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- Overview The Clinical Risk Adjustment Coder plays a key role in ensuring accurate and compliant coding within a risk adjustment framework . This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with provider...Risk
$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday- Back Senior Claims Adjuster - Workers Compensation #4682 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description: Job... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskWork experience placement
PMA Companies
Baltimore, MD21 hours ago $105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
PMA Companies
Cockeysville, MD21 hours ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$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
$69.92k - $133.62k
...and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD21 hours ago$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$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Baltimore, MD2 days ago$69.92k - $133.62k
...Property Adjuster Specialist At USAA, our mission is to empower our members to achieve financial security through highly competitive... ...claims, attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftMaryland Staffing
Baltimore, MD21 hours ago$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office- .... #LI-Onsite IND1 #LI-JA2 In This Role, You Will: Support the Risk department in developing and achieving department goals. Work closely... ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workPart timeRelocation packageFlexible hours
$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- ...engagement, succession planning, and org design Identify trends, risks, and opportunities within the organization and develop solutions... ...problem-solving skills and the ability to be flexible and adjust direction when needed Proven ability to lead cross-functional...RiskFull timeWork at officeRelocationFlexible hoursShift work
Northrop Grumman
Linthicum Heights, MD3 days ago - ...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
Travelers
Baltimore, MD2 days ago - ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Northeast 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
$10k
...Python * Experience and expertise with System Authorization * Risk Management Framework * Vulnerability Management and/or Nessus... ...state leave regulations. Employees have the flexibility to adjust their PTO allocation at the start of each calendar year, ensuring...RiskHourly payFull timeContract workTemporary workWork experience placementSummer workImmediate start$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- ...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. ~ P&C Professional Designation a plus,... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskFull timeWork at officeLocal area
Sedgwick
Baltimore, MD2 days ago $125.84k - $224.94k
...otherwise challenging. Salary Salary Range: $125,840 - $224,939 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range...RiskWork experience placementImmediate start$225.4k - $257.2k
Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per week$140k - $170k
...feeds, and analytics that support investment decision-making, risk management, trading, compliance, and client reporting. Role focus... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email...RiskContract workLocal areaWorldwideFlexible hours- ...Workplaces in Financial Services & Insurance National General Adjuster - Northeast 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
- ...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
- ...information system. • Assist in the development and execution of an enterprise level continuous monitoring program to minimize security risks and ensure compliance with that program on a routine basis. • Developing, updating, and submitting the System Security Plan and...RiskWork experience placement
$18k
...value to clients through tailored solutions based on industry leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness, Energy & Sustainability, and Talent Management. We help forward thinking...RiskContract workFor contractorsWork at officeLocal areaImmediate startFlexible hoursProSidian Consulting
Linthicum Heights, MD2 days ago
