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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...Risk- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
$78.5k - $163.6k
Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy...Risk- ...Job Description Job Description The Hospital Claims Adjuster is responsible for the adjusting of hospital risk claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospitals/IPAs. Research, reviews, and contacts...Risk
- ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient... ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental...RiskFull timeWork at officeImmediate startRelocationMonday to FridayFlexible hours
$131.36k - $197.04k
...recommendations are addressed. Prepare a periodic Internal Audit Risk assessment and develop an Internal Audit plan a minimum of once... ...position, often standing or sitting for prolonged periods adjust or move objects up to 15 pounds in all directions perform repeat...RiskContract workWork experience placementCurrently hiringWork at officeMonday to FridayShift workDay shift$30 - $33 per hour
...Thursday - Friday Remote Part B ~ Wednesday - Friday Onsite / Monday - Tuesday Remote We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours$50k - $90k
...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within... ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in...RiskFull timeTemporary workWork at office$133.14k - $247.26k
Manager, Cybersecurity Risk Management Location: Burbank, CA (Hybrid schedule: 3 days onsite) Risk Oversight Develop and maintain... ...you’re a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal area$234.36k
...solutions. Prioritize investments and roadmap initiatives based on risk and business impact. Secure Architecture & Engineering... ...you’re a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workLocal area- ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of... ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
- ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance... ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,...RiskWork at officeHome office
- ...deadlines are met without compromising on quality or safety. Risk Management: Identify potential risks or challenges during... .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing...RiskFor contractorsWork at officeLocal area
$70k - $80k
...facility managers, property management companies, insurance agents, adjusters and consultants Qualifications: ~3+ years experience in... ...technology and procedures ~ Knowledge of industry safety and risk management best practices to minimize workplace injuries and...RiskWeekly payInterim roleWork at officeImmediate startWorldwide- ...meetings, mitigation of denials, have a strong understanding of the preauthorization process, the revenue cycle, reducing financial risk, be able to liaise with providers/staff, and work with payers while having regulatory awareness. About the Role The UM Denials...RiskImmediate start
- Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation...RiskWork experience placement
$135k - $170k
...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeWork at officeLocal area$17.87 per hour
...flexibility you need. What We Offer: ~ NO EXPENSES. NO RISK. Drive a company-owned luxury SUV with all costs, including... ...set your availability, and we create a schedule that suits you. Adjust your hours easily through our driver portal. ~ A SUPPORTIVE...RiskHourly payFull timePart timeFlexible hoursShift work- ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for...RiskZero hours contractShift workNight shift
$111.41k - $189.74k
...Control Manager for U.S. Mortgage Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass... ...strategies, initiatives, organizational planning, and business model adjustments. Act as the business teams’ liaison for business line risk...RiskWork at office- ...over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen...RiskHourly payLocal area
- ...COMPLIANCE ~ Reviews the schedule of all filings and reported information, providing accountability for accuracy and timeliness. RISK MANAGEMENT ~ Understand and mitigate key elements of the Client's risk profile. ~ Monitor all open legal issues involving the Client...RiskWork at office
$199.35k - $246.98k
...each year. DESIRED QUALIFICATIONS The ideal candidate for Chief Risk Officer is a dynamic, results-driven leader with a proven track... ...company is required. Experience in the investigation and adjustment of workers' compensation claims and general liability claims in...Risk- DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) Metro’s mission is to provide a world-class transportation system that enhances the... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County...RiskContract workFor contractors
- ...all closeout binders ~ Attend and participate in WEO Quarterly Risk Management (QRM) Trainings ~ Participate in WEO networking... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Performing this job requires use of hands to finger, handle...RiskPermanent employmentContract workTemporary workWork at office
$127.05k - $190.53k
Overview DIRECTOR, RISK MANAGEMENT (GENERAL LIABILITY CLAIMS ADMINISTRATION) at Los Angeles Metro. This role directs and manages the... ...departments to administer programs and achieve agency goals. Investigate, adjust, and settle claims in collaboration with affected Division staff...RiskContract workFor contractorsWork at officeLocal area$150.5k - $225k
Overview Join to apply for the Construction Risk Dispute Resolution Manager role at Jacobs . Construction Risk Dispute Resolution Manager... ...of their role. If you require further support or reasonable adjustments with regards to the recruitment process, please contact Careers...RiskFull timeContract work$99k - $176k
...OPERATIONAL RISK FRAUD OVERSIGHT MANAGER II WHAT IS THE OPPORTUNITY? Operational Risk Management (ORM) is responsible for providing independent and objective oversight of the management of risks arising from City National Bank's business processes, people, systems...RiskRemote work


