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- Job Overview Senior Risk Adjustment Analyst - PacificSource Health Plans This role is responsible for accurate and comprehensive data submission to regulatory entities such as CMS for all risk adjustable populations. The Analyst will collaborate with internal and external...RiskWork at officeNight shift
$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- Senior Risk Adjustment Analyst page is loaded## Senior Risk Adjustment Analystlocations: Bend, ORtime type: Full timeposted on: Posted 2 Days Agojob requisition id: 2025-1265*Join PacificSource and help our members access quality, affordable care!***PacificSource is an...RiskWork experience placement
$91.8k - $123.1k
Overview Actuarial Analyst, Commercial Risk Adjustment role at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Who We Are Looking For Every day, Cambia’s dedicated team of Actuaries is living our mission to make health care easier and...RiskWork at office- ...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
Sedgwick
Madison, WI13 hours ago $98.5k - $215k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeContract workTemporary workApprenticeshipLive inWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Madison, WI4 days ago$20.8 per hour
Join to apply for the Coder role at Gundersen Health System Love + medicine is who we are, it's what we do, it's why people want to work... ...and fully reflects the patient's Severity of Illness and Risk of Mortality. The specialist applies knowledge of the ICD-10-CM...RiskFull timeApprenticeshipWork at officeRemote workDay shift$66k - $106k
...live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Enterprise Risk Management Analyst - Remote Job Description The Enterprise Risk Management Analyst is responsible for assisting in analyzing risks...RiskWork experience placementLocal areaImmediate startRemote workVisa sponsorshipWork visaPrime Therapeutics
Madison, WI3 days ago$27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$122.9k - $266.3k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipFlexible hours3 days per weekZurich NA
Madison, WI13 hours ago$97k - $164k
...This position supports enterprise-wide digital risk and compliance initiatives by executing risk and control assessments, contributing to policy governance and regulatory consultations, and supporting risk management and audit readiness. The role collaborates across teams...RiskFull timeWork at officeLocal areaRelocation packageAmerican Family Insurance
Madison, WI3 days ago- ...negotiates Potential Change Items (PCIs). Actively participates in risk management on projects by identifying and addressing potential... ...and team members align. Monitors project success and adjusts as challenges and milestones occur, notifying the project team....RiskFull timeFor subcontractorWork at office
$250k - $300k
...Impact Lead cost and product development initiatives in collaboration with cross-functional teams to meet margin goals Oversee a risk-adjusted portfolio of COGS reduction projects across operations, R&D, supply chain, and product development Project and Team Leadership...RiskPermanent employmentWorldwide$116.5k - $207.76k
...The Director of Enterprise Risk Management (ERM) is responsible for the development and implementation of a comprehensive risk management framework and strategy across the organization. This role involves identifying, assessing, and mitigating risks to ensure the organization...RiskTemporary workWork experience placementLocal areaImmediate startFlexible hoursCardinal Health
Madison, WI13 hours ago$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 placementMolina Healthcare
Madison, WI2 days ago- ...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation... ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges...RiskFull timeContract workWork experience placement
$120k - $155k
...schedules. * Monitor progress against schedule milestones and adjust plans as needed to ensure timely completion. * Quality Assurance... ...stakeholders, providing regular updates on project progress. * Risk Management: * Identify potential risks and develop mitigation plans...RiskFull timeFor contractorsFor subcontractorWork at office$86k - $154.7k
...in our Medicare bids submissions. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific... ..., 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$120 - $150 per hour
...opportunity review of the tax provision process to improve efficiency and accuracy and enhance the control environment and assessing tax risk and control environments inclusive of and beyond the boundaries of Sarbanes-Oxley Section 404. Skills And Attributes For Success...RiskWork experience placementSeasonal workRemote workFlexible hoursEY
Madison, WI13 hours ago$180k - $215k
...debt. If you're as passionate as we are about our mission, read more below, and let's build something great together! The Senior Risk Analytics Manager will report to the Head of Credit Risk. As the Senior Risk Analytics Manager, you will: Ensure credit policies...RiskWork from homeHome officeFlexible hoursNavient
Madison, WI3 days ago$97k - $164k
...the business to generate consistent and sound prices. Builds forecasts and models for incurred losses and loss adjustment expense (LAE), CAT and investment risks, and reinsurance for the annual profit & growth plan. Serves as subject matter expert and consultant to...RiskFull timeWork at officeLocal areaRelocation package- ...C&B is seeking a dedicated and strategic Account Executive to act as an outsourced risk manager for our valued clients and prospects. This role is pivotal in managing and servicing existing accounts, as well as nurturing future accounts. The successful candidate will...Risk
Cottingham & Butler
Madison, WI10 hours ago $25.5 - $38.25 per hour
...performing compliance reviews and identifying and mitigating potential risks. Overview Location: Work Remotely in Wisconsin, Iowa, North... ...: Experience with crop insurance including underwriting, adjusting and/or compliance Preferred Knowledge : Federal Crop Insurance...RiskHourly payFull timeWork at officeRemote workWork from home- ...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 other...Risk16 hoursFull timePart timeWork at officeRemote workWork from homeFlexible hours
- ...Select how often (in days) to receive an alert: This role is key to providing guidance on system assurance, Quality Management, risk management and assurance strategies that impact the organization, including but not limited to quality enhancements, compliance frameworks...RiskPermanent employmentContract workTemporary workFor contractorsFor subcontractorWork at office
Keolis
Oregon, WI4 days ago - ...all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt. Oversee reporting... ...claims are being managed aggressively. Collaborate with the adjusters on insured claims during investigation, reserving and...Risk
- ...Quality Management System (QMS), audits, vendor oversight, data integrity, and regulatory inspection readiness. ~ Drive adoption of risk-based quality management to improve efficiency and compliance. ~ Serve as Cytel's senior representative in regulatory inspections...RiskFlexible hours
Cytel
Madison, WI2 days ago $55k - $70k
...business. This hybrid role based in Madison, WI involves evaluating risk, making underwriting decisions, and collaborating with agents... ...determine appropriate action. • Analyze risk alerts from claim adjusters and decide on renewal impacts. • Respond promptly to emails,...RiskRural Mutual Insurance
Madison, WI12 hours ago$243.87k - $286.9k
...consumer growth strategies, including referral programs, social growth loops, and network effects Proactively addressing fraud, risk, and compliance considerations while preserving an excellent user experience What we look for in you ~8+ years of Product Management...RiskFull timeLocal areaCoinbase
Madison, WI2 days ago$115k - $147k
...bipolar), chronic stress, impulse-control issues, grief/loss, adjustment-related disorders as well as behavioral, social, and emotional... ...appointed offices, an EMR system, peer consultation groups, robust risk management support, APA-approved continuing education in house....RiskWork at officeHome officeRelocation packageLifeStance Health
Middleton, WI2 days ago
