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$85k - $200k
.../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide... ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work...RiskFull timeWork at officeAnkura
Washington DC2 days ago$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Washington DC3 days ago- ...support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily responsible for driving strategic data-informed...RiskWork experience placementLocal areaRemote work
Kaiser Permanente
Fulton, MD2 days ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$145k - $170k
Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization...Risk- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$235k - $365k
...government antitrust investigations and merger enforcement actions, including Second Requests. Counsel clients on transactional antitrust risk, strategy, and compliance. Appear before enforcement authorities such as the U.S. Department of Justice, the Federal Trade...RiskDirect Counsel
Washington DC29 days ago$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours- ...Job Description Job Description We are looking for an experienced Risk Manager to join our team in Bowie, Maryland. In this role, you will play a key part in developing and implementing an Enterprise Risk Management (ERM) program while overseeing various risk management...RiskLong term contract
Robert Half
Bowie, MD17 days ago $81.65k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Washington DC8 days ago- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate... ...candidate 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
Annapolis, MD15 hours ago $167.4k - $314.5k
...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role... ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication...RiskFull timeFor subcontractorFlexible hoursParsons Oman
Washington DC2 days ago- ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,... .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination....RiskContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Washington DC1 day ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets). *...RiskContract workFor contractors
- ...Agility: We welcome change; it's the only constant. We embrace, adjust, adapt. Passion for Positivity: We greet each day with warmth... ...wellbeing resources and benefits offerings. Compliance & Risk Management: Stay up-to-date with industry best practices, regulatory...RiskCasual workWork at officeLocal area
CAVA
Washington DC12 hours ago - ...facilities and offices. Reporting to the Vice President, Enterprise Risk Management and Government Affairs, this individual will be a... ...team, ensuring organization awareness of key issues and adjusting advocacy strategy as necessary.* Develop and implement robust processes...RiskFull timeSummer workLocal areaRemote workFlexible hours3 days per week
The Clorox Company
Washington DC2 days ago $160k - $190k
...executives on governance-related topics, including fiduciary duties, risk management, and emerging governance trends. Facilitate... ...internal equity and alignment with market data. The salary may also be adjusted based on geographic location. This position is eligible to...RiskFull timeTemporary workPart timeLocal areaRemote workAon
Washington DC2 days ago$104k - $140k
...expenditures align with budgetary objectives and make necessary adjustments for any discrepancies. Documentation and Reporting: Take... ...material orders based on project timelines and unforeseen changes. Risk and Issue Management: Identify, assess, and monitor project...RiskContract workTemporary workFor contractorsFor subcontractorWork at officeLocal area$27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work$107k - $139k
...Finance division. Your work will help strengthen and improve the risk and control environment of the Finance division. Specifically,... ...Mae's Finance division. Use a risk-based approach to develop and adjust audit plans as appropriate and determine areas requiring additional...RiskWork at officeRemote workFannie Mae
Washington DC4 days ago$20 - $23 per hour
...SUMMARY: The primary purpose of this position is to assist and/or support the Model Risk Management (MRM) department with managing the Bank's Model Risk Management Program which generally includes model risk management oversight; maintaining adequate policies, procedures...RiskHourly payTemporary workWork experience placementFlexible hoursWesBanco Bank, Inc.
Bowie, MD4 days ago$120.26k - $180.98k
...requirements gathering, schedules, budgets, resource coordination, risk management, and performance benchmarks in accordance with DoD/IC... ...organizational needs. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the...RiskFor subcontractorWork at officeLocal areaImmediate startFlexible hoursGroundswell
Washington DC4 days ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, and Acquisition Strategies... ...the allocation and tracking of resources; recommend funding adjustments as appropriate. Assist program managers in developing program...RiskContract work
Synergy ECP
Columbia, MD12 hours ago $175.36k - $289.34k
...management, team leadership, cross-functional coordination, and risk and budget control skills. The scope includes infrastructure growth... .... Please note that Level, Title and/or Salary may be adjusted based on the applicant\'s experience or skills. Our DEI Commitment...RiskFull timeContract workFor subcontractorWork at officeRemote workCovanta
Washington DC2 days ago
