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- **JOB DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources...RiskWork experience placementRemote work
- ...**Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskWork experience placementRemote work
- Benefits: Flexible schedule Position Summary The Inpatient Complex Coder is responsible for reviewing, abstracting, and coding inpatient... ...in coding guidelines and regulations, especially in high-risk specialties. Required Qualifications Certification Required: RHIA...RiskRemote workFlexible hours
- ...The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have...RiskWork experience placementWork at officeRemote work
- ...* + Leads the assessment of the design and effectiveness of the risk and control environment to support Client Operational Services and... ..., Legal, Risk/Compliance, and senior leaders + Ability to adjust and react with optimism and professionalism-solution oriented +...RiskWork at officeWork from homeShift workDay shift
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific... ...years of program and/or project management experience in risk adjustment and/or quality - 4+ years of experience supporting HEDIS engine...RiskWork experience placementWork at officeRemote work
- The Risk & Brand Protection (R&BP) teams are strategic enablers of growth by proactively identifying and managing quality, risk, professional... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskRemote workVisa sponsorship
- ...having an enterprise view of our customer concerns, identifying risks in a timely manner, providing enhanced reporting capabilities at... ...Sigma or reengineering disciplines + Ability to be flexible and adjust plans quickly to meet changing business needs + Experience successfully...RiskTemporary workWork experience placementWork at officeRemote workFlexible hours
- ...strategies with limited guidance. + Possesses subject matter expertise in at least one actuarial function (pricing, reserving, risk adjustment, analytics, modeling, etc.) + Leads an analytical project from beginning to end with limited direct supervision. + Advanced technological...RiskWork experience placementRemote work
- ...resulting in improved records and contracts related outcomes, further risk mitigation and desired people-related outcomes, while... ...engaging presentations that produce and influence results; adept at adjusting communications and approach to various audiences. + Ability to...RiskContract workTemporary workVisa sponsorship
- As a Senior Risk Specialist, Insider Risk Program, you will join a fast-paced, highly visible team charged with protecting the brand... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskWork at office
- ...execution of the control management responsibilities across the CMS risk and control portfolio. The role will work with designated CMS... ...risk mitigation principles. + Ability to prioritize and to adjust plans quickly to meet changing business needs. + Ability to take...RiskWork experience placement
- ...Management Control team. The responsibilities of this role will include risk identification and assessment, control and issue management,... ...Risk Analysis System (CRAS+). + Ability to be flexible and adjust plans quickly to meet changing business needs. + Experience working...RiskWork experience placementWork at officeRemote workRelocationRelocation packageFlexible hours
- ...aligned with the company. Redress refers to payments or other adjustments made by Wells Fargo to care for our customers after a non-systemic... ...with the LOBs across Consumer Lending + Engage in key risk governance routines inclusive of strategic planning sessions, governance...RiskWork experience placementWork at office
- ...identifying, assessing, managing, and mitigating current and emerging risk exposures within Control Management functional area + Provide... ...initiative, meet deadlines, achieve goals, work under pressure, adjust plans quickly to meet changing business needs in a large,...RiskWork experience placementRelocation packageFlexible hours
- ...personalities - Notify management of changes in condition and recommend adjustments in the level of care and service - Assist residents in life... ...is in compliance with OSHA requirements and promotion of Risk Management programs and policies; adherence to safety rules and...RiskDaily paidFull timePart timeWork at officeLocal areaShift work
- ...in knowledge sharing Contribute to the adoption of best practices in OSI implementations. Identify and communicate potential risks, providing mitigation plans to the management team. Tasks Deliver value to OSI customers while managing scope, budget, timeline...RiskTemporary workWork at office
Open Source Integrators
Chandler, AZ7 days ago - ...planning, robust problem-solving, and a proactive approach to risk management. Key Responsibilities: Project Leadership & Strategy... ...integrated into the project plan, anticipating challenges and adjusting timelines as necessary to meet industry standards. Risk...Risk
Aptyx
Tempe, AZ13 days ago - ...chain, and logistics, to ensure projects are completed on time, within budget, and to the highest quality standards. # Compliance and Risk Management: Ensure compliance with all relevant regulations, industry standards, and safety protocols to minimize risk and protect...RiskFor contractors
24 HOUR FLOOD PROS LLC
Chandler, AZ20 days ago - ...Collaborating closely with engineering leaders, product managers, and other stakeholders, you will navigate technical challenges, mitigate risks, and ensure seamless delivery of high-quality solutions. Your expertise in translating technical complexities into actionable...RiskTemporary workWork at officeRelocation packageFlexible hours
Footprint
Gilbert, AZ7 days ago
