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$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$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$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk- Senior Risk Adjustment Analyst page is loaded Senior Risk Adjustment Analyst Apply locations Boise, ID time type Full time posted on Posted 2 Days Ago job requisition id 2025-1263 Looking for a way to make an impact and help people? Join PacificSource and help our members...RiskFull timeWork experience placementSecond jobWork at officeRemote workFlexible hoursNight shift
$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours- ...Fortune Best Workplaces in Financial Services & Insurance Per Diem Adjuster PRIMARY PURPOSE To handle losses and claims for property and... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskDaily paidWork at officeLocal area
$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$46.99k - $122.4k
...more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a Senior Litigation Adjuster in Risk Management , you will be responsible for managing litigation against CVS and overseeing outside counsel defending CVS in...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...decision we make. Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior... ...close, distance, color, peripheral, depth perception, and focus adjustments. Every employee must understand, comply with and attest to the...RiskRemote jobWork experience placementLocal areaVisa sponsorship
- ...communication skills. Demonstrated ability to manage multiple priorities, work independently, and lead teams effectively. Experience with risk management and mitigation strategies. Knowledge of various project delivery methods, including General Construction, Design-Build...RiskContract workWork at office
Wright Brothers, The Building Company
Eagle, ID4 days ago - ...Review contractor and consultant pay applications, invoices, and change orders for accuracy and alignment with budget. ~ Track project risks and report issues to Senior PM/Director as needed. ~Eliminate conflict and strive for fairness for all project stakeholders...RiskFor contractorsWork at office
Paradigm of Idaho, Inc.
Boise, ID6 days ago - ...recognizes the most engaged workplace cultures in the world. Credit Risk Analyst-Remote Indiana (Candidate may need to travel to the... ...legal action where necessary. Perform reconciliation, credit adjustments, bad debt write-offs, refunds, customer notification, and other...RiskH1bWork at officeRemote workFlexible hours
$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in [EMEA]. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal area- ...that provides comprehensive care to a full spectrum of newborns, ranging from extremely premature infants, to term or near-term, high-risk and critically ill babies, to babies less critical but still recovering and maturing. In addition to providing around-the-clock care...RiskWeekly payZero hours contractShift work
Care Career
Boise, ID6 days ago - ..., ASHP, 340B, etc.) Oversee formulary management and controlled substance reporting Collaborate on performance improvement and risk management initiatives Support onboarding, training, and professional development Step in to cover core pharmacist shifts as needed...RiskLocal areaShift work
Saint Alphonsus
Boise, ID4 days ago $92.1k - $110k
...processes, cost, frequency, warranty audit compliance, and policy adjustment reviews and provide counsel if necessary. Improves customer... ...Criteria Policy. Must be approved as an "Authorized Driver" by Risk Management to operate vehicle prior to vehicle operation. WORK...RiskFull timeWork at officeRemote workNight shiftAfternoon shift- ...Risk Management Rotational Intern This internship offers a rotational experience within MJ's Risk Management Division, designed for a curious and determined learner passionate about the risk management and insurance industry. Interns will gain exposure to seven key...RiskInternshipWork at office
$193.97k - $228.2k
...annually to foster collaboration, connection, and alignment. Attendance is expected and fully supported. Team/ Role Paragraph As a Risk Manager on the Risk Analytics team, you’ll be a key individual contributor responsible for identifying and mitigating account...RiskFull timeLocal area$193.27k - $228.2k
...annually to foster collaboration, connection, and alignment. Attendance is expected and fully supported. Role Summary As a Manager on the Risk Analytics team, you’ll build and lead our new Account Security function, establishing the critical defenses that will safeguard our...RiskFull timeLocal area$114.1k - $159.7k
...chance to work in a fast-paced, dynamic environment that’s constantly evolving. Main Responsibilities The Senior Manager, Environmental Risk and Compliance is responsible for leading environmental compliance programs and managing environmental risk across Albertsons...RiskWeekly payWork at officeLocal area$172k - $215k
...Embedding security into business strategies, processes, and culture. Aligning cybersecurity initiatives with the unique priorities, risks, and compliance requirements of each vertical. Building strong relationships with vertical leaders and key stakeholders, acting as...Risk- ...Health Insurance Life Insurance Property Insurance Financial Services Professional Services Corporate & Business Risk Analysis Investment Management Finance Specialties ~ property and casualty insurance and insurance-related services...RiskWork at office
- Overview Role Summary and responsibilities for the risk management position in the Neuro Stepdown department. Responsibilities Coordinate the risk management program to meet organizational needs. Review and analyze occurrence reports related to quality, regulatory issues...RiskFull timeMonday to Friday
$213.2k - $250.5k
...pushing toward something bigger, together. One Confluent. One Team. One Data Streaming Platform. About the Role As a Staff Security Risk and Compliance Program Manager in the Trust & Security organization you will play a critical role in fulfilling the vision to secure...RiskFull timeRemote work- ...lives of children in the community. Children's Home Counseling Services offers mental, emotional, and behavioral health services to at-risk children and their families regardless of their ability to pay. Additionally, Children's Home Training Center focuses on the...Risk
Children's Home Counseling Services
Boise, ID22 days ago - ...Ability to work on construction projects in both standard and high-risk areas. Construction site work environment will require physical... ...vision, peripheral vision, depth perception and the ability to adjust focus. Performing this job requires use of hands to finger,...RiskHourly payPermanent employmentTemporary workLocal area
Joseph J. Albanese
Boise, ID12 days ago $77.97k - $155.51k
...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. KNOWLEDGE/SKILLS/ABILITIES Proven depth of understanding and demonstrable results for effective management of...RiskRemote jobWork experience placement
