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$71.15 - $112.34 per hour
Overview Join to apply for the Director Risk Adjustment role at Location: Mostly remote in WA, OR, and CA. The Role As the Director of Risk... ...management experience. Certification: Certified Risk Adjustment Coder (CRC) is preferred. Skills & Expertise: Strong strategic...RiskFull timeWork at officeLocal areaRemote workShift work$77.97k - $141.37k
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- Senior Risk Adjustment Analyst page is loaded## Senior Risk Adjustment Analystlocations: Portland, ORtime type: Full timeposted on: Posted 2 Days Agojob requisition id: 2025-1267*Join PacificSource and help our members access quality, affordable care!***PacificSource is...RiskWork experience placement
- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Pacific Region PRIMARY PURPOSE : To investigate losses... ...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
Sedgwick Law
Portland, OR1 day ago - ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash... ...handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Take necessary action to minimize...RiskLocal area
Taco Bell
Woodland, WA1 day ago $91.8k - $123.1k
...00 actuaries, consultants, data analysts and statisticians who provide pricing, financial and statistical projections and analysis, risk evaluation, research and custom reporting for Cambia’s health plans and customers in Idaho, Oregon, Utah, and Washington. We ensure...RiskWork at officeImmediate startWork from homeFlexible 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$333k - $416.25k
...comprehensively assesses the financial opportunities, challenges and risks facing the Market. Reviews and communicates Market... ...controls and risk management practices. Oversees medical risk adjustment coding Oversees Hospital contracting and network strategy...RiskContract workTemporary workWork experience placementLocal areaRelocation packageKaiser Permanente
Portland, OR3 days ago$124k - $280k
...Managed Services Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 40% At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help...RiskFull timeH1bPwC
Portland, OR1 day ago- ...prevention by "the world's most wanted hacker" simulated phishing security awareness training cybersecurity governance risk & compliance world's largest security awareness training library free it security tools inoculating employees against...Risk
- ...personnel, equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop...RiskFull time
- ...Chief Risk Officer About the Company Diverse technology-focused company providing education-related services Industry Information Technology & Services Type Public Company Founded 1996 Employees 5001-10,000 Specialties student loan products...Risk
- ...Chief Risk Officer (CRO) About the Company Mission-driven investment firm with a focus on economic expansion of communities Industry Investment Management Type Privately Held Founded 2017 Employees 51-200 Specialties lending advisory...Risk
- ...Managing Director, Construction XS Risk About the Company Leading provider of casualty & property insurance services Industry Financial Services Type Public Company Founded 1810 Employees 10,001+ Categories Financial Services Carriers...RiskWork experience placement
$52.79 - $81.94 per hour
...lines of business. The analyst leads the rate development and filing efforts, including competitive analysis, network analysis, risk adjustment, trend analysis, actuarial value analysis, and rate adequacy review. Remote Work Location Remote (eligible for applicants who...RiskLocal areaRemote work$21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Vancouver, WA3 days ago- ...~ E-Commerce About the Role The Company is seeking a VP of IT Compliance to lead its global cybersecurity compliance and risk management strategy. This key leadership role involves overseeing the design, implementation, and evolution of a comprehensive compliance...Risk
- ...Director of Cybersecurity and Privacy Risk Advisor About the Company Prestigious international law firm Industry Law Practice Type Privately Held About the Role The Company is in search of a Director, Cybersecurity and Privacy Risk Advisor to spearhead...RiskWork experience placement
$140k - $200k
...portfolio of Medium and/or Large clients ~ Drives revenue growth through client sales of additional actuarial, financial, and/or risk solutions ~ Provides consulting quality reviews and client delivery for all types of financial/actuarial deliverables? ~ Guides team...RiskTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hoursWTW inc.
Portland, OR1 day ago$120k - $155k
...schedules. * Monitor progress against schedule milestones and adjust plans as needed to ensure timely completion. * Quality Assurance... ...stakeholders, providing regular updates on project progress. * Risk Management: * Identify potential risks and develop mitigation plans...RiskFull timeFor contractorsFor subcontractorWork at office$120 - $150 per hour
...opportunity review of the tax provision process to improve efficiency and accuracy and enhance the control environment and assessing tax risk and control environments inclusive of and beyond the boundaries of Sarbanes-Oxley Section 404. Skills And Attributes For Success...RiskWork experience placementSeasonal workRemote workFlexible hoursEY
Portland, OR1 day ago- ...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own business...RiskDay shift
$119k - $224k
...will: Manage and develop a team of business bankers with a focus on customer relationship development, customer experience, and risk management Promote the growth of the business by implementing strategies to increase revenue by onboarding new customers, deepening...RiskWork experience placementWork at officeWells Fargo
Portland, OR4 days ago- ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care...RiskImmediate startFlexible hours
Transtreme
Portland, OR20 days ago - ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care...RiskFlexible hours
Transtreme
Portland, ORa month ago $61k - $103k
...at Orrick, Herrington & Sutcliffe LLP The Objective: The Conflicts Analyst II assists the Firm and its attorneys with compliance and risk management related to potential new business. Location: This position could be based in any of our U.S. West Coast offices (Los...RiskFull timeTemporary workWork at officeRemote workFlexible hours- ...Chief Risk Officer About the Company Prominent community development financial institution Industry Management Consulting Type Non Profit Founded 1982 Employees 201-500 Categories Consulting & Professional Services Marketplace B2B...Risk
- ...in the areas of automated material handling systems, warehouse automation, and 3PL. The Director will also be tasked with conducting risk management activities, coordinating internal and external resources, and maintaining strong relationships with both vendors and...Risk
- ...leaders to ensure strategic alignment, cost-effectiveness, and risk mitigation. A successful candidate will have advanced knowledge... ...Negotiates necessary project changes with project sponsor. Maintains, adjusts and updates project plans as needed.**Stakeholder Engagement** -...RiskContract workShift workNight shift
- ...motivation, and be willing to work in a fast-paced, dynamic environment. Strategic thinking, financial modeling, project management, and risk management skills are also necessary for this position. Travel Percent Less than 10% Functions ~ Business Development...RiskWork at office
