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- The Director of Risk Adjustment Analytics reports to the Vice President, Government Markets Performance and is responsible for analytics and reporting related to both Medicare and ACA risk adjustment. The Director will interact collaboratively with the Medicare Stars team...RiskTemporary workWork experience placement
- ...journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician-facing position and must... .... RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding,...RiskWork experience placementWork at office
$50k
...Job Description Job Description Sr. General Liability Claims Adjuster – Bodily Injury · New York Adjuster License Needed Work... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Philadelphia, PA3 days ago$60k - $65k
Join to apply for the Certified Medical Coder role at Upward Health 1 month ago Be among... ...submissions. Skills Required: Minimum 2 years of risk coding experience, preferably in primary... ...(CPC) required; Certification in Risk Adjustment Coding (CRC) preferred High school...RiskFull timeWork at officeRemote workWork from homeShift work- ...Join to apply for the Senior Bilingual Workers Compensation Claims Adjuster role at PMA Companies . As a member of our claims team, utilize... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskFull timeWork experience placementRemote work
- ...alignment of projects within the broader enterprise roadmap. Adjust project scope, timelines, and budgets based on evolving business... ...skills. • Preferred Skills Expertise in program governance, risk management, and stakeholder engagement. Experience working in...RiskTemporary workFor contractorsWork experience placement
Robert Half
Philadelphia, PA9 days ago - ...support the team across all aspects of their work to ensure that risk standards are consistently upheld. This includes contributing to... ...a business environment CSGer Perks & Benefits (Feel free to adjust this by regional benefits!) Work from home, in-office, or hybrid...RiskWork at officeWork from home
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Philadelphia, PA7 days ago $145k - $220k
...Join our innovative Analytics team and help shape the future of risk management through data. As a Senior Manager of Risk Analytics,... ...employees when circumstances arise that require remote work or adjusted schedules. Our goal is to ensure everyone can effectively balance...RiskTemporary workWork at officeImmediate startRemote workFlexible hours$59.68k - $96.12k
...Description Job Description The Large Loss Workers’ Compensation Adjuster is responsible for managing a caseload of complex and high-... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up...RiskMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Enterprise Claims, Inc.
Norristown, PA24 days ago- ...activities, including directing management of unscheduled patient needs. Adjusts pace of seeing pts to clinical demand. ● Responds to Rapid... ...-up, and with minimal complications. ● Tracks all higher risk labs and referrals to assure proper follow-up ● Reports and...RiskFull time
Esperanza Health Center
Philadelphia, PA23 days ago $49.5k - $120.45k
...banking easy in an omni channel environment. Leads and influences the agenda of a broad range of eco-system partners. Accountable for risk management and compliance in a complex business environment. Builds a high performing team through the attraction, on-boarding,...RiskFull timeTemporary workPart timeWork experience placementWork at officePNC Financial Services Group
Merchantville, NJ1 day ago- ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the... .... What's in Store We are on the lookout for a Property Adjuster to handle daily (non-catastrophe) property field claims in the...RiskFull timeTemporary workWork at officeRemote workLong distance
Davies
Blue Bell, PA29 days ago - ...corrective action plans, and ensure timely remediation of any identified deficiencies. This position reports directly to the Chief Risk and Compliance Officer. Responsibilities Monitor interactions and activities within the regulated credit rating agency to...RiskFull timeRemote work
Liberty Personnel Services, Inc
Philadelphia, PA1 day ago - ...Job Description Runs complex valuation, business performance, risk, and operational analytics. Develops analytical methods/models... ...expertise to rigorously analyze more complex datasets, to improve risk-adjusted returns, to deliver profitable growth, and to communicate...RiskFull timeTemporary workPart timeWork experience placementWork at officeRemote work
- ...collaboration skills. Preferred Experience: Experience with Medicare Advantage and/or Part D actuarial models. Understanding of risk adjustment and revenue forecasting. Demonstrated ability to work independently and drive projects forward with minimal oversight. Proven...RiskWork at officeRemote workMonday to Friday2 days per week3 days per week
- ...vulnerability scanning, and securing configurations. RESPONSIBILITIES: Assist with the developing, maintaining, and tracking Risk Management Framework (RMF) system security plans which include System Categorization Forms, Platform Information Technology (PIT)...RiskFor contractorsFor subcontractorInterim roleImmediate startWorldwideRelocation package
Client Server Software Solutions
Philadelphia, PA21 days ago $65k - $90k
...information or clarification is needed. Placement: Submit the risk to the marketplace ensuring carriers have all information they... ...working at a varying pace, managing multiple deadlines, and adjusting priorities is required. High degree of self-discipline and motivation...Risk- ...updates on KPIs, schedules, resources, and milestones to IT and business leadership • Adjust project scopes, timelines, and budgets as needed based on business priorities and risks • Coordinate across engineering and development teams to ensure deployment readiness...Risk
CEI
Philadelphia, PA3 days ago - ...ensuring seamless project execution. • Monitor project progress and adjust plans as needed to meet evolving business needs. • Provide... ...project reports to stakeholders, highlighting progress, risks, and mitigation strategies. • Ensure adherence to industry standards...RiskLong term contractContract work
Robert Half
Philadelphia, PA15 days ago $100k - $200k
...challenging jurisdictions in the country. We started as a boutique toxic tort practice and have evolved into a leader in litigation risk management, defending clients in the energy, manufacturing, construction, insurance, technology, and transportation industries. We take...RiskLocal areaRemote workJobot
Philadelphia, PA3 days ago- ...Job Description Job Description Description: GENERAL SUMMARY: Seeking candidates with Risk Management Framework (RMF) Information Systems Security Engineer (ISSE) experience. Primary responsibility is to perform tasks related to Assessment & Authorization (A&A...Risk
EHS TECHNOLOGIES CORPORATION
Philadelphia, PA19 days ago - ...primary point of contact for clients and stakeholders, maintaining clear and consistent communication regarding project status, progress, risks, and challenges. Risk Management: Identify, assess, and mitigate project risks to minimize potential disruptions and ensure...RiskTemporary work
Solvere Technical Group
Philadelphia, PA7 days ago $2,804 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work$2,524 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work- ..., working with others in the Actuarial team; recommend pricing adjustments based on emerging experience. Ensure compliance with state and... ...understanding of healthcare cost drivers, benefit design, and risk adjustment methodologies. Proven experience with ACA, level-funded...RiskWork at officeRemote workMonday to Friday2 days per week3 days per week
- ...program, ensuring compliance with DoD and Navy directives. The role also includes overseeing system accreditation, certification, and Risk Management Framework (RMF) processes, coordinating with Navy leadership, program managers, and IT stakeholders to integrate...RiskContract workFor contractors
Axiom Consultants
Philadelphia, PA22 days ago $56.3k - $93.8k
...Vendor Risk Management Analyst This is a full-time career opportunity that can be remote. The job's primary responsibility is to manage assigned vendor relationships throughout the entire vendor life cycle, including identifying, capturing, challenging, and documenting...RiskFull timeTemporary workWork experience placementRemote workWork visaFlexible hours$185k
...RACI (Responsible‑Accountable‑Consulted‑Informed) chart; keep risk and change logs; manage vendors. Use clear, consistent processes... ...with visitor and accessibility evaluation and documented adjustments. On‑time delivery to the published calendar; budget variance...RiskFull timeTemporary workFor contractorsWork at officeFlexible hoursNight shiftWeekend work- ...Markets Media & Internet Specialties business news risk & compliance market intelligence private markets digital... ...on travel across the territory. Responsibilities also include adjusting sales plans to meet commitments, managing change, and working...RiskRemote jobWork experience placement
