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- Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut, USA... ...AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC Minimum...RiskFull timeWork at officeMonday to Friday
- ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- ...health care more personal, convenient and affordable. Position Summary The Revenue Integrity (RI) Sr. Manager, Business Consultant (Risk Adjustment) is responsible for the management and monitoring of designated market/territory specific to the performance of risk adjustment...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area
$70k - $84k
...The Senior Analyst Fraud Risk Management is required to analyze bank transactions, new accounts, and customer behavior to identify... ...Mitigates identified potential fraud loss and fraud patterns by adjusting debit card fraud modules and rules, placing holds/restricting access...RiskFull timeWebster Bank
West Hartford, CT26 days ago- ...planning allowing time for emergencies or unexpected visits. c) Reports any cases to Clinical Manager where goals cannot be met or at risk situations exist and responds appropriately. d) Maintains required productivity expectation as established by the Agency. e)...RiskWork at officeFlexible hours
ECHN
Tariffville, CT9 hours ago - ...below-investment grade portfolios Experience and knowledge in risk management and asset-liability management for insurance... ...Nassau was founded in 2015 and has grown to $1.6 billion in total adjusted capital, $24.8 billion in assets under management, and 365,000 policies...RiskFull timeLocal area
Nassau Financial Group
Hartford, CT21 days ago - ...contradictory, and rationalizes recommended course of action, recognizing risks and opportunities. Works with different areas to understand... ...in logic and business sense and also having the flexibility to adjust as new ideas are presented, ie. shows a great balance of...RiskHourly payFull timeTemporary workLocal areaFlexible hours
$67.71 - $81.25 per hour
...The Analyst Fraud Risk is required to analyze bank transactions, new accounts, and customer behavior to identify anomalous activity... ...Mitigates identified potential fraud loss and fraud patterns by adjusting debit card fraud modules and rules, placing holds/restricting...RiskFull timeWork experience placementWork at officeWebster Bank
West Hartford, CTa month ago- ...functions to develop and maintain project schedules, manage interfaces, identify and assist in closing technical and resource gaps, lead risk management processes, execute tight cost control and overall support successful project execution. Primary Duties and...RiskContract work
- ...performing teams across departments. Ensure all operations comply with internal policies, industry standards, and applicable regulations. Risk Management & Compliance Identify operational risks and implement controls, procedures, and contingency plans to ensure resilience...RiskPermanent employmentFlexible hours
- About the job Responsibilities: Risk Management: The candidate will be involved in all aspects of risk oversight of the US based and global portfolios as required. The candidate is expected to add value by managing and improving existing risk processes, build new processes...RiskWork experience placement
- ...and work with clients at all levels on a daily basis. Candidates must have knowledge and expertise in contract drafting, compliance, risk evaluation and management of vendor relationships, including pre-litigation disputes. • Contract Drafting and Negotiations:...RiskContract workWork at officeLocal areaWork from homeWorldwide3 days per week
- ...significant experience in underwriting, policy development, and risk management, while also possessing a proven leadership... ...laws. Outline operational processes for policy issuance, claims adjustment, collections, and all customer and third party interaction points...RiskFull timeLocal areaShift work
- ...and work with clients at all level on a daily basis. Candidates must have knowledge and expertise in contract drafting, compliance, risk evaluation and management of third-party relationships and disputes. The role will involve the following: Contract Drafting and Negotiations...RiskContract workWork at officeLocal areaWork from homeFlexible hours3 days per week
- ...consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and... ...metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting...RiskFull timeTemporary workWork experience placementRemote workFlexible hours
- Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) Join to apply for the Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) role at ERM . Overview ERM seeks a motivated Managing Consultant, Ecological Risk Assessor/Project...RiskWork at officeRemote work
- ...streamline processes, reduce friction, and enhance cross-functional delivery Facilitate real-time problem-solving, decision-making, and risk mitigation across teams Strategic Planning & Organizational Scale Leadannual and multi-year operational planning, including...RiskPermanent employmentFlexible hours
- ...procurement NPI, modification or work transfer project ~Ensure that the risk management process is followed for each procurement project ~... ...accessible recruitment process, so if you require reasonable adjustments at any stage during our recruitment process please get in touch...RiskWork at office
- ...Counsel role at Ascot Group Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent...RiskFull timeTemporary workLocal areaRemote workFlexible hours
Ascot Group
Hartford, CT19 days ago - ...flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Director of Health & Risk Solutions Actuarial Pricing will be responsible for delivering comprehensive business and financial analysis to advance profit and...RiskFull timeWork at officeLocal areaRelocationFlexible hours
MedStar Health
Hartford, CT2 days ago - The job profile for this position is Risk & Underwriting Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before...RiskLocal areaWork from home
- ...Manages an assigned book of business, focused on attaining profitable growth, persistency, and earnings. Performs case-specific risk assessments. Responsible for account level rate development and conducting customer negotiations with Sales on an intermediate complexity...RiskLocal areaWork from home
- ...performance indicators, change management processes, implementation, and adjustments as necessary to achieve defined success parameters. This VP... ...program outputs into executive level presentations, updates, risk mitigation plans and business recommendations with ability to...RiskTemporary workWork at officeImmediate start
- ...Medicare prescription drug plans. This role involves evaluating risk, ensuring regulatory compliance, and supporting strategic... ...regulatory and legislative environment, continuously developing and adjusting strategies and processes to best position the business for success...RiskHourly payFull timeTemporary workLocal areaFlexible hours
- ...Openings 1 What Is the Opportunity? Personal Insurance is seeking a highly motivated individual to join our Personal Insurance (PI) Risk Management team. This position will help support the Catastrophe Pricing, Underwriting and Management Reporting to support PI's...RiskLocal area
- ...contribute to, monitor, and influence Business Unit strategies, results, risk appetite, coverages, terms & conditions, pricing, guidelines, and underwriting tools, to help our businesses deliver on risk adjusted return goals. In the role you will facilitate corporate technical...RiskFull timeTraineeshipWork at officeRemote workWorldwideHome office
- ...Payment Method (PDPM) and expense associated with a potential admissions Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement May train, mentor and/or manage MDS Coordinators, providing guidance and support...RiskTemporary workRelocation package
Riverside Health & Rehabilitation Center
Bloomfield, CT1 day ago - ...Complete and assure the accuracy of the MDS process for all residents Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement Ensure the highest level of revenue integrity and compliance to all state and federal...RiskTemporary workLocal area
Wethersfield Corporate Office
Tariffville, CT3 days ago - ...Strong problem-solving and analytical skills. Knowledge and advanced proficiency of Project Management toolsets (MS Project, Risk based decision making, proposal generation, task baselining, etc.). Demonstrated experience in leading complex products through all...RiskContract workFlexible hours
DaVita
Simsbury, CT2 days ago - ...Strong problem-solving and analytical skills. Knowledge and advanced proficiency of Project Management toolsets (MS Project, Risk based decision making, proposal generation, task baselining, etc.). Demonstrated experience in leading complex products through all...RiskContract workFlexible hours
Ensign-Bickford Industries, (EBI)
Simsbury, CT4 days ago
