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$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- ...Job Description Job Description Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Commercial General Liability Claims Adjuster adept at managing complex coverage, liability, and legal issues within claims. You will use your...RiskImmediate startFlexible hours
Applied Underwriters
Omaha, NE19 days ago - ...Workplaces in Financial Services & Insurance Executive General Adjuster - Midwest Region Primary Purpose PRIMARY PURPOSE : To... ...candidate for this or other roles. Sedgwick is the worlds leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Omaha, NE5 days ago $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
Bellevue, NE2 days ago- ...develop team members to ensure a high performing restaurant team; leverage the support of the Restaurant Support Center; ensure all risk management issues are in compliance with company standards Additional Information: The position will be required to lift and carry...RiskWork at officeShift workDay shiftAfternoon shift
Wingstop
Offutt Air Force Base, NE2 days ago - ...Job Description Job Description Fuhriman Risk Management, a reputable name in the field of insurance, is seeking a dedicated and enthusiastic Sales/Service Development Representative to join our team in Bellevue, Nebraska. In this on-site role, you will be at the...RiskHourly payLocal areaFlexible hours
Fuhriman Risk Management
Bellevue, NE28 days ago - ...Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines....Risk
Nebraska Staffing
Offutt Air Force Base, NE5 days ago $113.1k - $188.5k
...management, and the global Salesforce system for opportunity and risk management, in addition to establishing governance and controls... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskVisa sponsorshipOklahoma Staffing
Omaha, NE5 days ago$77.97k - $141.37k
...projects ~ Experience managing projects, communicating statuses and risks, and facilitating calls with cross-functional teams ~ Claims... ..., CERTIFICATION, ASSOCIATION : ~ Certified Professional Coder (CPC) To all current Molina employees: If you are interested...RiskWork experience placementMolina Healthcare
Bellevue, NE5 days ago$117.73k - $209.58k
...Experience with Member, Enrollment, and Claims applications - which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting. Azure Databricks. Python. Spark. QNXT. Preferred License, Certification,...RiskWork experience placementRemote workMolina Healthcare
Bellevue, NE2 days ago$102.5k - $188.9k
...Cortex XDR, CrowdStrike ~3-4 years of experience with governance, risk, or compliance initiatives involving common frameworks ~... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskVisa sponsorshipNebraska Staffing
Omaha, NE5 days ago- Applied Underwriters, Inc. Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Commercial General Liability Claims Adjuster adept at managing complex coverage, liability, and legal issues within claims. You will use your strong...RiskImmediate startFlexible 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$161.91k - $315.73k
...practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. Experience in Utilization/Quality Program management HMO/Managed...RiskWork experience placementWork at officeLocal areaNebraska Staffing
Offutt Air Force Base, NE7 hours ago$80.06k - $132.1k
...Analyst serves as a key technical expert within the bank's credit risk management function, providing advanced analytical support and... ...transactor/revolver patterns and payment behaviors and evaluate risk-adjusted returns across card products, segments, and acquisition channels...RiskTemporary workWork experience placementWork at officeRemote workFlexible hours3 days per week- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Midwest Region PRIMARY PURPOSE : To handle losses or claims... ...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
$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...RiskLocal areaWork from homeFlexible hours$74k - $138k
...assurance on the quality and effectiveness of internal control, risk management, and governance systems and processes to support... ...office required Salary reflects the Chicago market. There is an adjustment for the Milwaukee and Omaha markets. Salary: $74,000.00 -...RiskContract workPart timeWork at officeLocal areaBMO Financial Group
Omaha, NE9 hours ago- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Midwest Region Primary Purpose PRIMARY PURPOSE : To investigate... ...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
- ...Associates, P.C. represents creditors in foreclosure, bankruptcy and related litigation matters. We emphasize quality, compliance and risk management. We also deliver quality legal services with an emphasis on demonstrable subject matter expertise, domain knowledge and...RiskWork at officeLocal areaRemote workFlexible hours
Bonial & Associates, P.C.
Omaha, NE18 days ago - ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Omaha, NE14 days ago $88.45k - $206.98k
...analyzes, and synthesizes data from various sources to identify risks and opportunities. KNOWLEDGE/SKILLS/ABILITIES Manages and... ...concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG...RiskWork experience placementMolina Healthcare
Bellevue, NE2 days ago$220.81k
...create and lead the execution of overall strategy, making necessary adjustments based on market trends. As a member of the Executive... ...functional leaders. Manages and minimizes the unit's financial risk by maintaining governance, systems of controls, and ensuring effective...RiskTemporary workWork at officeLocal areaRemote workDelaware Staffing
Offutt Air Force Base, NE5 days ago- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift work
Magnet Medical
Omaha, NE4 days ago - Risk and Compliance Analyst Join to apply for the Risk and Compliance Analyst role at Epic Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance. Epic...RiskFull timeRelocationVisa sponsorshipRelocation package
- ...improve, as necessary, process documentation of quarter-end processes around data & model operations to comply with best practices, model risk management, and internal controls. Maintaining procedures quality assurance procedures and related controls that enhance the...RiskWork at officeFlexible hours
- ...ability to interact and communicate effectively with individuals at various levels both inside and outside of the organization, often in sensitive situations Demonstrated knowledge of quality assurance and risk management standards and processes #J-18808-LjbffrRisk
Charles Drew Health Center
Omaha, NE7 hours ago $95.86k - $162.96k
...details of this career opportunity and how it fits into our organization's success. Overview Summary of the Job: The Director of Risk Forecasting is responsible for the development, testing, implementation, monitoring, documentation, and maintenance of credit risk...RiskTemporary workWork experience placementRemote work2 days per week3 days per weekFirst National Bank of Omaha
Omaha, NE7 hours ago- ...software-based solutions for the payments, banking, and processing industry. Founded in 1999, Aperia offers business intelligence, risk management, compliance, and customer intelligence platforms. With offices in Dallas, Washington DC, and Vietnam, Aperia is a fast-paced...RiskFull timeMonday to Friday
Aperia Solutions
Omaha, NE7 hours ago - ...monitor project budgets, assist in controlling costs, and making adjustments, as needed, to stay within the financial parameters of a... ...Additionally, they will work to identify, assess and mitigate projects risks throughout the life cycle. The Senior Project Manager will help...RiskFor subcontractor
