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$132.6k - $179.4k
Join Cambia Health Solutions as an Assistant Director Risk Adjustment Member Engagement & Planning . This role will work a hybrid schedule from Oregon, Washington, Idaho, or Utah. Job Summary: As a member of the Government Programs team, the Assistant Director of Risk Adjustment...Risk$77.97k - $141.37k
Overview 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 to identify risks...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$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$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$86k - $141k
Overview Actuarial Analyst, Commercial Risk Adjustment at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Join Cambia’s Actuarial team to perform technical, analytical, reporting and support functions, collaborating with peers, management...RiskWork at officeWork from home$70k - $95k
...Negotiates claim to a fair resolution. 6. Responsible for conducting risk analysis for home safety standards in a report form. 7.... ...(subrogation, salvage and reinsurance), as well as loss adjustment expenses. Qualifications: Education/Certification: College...RiskFull timeTemporary workWork from homeBear River Mutual Insurance Company
Murray, UTa month ago$29 - $33 per hour
...diversity of professional, educational and life experiences to realize our bold vision for healthcare. Role As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours$19.6 per hour
Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data...RiskRemote jobFull timeWork at officeFlexible hours- ...Employee Discounts Wellness Program TCA - Director of Pricing & Risk Total Care Auto, Powered by Landcar (“TCA”) is a captive provider... ...vision, distance vision, peripheral vision, and the ability to adjust focus. Required to lift up to 10 lbs. Note: The need may arise to...RiskFlexible hoursShift work
$45k - $70k
...Negotiates claim to a fair resolution. Responsible for conducting risk analysis for home safety standards. Prepares cost estimator... ...of recovery (subro, salvage and reinsurance) as well as loss adjustment expenses. Understanding of and compliance with Utah Unfair...RiskTemporary workWork from homeBear River Mutual Insurance Company
Murray, UT24 days ago- ...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
$135k - $230k
...profitability, and efficiency. Lead rigorous business case development, risk assessment, implementation, and validation of all new or... ...upon work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility Requirements...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to Friday- ...retain effective working relationships with Bank staff. Manage Risk: Firmly stand behind and ensure compliance with all Bank... ...ACH policy Maintain up-to-date knowledge of NACHA rules and adjust Bank protocols to ensure compliance. Support internal, external...RiskDaily paidBank staffWork at officeImmediate start
Fortis Bank
Midvale, UT19 days ago - ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...and “What if?” Passionate about cycle time and use CI/CD practices, tools to rapidly deploy changes to customers while minimizing risk using practices like A/B tests, blue-green deployments, and feature toggles Stay on top of Algorithms, Data Structures and Design...RiskHourly payLocal area
Eliassen Group
Salt Lake City, UT13 days ago - ...Direct all aspects of program planning, resource allocation, risk management, and systems integration. Lead, mentor, and develop... ...collaborating with stakeholders, and continuously monitoring and adjusting existing roadmap as needed. Establish a culture of...RiskRemote workShift work
IDAHO ASPHALT
Salt Lake City, UT23 days ago $40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours$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$87.9k - $159.2k
...resolution processes surrounding automated file transfers. Auditing + Risk Management Perform audits on file transfer account and systems... ...to provide high quality customer service. Be willing to adjust priorities to address issues that arise daily. Ensure that customer...RiskFull timeTemporary workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region Primary purpose Primary purpose: To... ...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
$2,000 per month
...member of BambooHR's GRC team responsible for evaluating and supporting compliance initiatives covering information security, policy, risk management, data classification, vendor management, privacy, audit, and awareness. This position assists other members of the GRC...RiskWork at officeShift workBambooHR
Draper, UT21 days ago$46.99k - $122.4k
...more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related... ...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
- ...timelines, deliverables, and expectations. · Identify and mitigate risks, resolve issues, and continuously improve delivery workflows.... ...members to creatively overcome challenges. · Flexibility to adjust to changing project requirements, priorities, client needs, and...RiskWork at office
LEADERSHIP CIRCLE
Draper, UT8 days ago - ...the loan purpose, terms and conditions, sources of repayment, risks, credit strengths and weaknesses. Apply financial principles, theories... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskWork at officeFlexible hours
- ...and ensures seamless handoffs between internal stakeholders. Risk, Issue, and Change Management: Proactively identifies risks... ...of issues, and coordinates resolution activities. Manages scope adjustments through formal Change Request (CR) or Internal Change Request (...RiskRemote jobFull timeWork at office
MetaSource
Draper, UT12 days ago $66.28k
REMOTE: Field Adjuster (Salt Lake City, UT) Pay Competitive Location Salt Lake City/Utah Employment type Full-Time Job Description Req#:... ...salvage/subrogation potential and monitor to conclusion • Complete risk evaluations for both underwriting and claims • Maintain ongoing...RiskRemote jobFull timeFor contractorsWork experience placementCasual workWork at officeNight shift- ...controls within the company's credit function. This role is pivotal in the third line of defense, covering credit and fraud activities and risks, and ensuring the effectiveness of the control environment. Key responsibilities include leading and performing audits of credit...Risk
