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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- Overview Description Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!! Full-Time Opportunity, M-F 8am - 5pm type... ...record reviews in tandem with a certified professional coder at provider locations or at company\'s offices. Facilitates query...RiskFull timeWork at office
$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$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours- 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$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$71.8k - $120.2k
...Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations,...RiskContract workWork at office$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$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$40k - $250k
...We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations.... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...National Bank of America is seeking a collaborative and analytical Risk Manager to join the Risk Management Team. The role will require... ...Pet Insurance Paid Time Off (PTO) 401k with employer match Adjustable desks that can be raised or lowered to sit or stand First National...RiskImmediate start
$22.02 - $30.24 per hour
Zurich is looking for an RCIS Crop Claims Field Adjuster I to work out of Michigan state. This incumbent will work from a home-based office... ...one of the nation’s largest crop insurance providers, offering risk management protection in all 50 states through a national...RiskHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeVisa sponsorship- ...a formal project manager role - 7+ years - Experience establishing and maintaining project budgets, schedules, change requests, risk and issue logs - 7+ years - Experience using a project portfolio management systems and tools (eg.) Clarity - 5+ years - Advanced...RiskWork at officeLocal areaRemote work2 days per week
$74k - $118k
Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior Compliance Analyst assists... ...vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaImmediate startVisa sponsorshipWork visa- First National Bank of America is adding an Information Technology Risk Associate to the Risk Team. This role serves as the first line... ...Pet Insurance Paid Time Off (PTO) 401k with employer match Adjustable desks that can be raised or lowered to sit or stand Note: These...RiskFull timeWork at office
$60k - $87k
Join to apply for the Risk Analyst role at Aon 17 hours ago Be among the first 25 applicants Join to apply for the Risk Analyst role... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskPermanent employmentFull timeTemporary workPart timeLocal areaWork from home1 day per week- ...weekly. Key Responsibilities Manage all aspects of project delivery, including scope, schedule, cost, quality, resources, and risk management. Utilize project portfolio management tools (e.g., Clarity) and MS Project to plan, monitor, and track project...RiskContract workWork at office2 days per week
- ...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...RiskContract workWork experience placement
$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 individual factors. Total compensation may also include...RiskRemote jobWork at officeLocal areaWork from homeFlexible hours$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- ...large IT projects (6+ months, 20+ team members). Track and report project progress on scope, schedule, and budget. Assist in risk management, scheduling, and budget tracking. Support compliance with State of Michigan project management standards (SUITE, investment...Risk
Global Information Technology
Lansing, MI11 days ago - ...to the highest standards. Undertake project reviews to support risk and opportunity management as appropriate. Routinely review task... ...when you need it most. We also provide reasonable workplace adjustments for those in need. Additionally, you can benefit from the Gymflex...RiskPart timeWork at officeLocal areaWork from homeFlexible hours2 days per week
- ...ensure alignment with defined cost, scope, timeline, quality, and risk objectives. Drive collaboration among business and... .... Lead change management processes to ensure all project adjustments are approved and documented. Create and monitor Corrective...RiskLong term contractFull timeRemote work
$102.8k - $171.3k
About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government vertical, our... ...have a disability or other need that requires accommodation or adjustment, please let us know. We are an equal opportunity employer:...RiskRemote jobLocal area- ...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
- ...Regular Schedule: 40 Job ID: R99965 About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk.... ...have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support...RiskRemote jobContract workWork from home
$100k - $136k
...negotiation strategy and negotiates settlements within authority level. Adjust reserves within level of authority and make reserve... ...mediations, and arbitrations as necessary. Identify significant insured Risk Management or Underwriting issues and direct the information to...RiskContract work- Overview P&C Actuarial Director opening in Michigan (PR12906). Responsibilities Lead pricing, data analytics, modeling, and risk mitigation for Personal & Commercial lines. Manage staff of 5+ actuaries and data scientists. Qualifications FCAS with 7+ years of P&C actuarial...Risk
- ..., VP-CMIO & CTO, senior leadership, clinical department chairs, risk management, nursing, pharmacy, and administrative leadership to... ...members and Department Leaders to develop, implement, evaluate and adjust plans to achieve QP-prioritized quality goals. Engages front-...RiskFull timeWork experience placementShift work
