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$73.92k - $110.87k
Overview Risk Adjustment Coder Specialist role at SECUR Health Plan. This role is hybrid remote/office and is responsible for validating clinical documentation, supporting provider education, engaging in provider relations, and ensuring compliant coding practices to reflect...RiskFull timeWork at officeRemote work- ...building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical...RiskWork at officeFlexible hoursWeekend work
$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at...Risk$105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance page is loaded## Data Scientist III - Risk Adjustment Compliancelocations: Remote-MO: Remote-FL: Remote-NCtime type: Full timeposted on: Posted Todayjob requisition id: 1603544You could be the one who changes everything for...RiskFull timePart timeWork at officeRemote workFlexible hours- Position Purpose Executes Line 2 oversight of Risk Adjustment including monitoring, auditing, and Line 1 oversight. Identifies and evaluates risk levels and effectively communicates findings to stakeholders, ensuring the highest quality of risk adjustment data. Develop...RiskFull timePart timeWork at officeRemote workFlexible hours
- Risk Adjustment Coding Auditor AdventHealth PHSO Resources All the benefits and perks you need for you and your family Benefits from Day One... ...The Corporate QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as supporting...RiskFull timeLocal areaRemote workMonday to FridayShift work
- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by... ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
- ...within allowed scope for hospital outpatient coder. For hospital encounters, routes to... ...preventing completion of coding and/or billing. Adjusts and adapts to continual changes in the... ...Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, Certified...RiskRemote jobWork experience placementInternshipWork at officeLocal areaShift work
$20 - $30 per hour
...Risk Associate Our Enterprise Risk Management department is responsible for minimizing loss while respecting people, brand and operations. With a special focus on merchandise security, our Risk Associate supports the Store team in delivering an outstanding customer...RiskSeasonal workWork at office$61.42k - $76.78k
Overview DEPARTMENT: HUMAN RESOURCES POSITION TITLE: RISK MANAGEMENT & HUMAN RESOURCES ANALYST (Exempt) PAY GRADE: Grade M34 PAY RANGE... ...; coordinate with medical representatives and claims adjusters; analyze trends and recommend corrective actions; coordinate with...RiskWork at office$26 - $27 per hour
...experience; Print and ticket merchandise, returns, and price adjustments; Process repairs and damages on a timely basis according... ...by the sense of urgency, promotes change and takes smart risks in pursuit of goals Connect Connection Builder...RiskHourly payFull timeKering
Central Valley, NY4 days ago$42.5k - $52.5k
P & C Liability Adjuster Department: Claims Administration & Adjusting Location: Lakewood Ranch, FL Compensation: $42,500 - $52,500 / year... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork experience placementWork at officeImmediate start- ...analytical, and technical duties in support of the Human Resources/Risk Management Department’s functions to include processing... ...Consults with medical representatives and coordinates with claims adjusters to resolve liability and property damage claims, including on-the...RiskWork at office
$75k - $85k
Workers Compensation Legal Claim Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskPermanent employmentFull timeTemporary workWork at office- ...responsible for the Village's insurance claims process and conducts Risk Management operations. Performs technical and administrative... ...approaches to address losses and exposures. Monitors the adjustment of liability, subrogation, and property loss issues, and develops...RiskWork at office
- ...delivering accessible and affordable care to low income and high-risk residents, this FQHC invites the best healthcare professionals... ...psychologists ~ Regularly follow up with patients to check progress and adjust treatment plans ~ Thoroughly document diagnosis, symptoms,...RiskFull timeRelocation packageFlexible hours
Summit Recruiting Group
Spring Valley, NY18 days ago $100.5k - $215.3k
...Internal Audit Manager Our team is growing, and we are seeking someone with internal audit expertise and risk acumen. Are you interested in driving improvements in risk management, controls, and governance processes? As a leader in our Assurance and Risk Advisory (...RiskWork at officeWork from home1 day per weekStryker
Mahwah, NJ1 day ago$120k - $200k
...fiscal responsibility with the pursuit of growth and clinical quality. Ensure operational excellence through process optimization, risk management, and proactive compliance oversight, particularly with payer requirements and ABA standards. Establish operational...RiskWork at officeWealthy Group of Companies LLC
Monsey, NY3 days ago$19 - $23.75 per hour
...units. Report Operational Concerns: Escalate operational concerns, such as equipment malfunctions, stock shortages, or food safety risks, to management as necessary. Execute proper product rotation: Apply FIFO (First In, First Out) rotation procedures to reduce...RiskFull timeSeasonal work- ...processes Apply rigorous attention to detail to minimize errors and risk Build and refine applications, data pipelines, and reporting... ...company founded in 2009, our mission is to deliver superior risk-adjusted returns for qualified investors, using advanced proprietary...RiskWork at officeNight shift
- ...and boundaries with service recipients. Attends safety and abuse risk management training as assigned. Provides employees with on-... ...families, agencies, courts, and interested parties to discuss youth adjustment and growth in the programs. Directs personnel functions...RiskCasual workWork at officeShift work
- ...financial markets. We are a 16+ year old quantitative systematic hedge fund that uses proprietary and open-source tools to deliver high risk-adjusted and uncorrelated returns to our investors. We are seeking enthusiastic, mathematically gifted, intellectually curious, highly...RiskWork at office
- ...Purpose:** Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes.**In this Sr. Actuarial Analyst... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
- ...and/or deliver a contingency plan for significant aspects of the risk management and/or risk control processes. Develop and/or... ...situation and/or environment and making the appropriate/innovative adjustments to thinking and work habits to thrive in any scenario. Typically...RiskWork experience placementWork at officeLocal areaShift work
$135k - $230k
...profitability, and efficiency. Lead rigorous business case development, risk assessment, implementation, and validation of all new or... ...upon work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility Requirements...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to Friday- ...internal and external progress meetings, tracking deliverables and risks. Cost Estimation and Budget Management Develop, oversee, and... .... Monitor long-lead procurement items and potential delays, adjusting plans as needed. Executive and Stakeholder Engagement Serve...RiskFull timeContract workFor contractorsFor subcontractor
- ...sports. This role will own the market making, positioning, and risk management for the core sports product while being a strategic... ...customer maximization Manage exposure and risk limits in real time, adjusting strategy in response to betting patterns and volatility Develop...RiskWork at officeFlexible hours
$50k
...Workers' Compensation Claims Supervisor oversees a team of claims adjusters responsible for managing workers' compensation claims. This... .... Collaborate with internal departments (Legal, Compliance, Risk Management). Generate reports for management including performance...RiskFull timeWork experience placementWork at officeFlexible hoursWeekend work- ...and proactively identify and address performance or reliability risks across the platform; understand and implement service level... ...company founded in 2009, our mission is to deliver superior risk-adjusted returns for qualified investors, using advanced proprietary modeling...RiskFull timeWork at office
$105.6k - $195.4k
...Cryptographic Governance Program within Enterprise Privacy and Security Risk Management (EPSRM). Provides subject matter expertise to IT and... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeSummer workWork at officeRemote workFlexible hours
