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$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$77.97k - $155.51k
JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets...RiskRemote jobWork experience placement$145k - $170k
...working to tackle some of healthcare’s most complex problems with technology-forward solutions. 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...Risk- 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
$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape.... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the...Risk$105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance Centene Corporation invites a highly skilled Data Scientist III to lead advanced analytics initiatives supporting risk adjustment compliance for our 28 million members. Position Purpose Executes Line 2 oversight of Risk Adjustment...RiskFlexible hours- ...About You As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex Commercial... ...- 1st Party - Commercial • Contractual Indemnification, Risk Transfer, Tenders • Attorney Rep and Litigation Management...RiskFull timeLive outWork at officeLocal areaRemote workFlexible hours
Gallagher Bassett
West Des Moines, IA4 days ago $50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$40k - $250k
...Best Workplaces in Financial Services & Insurance. Specialty Loss Adjuster. Embark on an Exciting Career Journey with Sedgwick Specialty.... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible hours$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$61.74k - $98.79k
...process. Encova Insurance is seeking a Senior Property Claims Field Adjuster (Senior Property Resolution Specialist). This role will be home-... ...using estimating guides and estimating software Assist in risk evaluation on homeowners and commercial businesses including verifying...RiskWork experience placementWork at officeRemote workWork from homeFlexible hoursNight shift- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift work
Magnet Medical
Des Moines, IA25 days ago - Senior Commercial Claims Adjuster - Auto Liability, General Liability, and Property (Iowa) Join our team at Gallagher Bassett as a Senior... ...Property - 1st Party - Commercial Contractual Indemnification, Risk Transfer, Tenders Attorney Rep and Litigation Management Compensation...RiskFull timeWork at officeRemote workFlexible hours
$185k - $300k
...Wholesale Operations Control organization, which is the front line of risk and control management function to support assessing and... ...proactively escalate when necessary. Ability to be flexible and adjust plans quickly to adapt to changing business needs. Hands on...RiskWork experience placementFlexible hours- ...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskFull timeContract workTemporary workWork experience placementH1bWork at officeImmediate startWork visa
$20k
Ambulatory Procedure Visit-Outpatient Coder COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting... ...policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but not limited to: The Federal...RiskContract workFor contractorsLocal area$34.64 per hour
...regulatory framework. Market Improvements on the Horizon: Policy Adjustments and Price Drops Despite a rocky first year, the second year of... ...for how legalization is done right. Stay Informed: Sign Up for Our Exclusive Newsletter! #J-18808-Ljbffr Cannabis Risk ManagerRiskPermanent employment$91.5k - $174.6k
...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskFull timeTemporary workWork experience placementWork at officeImmediate start3 days per week- ...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskFull timeContract workTemporary workWork experience placementH1bWork at officeImmediate start
$105.6k - $195.4k
...actuarial experience. Position Purpose Conduct analysis, pricing and risk assessment to estimate financial outcomes for Individual... ...remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other...RiskRemote jobFull timePart timeWork at officeWork from homeFlexible hours$86k - $154.7k
...documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeRemote workFlexible hours- ...involves significant engagement with auditors and regulators, as well as the opportunity to influence the future of annuity valuation and risk management. The ideal candidate will have an FSA designation, over 10 years of actuarial experience, a collaborative mindset, and a...Risk
$400k
...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 placementRemote work$86k - $154.7k
...quarterly Medicare financial forecasts. Conduct analysis, pricing and risk assessment to estimate financial outcomes. In this Associate... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours$25.5 - $38.25 per hour
...performing compliance reviews and identifying and mitigating potential risks. Location: Work Remotely in Wisconsin, Iowa, North Dakota,... ...Experience with crop insurance including underwriting, adjusting and/or compliance experience Preferred Knowledge Working knowledge...RiskWork at officeRemote workWork from home- Summary : The Independent Risk Management Officer will provide oversight and execution of enterprise risk management activities—ensuring the organization effectively identifies, assesses, mitigates, and monitors risks across all business operations. This role partners...RiskFull time
- ...Workers’ Compensation Supervisor to join our team at Creative Risk Solutions! If you have multi-state jurisdictional expertise and... ...reserves, plan of action, legal, and medical management. Recommend adjustments as needed. Research and respond to questions and complaints...RiskFull time
- ...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Experience: Ten (10... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
$57 - $67 per hour
...comprehensive schedule(s) while monitoring future work to proactively adjust for unforeseen scheduling challenges. Reviews the project/... ...Qualifications 4 Years of Experience for Leadership, Project Management, Risk and Quality Management Preferred Qualifications Bachelor’s or...RiskLive inWork at officeLocal areaFlexible hours- ...onsite + 2 days remote). Responsibilities Consult on complex initiatives with broad impact and large‑scale planning for Independent Risk Management, such as Credit Risk, Independent Testing, or Operational Risk. Review and analyze complex, multifaceted, large‑scale or...RiskFull timeRemote work
