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$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...RiskFull timeWork at officeRemote workFlexible hours$77.97k - $141.37k
Overview JOB DESCRIPTION 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$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 office- Overview GENERAL DESCRIPTION The State Office of Risk Management (SORM) is currently seeking an experienced Claims Adjuster or Insurance Adjuster who specializes in adjusting Workers’ Compensation claims. The ideal candidate will have high-level knowledge and experience...RiskFull timeWork at officeRelocationNight shift
$70k - $84k
...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...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$29 - $33 per hour
...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- ...recommendations. You will evaluate the impact of identified site risks and constraints on development costs and schedules. The... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...Risk
$98.3k - $161k
...Senior Risk Engineering Consultant Casualty Energy 126612 Zurich's Risk Engineering Energy Casualty Team seeks a Senior Risk Engineering... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorship$107.4k
...talented people who want to help. You’ll join a diverse team of Risk Intelligence analysts, security engineers, and technical... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...Risk$65k - $101k
Overview Auto Bodily Injury & Litigation Claims Adjuster Location: Austin-based hybrid role requiring work at North Austin headquarters up... ...attorneys in alignment with Texas liability standards for TASB Risk Management Fund members. Responsibilities Provide high-quality customer...RiskFull timeWork at officeNight shift3 days per week$25 - $35 per hour
...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate 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- ...General Liability Claims Adjuster By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
- ...automates revenue collection. We're hiring a Staff Claims Adjuster. In this position, you will play a vital role in our small-but... ...analyzing claims data and make informed decisions swiftly, balancing risks and available resources Ability to document and ensure...RiskRemote jobWork at officeShift work
- ...Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area- ...Claims Adjuster Senior - Litigation - Austin, TX Our organization works with partner companies to source qualified talent for their open... ...resolve injury claims. Investigating complex and high-risk claims which may be attorney represented or have additional litigation...RiskTemporary workWork experience placementWork at officeMonday to FridayFlexible hours
- ...school districts across Texas. These roles include work in TASB’s Risk Management Services division, which provides administrative... ...reading! About You As the Auto Bodily Injury & Litigation Claims Adjuster , you bring deep experience investigating, evaluating, and resolving...RiskWork at officeNight shift3 days per week
$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- ...of the Role Focus on patient and family needs. Develop and adjust nursing care plans for desired outcomes. You will create a... ...You should be familiar with concepts such as health promotion, risk reduction, illness and disease prevention, and management. It...RiskWork experience placementReliefImmediate startShift workNight shift
$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. + Technology... ...change management (training, SOPs, job aids, communications). + Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement- ...Workplaces in Financial Services & Insurance Management and Executive Risk Claims Manager **PRIMARY PURPOSE** **:** To manage the... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
$50.1k
...customer centric pharmacy option. The Payer Biz Dev team is seeking a Risk Manager I to develop and execute foundational submission,... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskWork at office$77.97k - $155.51k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions... ...years of program and/or project management experience in risk adjustment and/or quality - 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$85k - $120k
...Best Workplaces in Financial Services & Insurance Complex Casualty Adjuster **PRIMARY PURPOSE** **:** Handles complex, technically... ...candidate 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 areaFlexible 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...RiskFull timeLive inWork at officeRemote workMonday to FridayFlexible hoursShift work- ...desire Professional in-house recruiting to find the best possible physiatrist and physician extenders for each practice group Risk management and compliance departments that protect both the patient and the integrity of our practices Benefits for W-2 physicians...RiskFor contractors
- ...Specialist The Chargeback Specialist is a key member of the Risk Management team. The successful candidate will quickly develop... ...entering data in multiple databases, and filing chargebacks Issue adjustments for refunds and/or charges Provide feedback on process and...Risk


