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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- 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
$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- ...experienced Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications, to join our... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. Must have ICD-10-PCS coding experience, and...RiskFull timeWork at officeRemote workShift work
- ...sure our **Atlantic Canada** has a driving presence with local adjusters assisting our Atlantic Canadian customers. We are currently looking... ...letters.* Recognize questionable claims, subrogation, and risk opportunities.* Review case law to determine liability.* Meet performance...RiskLocal area
$102.96k
Overview The Risk Manager leads and supports the Risk Management Team. The Risk Manager manages all facets of the risk management function... ...claims. Establishes and maintains relationships with claims adjusters, outside legal counsel, and other claims-related parties....RiskContract workWork at office- ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. Design and maintain compliant labor... ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support Draft, review, and negotiate...RiskFull timeContract workFor contractorsFlexible hours
$250k - $300k
...coaching a high-performing team. The candidate will also oversee risk management and relationship management while directing... ...Track and analyze the effectiveness of acquisition strategies and adjust as needed for optimal results. Business Line Ownership Be accountable...RiskFull time$88k - $132k
...understand facility and business challenges, opportunities, and risks. Partners with plant leaders and other HR functions to brainstorm... ...required by this job include close vision, and ability to adjust focus. WORK SETTING / ENVIRONMENT The work environment characteristics...RiskFull timeCasual workWork at officeRemote workShift work- Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment...Risk
- ...Transform business requirements into integration, cost savings, or risk management opportunities. Execute synergy and efficiency... ...communication Specific vision abilities including close vision and focus adjustment Occasionally lift or move up to 30 pounds #J-18808-Ljbffr...RiskPermanent employmentWork at officeLocal area
- ...accuracy and completeness, identify errors, obtain clarifications or adjustments, and advise on formulation of capital budgets. Guide the... ...schedules for OGRA submissions. Ensure compliance with the Enterprise Risk Management Framework and the company's Business Principles and...Risk
- ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash control... ...handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Takes necessary action to minimize...RiskLocal area
- Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV data...Risk
- ...be assigned : Supervise and manage a team of liability claims adjusters, providing guidance and support. Assign claims to adjusters and... ...Qualifications Bachelor’s degree or equivalent experience in insurance, risk management, or a related field. 8+ years of experience in...RiskFull timeImmediate startRemote work
$127.05k - $190.53k
...Annually LOCATION Los Angeles, CA JOB TYPE Regular Employee CABINET RISK, CORPORATE SAFETY AND ASSET MANAGEMENT OPENING DATE 10/02/2025... ...(TPA, consisting of 26 individuals who provide claims adjusting support), and sub-contractors staff. An average of 2,700 claims...RiskContract workFor contractorsWork at officeLocal areaMonday to Friday- Overview Risk Control Consultant - Southern California Join to apply for the Risk Control Consultant - Southern California role at... ...Managerial Consultant IV, Medicare Advantage Prospective Risk Adjustment Operations - Long Beach, CA $59,100.00-$120,200.00 5 days ago...RiskFull timeWork experience placementWork at officeLocal area
$110k - $130k
Overview Risk Control Consultant on the Strategic Risk Team (SRT) plays a key role in supporting underwriting, sales, claims, clients... ...to assess account performance, address concerns, and recommend adjustments. Client Presentations: Present Strategic Risk management...RiskWork experience placementWork at officeRemote workFlexible hours$94k - $151k
...lead rate development and filing efforts for the commercial line of business, including competitive analysis, network analysis, risk adjustment, trend, actuarial benefit value analysis, and rate adequacy review. Responsibilities Lead rate development and filing efforts...RiskFull time$133.14k - $247.26k
...out of our Burbank office.* THE JOB The Manager Cyber Security Risk will focus efforts on managing and reporting on cyber risks... ...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$401.24k
...optimizing Warner Bros.’ capital structure, managing financial risk, and shaping the company’s narrative to the investment community... ...you’re a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workLocal area$156k - $234k
...aligned to business objectives. Manage program pipeline, schedules, risks, and dependencies for NPI and next-generation solutions. Own... ...ranges are made in good faith. TE Connectivity reserves the right to adjust ranges depending on the experience/qualification of the selected...RiskLocal areaRemote work$150k - $180k
...departmental budgets, forecasts, and financial analyses. Recommends resource allocation and adjustments based on fiscal priorities. Ensures consistent application of credit policies, risk standards, and internal controls. Maintains compliance with all applicable laws,...RiskWork experience placementWork at officeFlexible hours- ...Responsibilities include: Develop and refine pricing models to assess risk and profitability for various Property & Casualty insurance... ...existing products, including experience and exposure rating, adjusting pricing models as needed. Collaborate with key business...RiskRemote jobFull timePart timeWork experience placementWork at officeWork from home
- ...apply for the Manager, Actuary role at Blue Shield of California . 6 days ago Be among the first 25 applicants. Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of...RiskFlexible hours
- ...to apply for the Director, Actuary role at Blue Shield of California 2 weeks ago Be among the first 25 applicants Overview The Risk Adjustment team is accountable for developing an end-to-end strategy and managing programs to ensure coding completeness and accuracy. The...RiskFull timeWork at officeLocal area
- ...understandable, and measurable: finance, procurement, and financial risk / security operational plans and targeted objectives. Guide... ...and capital project needs, review and approve capital plan adjustments for emerging capital needs and issues. Strengthen KIM’s relationships...RiskWork at office
$95k - $140.6k
...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum Qualifications... ...several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shift- ...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...tools Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding Experience in interpreting and...RiskRemote jobMinimum wageFull timeContract workWork experience placementLocal area