timely manner. Helps patients resume life in the community and/or adjust to lifestyle changes. Communicates daily with direct caregivers... ...such as length of stay. Identifies delays in care and quality/risk issues and communicates information to appropriate individuals and...RiskTemporary work$100 per hour
...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation... ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges...RiskContract workWork experience placement$120k
...guidance on complex configurations, client challenges, and delivery risks. + Establish and enforce implementation standards, templates,... ...all inclusive. CLEAResult retains the right to make changes or adjustments to job descriptions and/or requirements at any time without...Risk$93.7k - $167.9k
Manager, Risk Management - Technology, Data and Operations Join to apply for the Manager, Risk Management - Technology, Data and Operations... ...of Compliance (Quality Improvement) Senior Manager, Risk Adjustment Perspective Coding Management (Medicare) Global Safety &...RiskFull timeWork experience placementH1bLocal area$74.8k - $119.68k
...seminars, toolbox talks, and emergency response drills to reduce risk and ensure compliance with regulations. Maintain current... ...evaluate training effectiveness, identify performance trends, and adjust the training approach as needed. Strong teamwork and collaboration...RiskWork at officeLocal areaTrial period$86.1k - $150.2k
...documentation within designated systems and processes, including: Risk (REF/RMP), Project Management Plan (PMP), Project Quality Plan... ...self-leadership with attention to detail, multi-tasking, and adjusting readily to the changing prioritization of responsibilities in a...RiskContract workLocal areaImmediate start$2,002 per month
...agency responsible for protecting the public from unreasonable risks of serious injury or death from thousands of types of consumer... ...protected Veteran status. The base salary range provided is not adjusted for geographic differences associated with where the work is being...RiskFull timeTemporary workWork at officeFlexible hours$169.6k - $314.82k
...Knowledge, Skills and Abilities (KSAs) Extremely knowledgeable of risk evaluation and rating techniques and thoroughly familiar with a... ...Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskRemote jobWork experience placementImmediate start- ...within budget. Measure and report project performance using appropriate systems, tools and techniques. Perform risk management to minimize project risks and adjust project constraints based on financial analysis. Be accountable for the overall achievement of Revenue and...RiskTemporary workWork experience placementWork at officeLocal area
$1,500 per month
...protected Veteran status. The base salary range provided is not adjusted for geographic differences associated with where the work is... ...55.00-$221,603.00 1 day ago Sr. Security Engineer, AWS Security Risk and Compliance Zero Trust Compliance Auditor / Engineer (Assessor...Risk16 hoursFull timeTemporary work- ...organizing schedules, scopes, budgets, program implementation plans, and risk mitigation. The project manager analyzes scope, timelines, and progress. The Project Manager makes recommendations for adjustments to ensure that the operations teams adhere to Youth Development...RiskLocal areaFlexible hours
