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$193k - $242k
...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...RiskFull time$70k - $85k
Overview Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeMonday to Friday$77.3k - $128.8k
...difference in our success. The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment - EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for...RiskRemote jobLocal areaWork from homeIndividual & Family Plans (IFP) Risk Adjustment Program Management Advisor - Remote - Cigna Hea[...]
$93.3k - $155.5k
...operational and strategic contributor responsible for managing multiple interrelated projects for the Individual & Family Plans (IFP) Risk Adjustment (RA) team while overseeing end-to-end financial tracking and budgetary processes which ensure operational goals are met, budget...RiskRemote jobWork experience placementLocal areaWork from home$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- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
- ...delegate shift assignments including communicating expectations and adjusting as needed Supervise, provide leadership, and coach team... ...guidelines and procedures Immediately report all human resources and risk management concerns to your General Manager and District...RiskTemporary workLocal areaImmediate startFlexible hoursShift workNight shift
$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$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours$50k
...Description General Liability Claims Specialist · New York Adjusters License Needed Work-From-Home Comprehensive Benefits... ...benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from home- ...Job Description Head of Operational Risk Assessments and Governance Full-Time Boston, MA or Springfield, MA The Opportunity MassMutual is seeking a strategic and experienced risk leader to serve as Head of Operational Risk Assessments and Governance...RiskFull time
- ...quality service. Ensure the team adheres to business unit standards, risk management practices, and internal policies. Data-Driven... ...~ Ability to work independently, balancing priorities and adjusting throughout the day ~ Experience developing associates at all...RiskFull timeWork at office
- ...Job Description General Risk Consultant Full-Time Boston, MA or Springfield, MA The Opportunity The Enterprise Risk Management General Consultant is a member of the Risk Strategy team within Enterprise Risk Management (ERM) reporting to the Head of ERM...RiskFull timeWork at officeFlexible hours
- ...defining/refining future deliverables, measuring performance and adjusting the overall roadmap of deliverables as needed.* Translate... ...experience within the discipline being supported (e.g.: Claim, Risk Control, Technology, Project Management, Production, Application...RiskFull timeWork experience placementLocal area
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeFlexible hours
$25 - $35 per hour
...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster Primary Purpose To analyze mid- and higher-level general auto... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...States and Canada. We are currently seeking an Assistant Claims/Risk Manager to join our team in Bloomfield, CT. Position Overview... ...Minimum of five years' experience in property and casualty claims adjusting • CT Casualty Adjuster (all lines, except WC) required •...RiskFull timeHome officeMonday to Friday
$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...experience elements (mortality, lapses, etc.) to various “downstream” applications/consumers of assumptions (i.e. valuation, pricing, risk management, etc.) Drive the vision for the tools and reporting needed to support the team and other stakeholders with the...RiskFull time
- ...conflicts, and drive results. Stakeholder Management: Ensure stakeholders are actively engaged, proactively communicate program status, risks, and milestones. Partner with Head of Life Product to facilitate regular steering committee meetings. Resource Planning: Ensure...RiskFull time
- ...of Actuaries ~5+ years’ actuarial experience in valuation and reporting, and/or in annuity pricing, assumptions development, and risk management ~3+ years’ exposure to valuation regulations and financial statements under US Statutory and GAAP reporting ~1+ year...RiskFull time
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Northeast Region PRIMARY PURPOSE : To handle losses or claims... ...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
- ...developing, negotiating, securing, and administering both traditional and financial reinsurance solutions to support the operational, risk and capital position of the Company. The team also develops and implements strategies to optimize the Company’s existing use of...RiskFull time
$60k - $65k
Overview Independent Adjuster Auditor at Sedgwick: We offer a role with new challenges and the chance to help solve complex problems for... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by...RiskLocal areaWork from homeFlexible hours- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate claims internationally... ...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
- ...Valid driver’s license and US passport Work Environment Risk of electrical shock. Occasionally exposed to fumes, dust.... ...ability to discern colors, eye / hand coordination and ability to adjust focus. Position Type and Expected Hours of Work This is a...RiskFull timeMonday to Friday
- ...Casualty/Auto Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork at officeWork from homeHome officeLong distance
- ...loss control programs. Conduct job hazard analyses to identify risks and recommend corrective actions to prevent employee accidents... ...) years of experience in risk management, loss control, claims adjustment, occupational safety and health, or contract management. Special...RiskContract workMonday to FridayDay shift
- ...Partner with Procurement and stakeholders to develop and execute supplier negotiations strategies to achieve the best value and least risk for the organization. Guide Procurement in preparation for and facilitating of contract negotiations and oversee the overall...RiskFull timeContract workWork experience placement




