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$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...Risk$165k - $225k
...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hours$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- ...to Expect (Job Responsibilities): - Conduct research, analysis, and modeling of complex healthcare claims, pharmacy, lab, and Risk Adjustment submissions data - Develop and present reports on Risk Adjustment intervention performance and make data-driven recommendations...RiskRemote jobImmediate start
$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday- ...outcomes and assign follow-ups to ensure technical alignment and risk mitigation. Issue Resolution: Maintain a live project issue... ...consistent, data-driven updates to executive and technical stakeholders; adjust strategies and timelines as needed based on risk and performance...RiskRemote work
$110k - $135k
...management of client. Proactive development and execution of client risk management strategy. Knowledge of full portfolio of P&C... ...vision abilities required by this job include ability to adjust focus when using computers tablets or other electronic devices....RiskWork experience placement$142k - $181.5k
...provide visibility to cross-functional teams. Programmatic Risk Management: Identify and manage program risks (time, requirements... ..., scalable solutions Experience communicating effectively, adjusting approach across stakeholders and teams to navigate both...Risk$130k - $150k
...Stakeholder Engagement Act as the primary point of contact for federal clients, providing regular updates on project progress, risks, and adjustments. Collaborate with Government officials, contractors, shipyard staff, and Navy personnel to resolve on-site challenges...RiskOdd jobFull timeFor contractorsWork at officeLocal areaRemote workOverseas$176k - $225.5k
...and provide visibility to cross-functional teams. Programmatic Risk Management : Identify and manage program risks (time,... ...scalable solutions ~ Experience communicating effectively, to adjust approach across stakeholders and teams and to navigate both technical...Risk- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workWork experience placement
$150.5k - $225k
...Construction Risk Dispute Resolution Manager At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeContract work- ...Pricing Risk Analyst American Honda Finance Corporation (AHFC) is currently seeking a Pricing Risk Analyst. The Pricing Risk Analyst in the Consumer Financial Services division of AHFC will assist in the company's Pricing and risk management efforts by monitoring,...RiskTemporary workWork experience placementRelocation package
- ...Responsibilities Assist in monitoring and interpreting regulatory requirements (e.g., SOX, HIPAA, CCPA). Support internal audits and risk assessments to identify compliance gaps. Help develop and maintain policies and procedures to ensure regulatory adherence....RiskContract work
- ...budgets, forecasts, and cost controls, participating in EAC reviews, risk workshops, and change management, while analyzing variances and... ...to Complete (ETC) amounts as required for PBA (Project Budget Adjustments), change orders, and other financial adjustments. • Manage...RiskContract workWork at office
$81.63k - $146.7k
...Property Mid Loss Adjuster The Property Mid Loss Adjuster applies broad knowledge of current company policy, applicable regulatory standards... ..., we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are...RiskWork at officeLocal area- ...HR/Risk Assistant To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining... ...-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentWork at officeShift workNight shift
- ...role on the Enterprise Fraud Management team. The role requires Fraud subject matter expertise, accountability for a specific Fraud Risk portfolio (e.g., a product like credit cards, or a channel like digital platforms); understanding the fraud risks and controls in the...RiskWork experience placementWork at officeRemote work
- ...regulations, develop and lead execution of comprehensive project plans, and ensure organizational awareness of compliance status and risks. Additionally, they will collaborate with diverse cross-functional teams, influencing and impacting the organization through...RiskTemporary workWork experience placementWork at officeRelocation package
- ...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to provide strategic leadership on projects while also managing multiple,...RiskFull timeWork experience placementRemote work
- ...collaboration. Develop and implement strategic planning initiatives to align with organizational goals. Communicate project status, risks, and issues to stakeholders and senior management. Resolve conflicts and address any challenges that arise during project...RiskOngoing contractLocal areaRemote workRelocation
- ...corrective actions to maintain project schedule and budget. ~ Risk Management: Identify, assess, and develop mitigation... ...ensuring adherence to budget constraints and making necessary adjustments as needed. ~ Quality Assurance: Implement quality control...Risk
- ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation...RiskFull time
$45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to Friday- ...critical motions, including summary judgment and class certification. Provide strategic counsel to corporate clients on litigation risk, settlement negotiations, and compliance with California employment law. Collaborate closely with the firm's trial partners,...RiskFull time
- ...Job Summary Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best... ...management responsibilities ~ Proven experience in risk adjustment, quality, and provider engagement. ~ Demonstrated ability to...RiskFull time
$22 - $23 per hour
...Description Job Description Description Job Title: Medical Coder Department: Billing - SoCal About the Role: We are... ...years coding experience You're great for the role if: Have risk adjustment experience Additional experience with specific knowledge of...RiskWork at office- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and... ...posted salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time
$130k - $150k
...employer and welcomes everyone to our team. If you need reasonable adjustments at any point in the application or interview process, please... ...effective team communication and collaboration. Perform risk management to minimize project risks. Able to quickly identify...RiskWork at office- ...providing state-of-the-art scientific, technical, and strategic risk management knowledge to an international client base. Your key... ...disabilities. Please reach out to our recruitment team to discuss any adjustments that you might require during the application process....RiskFull timeLocal area