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$77.97k - $171.06k
JOB DESCRIPTION Job Summary 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...RiskRemote jobWork experience placement$77.97k - $140k
JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate...RiskRemote jobWork experience placement$90k - $134k
Senior Claims Adjuster We are seeking an experienced Senior Claims Adjuster to handle complex property and casualty insurance claims. In... ...* Collaborate with underwriters regarding large losses and risk improvement recommendations * Identify suspicious claims and refer...RiskFull time- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Detroit, MI12 days ago - ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Midwest Region PRIMARY PURPOSE : To handle losses or claims... ...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
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Midwest Region Responsibilities Handles complex losses locally... ...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
- ...regardless of size, including the ability to address any complex adjustment issue and any medium sized and relatively complex National... ...responsibilities and qualifications.) Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal areaFlexible hours
$60.32k - $79.04k
...Establish initial reserves based on gathered information and adjust as appropriate through completion of assigned claim. Negotiate... ...proper and accurate payments as needed. Identify questionable risks, red flags, fraud indicators and alert the special investigation...RiskWork at officeLocal areaRemote workWork visaMonday to Friday1 day per week- ...environmental needs and activities of daily living, including: the risk for pathological grief, cultural and spiritual implications, and... ...with referrals is utilized to obtain additional referrals. # Adjusts to changes in workload and schedules based on changing team...RiskLocal areaImmediate start
Hospice of Michigan
Southfield, MI22 days ago - ...Datawarehouse & Business Intelligence • Infrastructure & Network Services • Risk Management & Compliance • Business Continuity & Disaster... ...technical and architecture plan to achieve the stated goal and adjust the plans according to progress and interdependencies Experience...RiskPermanent employmentContract workFor contractorsImmediate start
- ...prevention by "the world's most wanted hacker" simulated phishing security awareness training cybersecurity governance risk & compliance world's largest security awareness training library free it security tools inoculating employees against...Risk
- ...Datawarehouse & Business Intelligence • Infrastructure & Network Services • Risk Management & Compliance • Business Continuity & Disaster... ...technical and architecture plan to achieve the stated goal and adjust the plans according to progress and interdependencies Experience...RiskPermanent employmentContract workFor contractorsImmediate start
$15 per hour
...experience running a store. You’ll develop your leadership skills in real-time by driving account management, customer outreach, and risk management. It’s fast-paced, people-first, and packed with growth potential. If you’re ready to build your confidence, learn the...RiskHourly payFull timeTemporary workCasual workWork at officeLocal areaCommunity Choice Financial Family of Brands
Harper Woods, MI22 days ago- ...038790 Job Description: Implement/Support SAP GRC (Governance Risk & Compliance) Access Controls 12.x including ARA, ARM, EAM and... ...notifications. Build ruleset, creating custom functions and risks and adjusting the existing rulesets according to the business needs. Plan...Risk
- ...Chief Risk Officer About the Company Diverse technology-focused company providing education-related services Industry Information Technology & Services Type Public Company Founded 1996 Employees 5001-10,000 Specialties student loan products...Risk
- ...Managing Director, Construction XS Risk About the Company Leading provider of casualty & property insurance services Industry Financial Services Type Public Company Founded 1810 Employees 10,001+ Categories Financial Services Carriers...RiskWork experience placement
- ...Chief Risk Officer (CRO) About the Company Mission-driven investment firm with a focus on economic expansion of communities Industry Investment Management Type Privately Held Founded 2017 Employees 51-200 Specialties lending advisory...Risk
- ...Director of Cybersecurity and Privacy Risk Advisor About the Company Prestigious international law firm Industry Law Practice Type Privately Held About the Role The Company is in search of a Director, Cybersecurity and Privacy Risk Advisor to spearhead...RiskWork experience placement
- ...~ E-Commerce About the Role The Company is seeking a VP of IT Compliance to lead its global cybersecurity compliance and risk management strategy. This key leadership role involves overseeing the design, implementation, and evolution of a comprehensive compliance...Risk
$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
Detroit, MI13 hours ago$60k - $80k
...Respond to client inquiries and resolve any issues promptly and professionally. Collaborate with underwriters and adjusters to manage claims and risk management issues. Stay updated on industry trends, regulations, and products to provide the best advice and service...RiskRemote jobLive inWork at officeLocal area- ...necessary documentation is obtained and provided to the claim adjusters. Determines the need to report claims and maintains regular communication... ...such as medical bills and treatment plans. Provides input on risk assessments, development of strategies, action plans, and...RiskFull timeWork experience placementImmediate startFlexible hours
- ...data in a clear format for presentations and reviews. Identify risks and create risk mitigation plans to ensure timely completion of... ...potential cross‑product or platform impacts, proposing strategic adjustments. Stakeholder Communication: Serve as the primary liaison for...RiskTemporary work
- ...clear guidance, direction, advice, and metrics while managing risk and controversy. You will leverage your previous corporate income... ..., state, and federal income tax returns. Prepare book-to-tax adjustments. Prepare and review tax package information questionnaires...RiskLocal areaFlexible hours
- ...collaboration and communication. Monitor project progress and adjust plans as needed. Ensure the project stays on schedule and within... ...of contact for stakeholders, keeping them informed on progress, risks, and issues. Facilitate communication between different teams and...Risk
- ...Chief Risk Officer About the Company Prominent community development financial institution Industry Management Consulting Type Non Profit Founded 1982 Employees 201-500 Categories Consulting & Professional Services Marketplace B2B...Risk
- ...in the areas of automated material handling systems, warehouse automation, and 3PL. The Director will also be tasked with conducting risk management activities, coordinating internal and external resources, and maintaining strong relationships with both vendors and...Risk
- ...motivation, and be willing to work in a fast-paced, dynamic environment. Strategic thinking, financial modeling, project management, and risk management skills are also necessary for this position. Travel Percent Less than 10% Functions ~ Business Development...RiskWork at office
- ...monitoring, and financial stewardship. This role involves establishing and maintaining operational procedures, reporting structures, and risk management strategies, as well as fostering a culture of continuous improvement and innovation. The VP will also serve as a key...Risk
- ...Known Requirements Bachelor's degree in medicine required Extensive prior professional experience in pharmacovigilance, safety risk management in psychiatry drug development required Exceptional leader with proven success leading and developing teams, and...Risk
