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- ...Under the direction of the Associate Director of Revenue Integrity, the Risk Adjustment Program Manager is responsible for overseeing all aspects of the UI Health Care Risk Adjustment Program and supervision of the Risk Coding team. This position plays a pivotal role...RiskFull timeRemote work
$77.97k - $171.06k
Overview Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks...RiskRemote jobWork experience placement- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Midwest Region PRIMARY PURPOSE : To investigate claims... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
$21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placement- ...patient and procedure. Continuously monitor vital signs and adjust anesthesia levels as necessary to maintain patient safety and stability... ...management of documents. Malpractice coverage and risk management support. Aya may provide other benefits where required...RiskTemporary workLocumLocal areaImmediate startFlexible hoursShift work
- ...requirements, agreements with trade partners, purchase orders, and risk management. This individual also manages general work... ...close vision, distance vision, depth perception and the ability to adjust focus. The employee will spend their time in an office environment...RiskContract workFor subcontractorWork at officeImmediate start
$77.97k - $141.37k
...projects ~ Experience managing projects, communicating statuses and risks, and facilitating calls with cross-functional teams ~ Claims... ..., CERTIFICATION, ASSOCIATION : ~ Certified Professional Coder (CPC) To all current Molina employees: If you are interested...RiskWork experience placement- ...optimize inventory levels, and ensure timely returns processing and merchandising. Safety & Compliance - Enforce PPE use, promote risk management practices, and uphold company safety standards. Commercial Account Support - Assist in managing commercial and hub...RiskHourly payFull timeTemporary workPart timeLocal areaFlexible hoursNight shiftDay shift
- ...staffing needs. Collaborates with the leadership team to facilitate adjustments that meet the department needs. Commits to the hours needed... ...of any concerns that have the potential to escalate or lead to Risk Management concerns. Builds trusting, collaborative...RiskDaily paidTemporary workShift work
$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement$77.97k - $141.37k
...rate validations are completed in conjunction with reporting. Works with other Health Plan and/or Corporate departments (e.g., Risk Adjustment) to ensure prospective and/or retrospective chart reviews and completed timely and accurately. Effectively oversees internal...RiskWork experience placementWork at officeLocal areaRemote work$161.91k - $315.73k
...practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. Experience in Utilization/Quality Program management HMO/Managed...RiskWork experience placementWork at officeLocal area- ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...vision, peripheral vision, depth perception, and the ability to adjust focus. Work Environment: The work environment characteristics... ...in high, precarious places, in fumes or airborne particles, risk of electrical shock, work in explosive atmosphere. Position will...RiskImmediate start
- ...pricing, determining adherence to loan policy, and recommending risk ratings to existing relationships. Works collaboratively with... ...of each loan in the assigned portfolio, per policy. Recommend adjustment to risk grades as circumstances change or new information becomes...RiskFull timeBank staffWork at officeMonday to Friday
$21.16 - $21.66 per hour
...with preparation of compliance reports, presentations, and documentation for internal and external stakeholders. Supports audits, risk assessments, and investigations as needed. Participates in compliance training sessions and assist in developing training...RiskRemote jobHourly payFull timePart timeWork experience placementInternshipWork at office- ...and technical groups Excellent Team management skills Ability to learn new business and technical concepts Strong team leadership and risk management ability Excellent verbal and written communication skills Technical Skills Knowledge of software development lifecycle...RiskH1b
- ...accounting/finance projects. You will have the opportunity to use your experience and critical thinking skills to identify business risk and test controls in a risk‑based audit approach. You will present findings and recommendations from your work to business partners...RiskRelocationVisa sponsorshipRelocation package
$24 per hour
...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskHourly payWork at officeLocal areaMonday to FridayShift workDay shift$75.82k - $89.2k
...Job Title Responsible for the administration, risk management and servicing of assigned fiduciary and investment management accounts. May include Relationship Management responsibilities as well as product specialty knowledge and expertise (such as IRAs, Charitable...RiskTemporary workWork experience placement- ...places; fumes or airborne particles; toxic or caustic chemicals and risk of electrical shock. The noise level in the work environment is... ...weighing 50-60 lbs. are horizontally lifted from pallet to adjustable height carts from heights of 6-28 inches. • Carry: Frequent....RiskHourly payShift workAfternoon shift
- ...new relationships. Independently initiate and lead Relationship Reviews for key customers. Provide knowledge and guidance with risks associated with Treasury Management products and services both to the bank and to the customer. Analyze financial information and...RiskFull timeWork at officeMonday to FridayWeekend workAfternoon shift
- ...with internal controls, accounting standards, and regulatory requirements. Partner with operations, project managers, and finance teams to provide insights and recommendations. Identify trends, risks, and opportunities related to capital investments and funding....RiskCurrently hiringWorldwide
- ...shipment-related paperwork Watch for and recognize security risks and thefts, and know how to prevent or handle these situations... ...color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment While performing the...RiskFull timeLocal areaFlexible hoursDay shiftAfternoon shift
- ...sure this experience is outlined in your profile prior to submission. Required Skills/Experience: ~2 year’s experience in high risk L&D. ~ Experience circulating in OB OR. Shift & Scheduling: 50% weekend. 7 days maximum time off 2 references from any number...RiskContract workLocal areaShift workNight shiftWeekend work
- ...Own project scope, cost, schedule, and resourcing along with associated documentation following standardized work processes, driving risk management / quick issue resolution, and leading project optimization. Scope management, cost containment, and meeting deadlines...RiskWorldwide
- ...peripheral vascular disease. Evaluate and stratify cardiovascular risk using evidence-based tools and guidelines. Clinical... ...and lipid-lowering agents. Monitor therapeutic response and adjust treatment plans based on clinical findings and diagnostic results...RiskFull time
- Full/Part Time Status:Full Time Position Description: The PositionThe Vaughan Institute of Risk Management & Insurance within the Tippie College of Business at the University of Iowa invites applications for one non-tenure Instructional Track Faculty Position at the...RiskFull timeContract workPart timeH1bLocal areaImmediate startFlexible hours
$107.03k - $208.71k
...opportunities and areas of medical utilization concerns. Provide support to financial closing process regarding estimated settlements and risk corridor calculations. Pricing and tracking of capitation arrangements. Stay abreast of professional developments and industry...RiskWork experience placementRemote work




