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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$68.7k - $123.7k
...Risk Adjustment Compliance Auditor You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours$75k - $165k
...?? You will leverage your casualty underwriting acumen across risk assessment, exposure evaluation and pricing to generate and maintain... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workVisa sponsorshipFlexible hours3 days per weekZurich NA
Independence, OH4 days ago- ...This critical role combines clinical nursing expertise with risk management responsibilities to protect our organization and residents... ...accurate and timely processing Coordinate with insurance adjusters and carriers throughout the claims process Prepare comprehensive...RiskWork at office
Sinceri Senior Living
Cleveland, OH11 hours ago $60.42k - $117.81k
**Job Description** **Job Summary** The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan... ...5 years of experience in Analysis related to HEDIS and/or Risk Adjustment + 3-5 years of experience in working with complex data to include...RiskWork experience placementLocal areaRemote workMolina Healthcare
Cleveland, OH2 days ago$65k - $139.15k
...where all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As a Line of Business Risk Lead within PNC's Technology Risk organization, you will be based in Pittsburgh, PA, Cleveland, OH, Birmingham, AL or Dallas, TX.***...RiskFull timeTemporary workPart timeWork experience placementCleveland, OH2 hours agonewAssociate Degree Apprenticeship Program - Underwriting Account Services -Cleveland, OH (Summer 2026)
$19.24 per hour
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskHourly payFull timeTemporary workApprenticeshipWork experience placementSummer workWork at officeLocal areaRemote workVisa sponsorship2 days per week3 days per week$64k - $164.75k
...all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As an LOB Consumer Credit Risk Advisor within PNC's Balance Sheet Analytics & Modeling Decisioning Quality Assurance organization, you will be based in Pittsburgh...RiskFull timeTemporary workPart timeWork experience placementWork at officePNC Financial Services Group
Brecksville, OH3 days ago- ...as it relates to hazards, controls, and management. They will need to evaluate how a company identifies and manages their inherent risk factors. Additionally they are expected to differentiate the account from others in similar classes of business. In this role the consultant...RiskFor contractorsLocal areaLong distanceNight shift
Travelers Insurance
Independence, OH4 days ago - ...candidate will directly handle subrogation related claims. This adjuster role is responsible for prompt and independent investigations and... ...parties, and counsel. The successful candidate will evaluate risk transfer opportunities as well as ensuring appropriate investigation...RiskFlexible hours
$55k - $100k
...considerations in all business decisions and able to leverage that information in creating customized customer solutions. Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they...RiskFull timeTemporary workPart timeWork experience placementWork at officeRemote work$38.22 - $50.96 per hour
...~ Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). ~ Communicates and documents assessment of patient...RiskFull timePart timeLocal areaRochester Regional Health
Parma, OH15 hours ago$37.18 - $49.92 per hour
...~ Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). ~ Communicates and documents assessment of patient...RiskFull timeLocal areaRochester Regional Health
Parma, OH2 days ago$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$38.22 - $50.96 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timeLocal areaRelocation packageNight shiftAfternoon shiftRochester Regional Health
Parma, OH1 day ago- ...transform the finance industry together. Retail Supervision and Risk Management is an independent group responsible for providing... ...potential incentive compensation reviews, you will ensure the adjustment meets all the required criteria and appropriate documentation for...RiskWork experience placement
$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e., physical, psychological, educational, and risk-screen data appropriate for the chronological/developmental age of the patient). Communicates and documents assessment of a patient...RiskFull timeLocal areaNight shiftWeekend workRochester Regional Health
Parma, OH1 day ago- ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift work
Magnet Medical
Warrensville Heights, OH22 days ago $37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timeLocal areaRelocation packageNight shiftRochester Regional Health
Parma, OH1 day ago$77.97k - $155.51k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions... ...years of program and/or project management experience in risk adjustment and/or quality - 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timePart timeLocal areaRochester Regional Health
Parma, OH2 days ago$55k - $98k
...book of business to grow sales, revenue and market share with relevant sales goals. Typically works with clients with basic levels of risk and complexity of needs. Generally works with higher degree of supervision. With direction, acquires and/or expands and retains...RiskFull timeTemporary workPart timeWork experience placementPNC
Independence, OH4 days ago$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timePart timeLocal areaNight shiftAfternoon shiftRochester Regional Health
Parma, OH1 day ago$37.18 - $49.92 per hour
...· Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). · Communicates and documents assessment of patient...RiskFull timeLocal areaRelocation packageShift workWeekend workRochester Regional Health
Parma, OH3 days ago$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timeLocal areaWeekend workRochester Regional Health
Parma, OH2 days ago$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timeLocal areaWeekend workRochester Regional Health
Parma, OH5 days ago$144.2k - $265.6k
...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship$37.18 - $49.92 per hour
...· Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). · Communicates and documents assessment of patient...RiskFull timeLocal areaShift workNight shiftWeekend workRochester Regional Health
Parma, OH2 days ago$80k - $95k
...Location: 4224 Ridge Lea Road - Amherst, New York 14226 The Risk Analyst III is a position within the Consumer Credit Risk Management organization. This position is primarily responsible for identification, measurement, and management of credit risk. Additional responsibilities...RiskTemporary workWork at officeKey Bank
Brooklyn, OH1 day ago$37.18 - $49.92 per hour
...Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient...RiskFull timeLocal areaShift workNight shiftWeekend workRochester Regional Health
Parma, OH2 days ago
