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  • $85k - $200k

     .../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide...  ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work... 
    Risk
    Full time
    Work at office

    Ankura

    Washington DC
    3 days ago
  • $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... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Washington DC
    5 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    For contractors
    Remote work
    Work from home
    Home office

    Humana

    Washington DC
    4 days ago
  •  ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support... 
    Risk
    Contract work
    Remote work

    National Association of Latino Healthcare Executives

    Rockville, MD
    26 days ago
  • $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

    Datavant

    Washington DC
    3 days ago
  • $144.2k - $265.6k

     ...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation...  ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the... 
    Risk
    Visa sponsorship

    Virginia Staffing

    Falls Church, VA
    1 day ago
  •  ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...  ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure... 
    Risk
    Work experience placement

    PMA Companies

    Washington DC
    2 days ago
  • $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... 
    Risk
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Washington DC
    5 days ago
  • $89.7k - $162.15k

     ...expertise, strong communication skills, and a proactive approach to risk management and continuous improvement.   Primary...  ...Evaluate program performance against objectives and recommend adjustments for continuous improvement. Collaborate cross-functionally with... 
    Risk
    For subcontractor
    Local area
    Immediate start

    Leidos

    Merrifield, VA
    8 days ago
  • 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... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Washington DC
    3 days ago
  • $70k - $85k

     ...PowerPoint Support meeting documentation, action item tracking, and task coordination Collaborate with cross-functional teams on risk, compliance, and fee-related initiatives Required Qualifications: ~ Bachelor's degree in Business Management or a related... 
    Risk
    Work at office
    Local area
    3 days per week

    Chevo Consulting

    Vienna, VA
    5 days ago
  • $235k - $365k

     ...government antitrust investigations and merger enforcement actions, including Second Requests. Counsel clients on transactional antitrust risk, strategy, and compliance. Appear before enforcement authorities such as the U.S. Department of Justice, the Federal Trade... 
    Risk

    Direct Counsel

    Washington DC
    a month ago
  • $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... 
    Risk
    Remote job
    Hourly pay
    Full time
    Flexible hours

    Datavant

    Washington DC
    3 days ago
  • $234k - $267.1k

     ...regulatory environment.  Analyze data to proactively identify risks and trends and provide insights that support well managed efficient...  ...ideas concisely and convincingly both written and verbal. You adjust your communication to your audience and are comfortable with... 
    Risk
    Full time
    Part time
    Local area
    Shift work

    Capital One

    McLean, VA
    3 days ago
  •  ...value to clients through tailored solutions based on industry leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness, Energy & Sustainability, and Talent Management. We help forward thinking... 
    Risk
    Full time
    Contract work
    For contractors
    Work experience placement
    Internship
    Work at office
    Worldwide

    ProSidian Consulting

    Vienna, VA
    5 days ago
  •  ...supervisory support, creating and maintaining a strong culture of risk management and compliance, delivering our Purpose-Driven Wealth...  ...Drive training, education, performance evaluations, salary adjustments, promotions, transfers, hiring, branch reassignments, disciplinary... 
    Risk
    Full time
    Part time
    Work at office
    Shift work
    Night shift
    Day shift

    Truist

    Vienna, VA
    3 days ago
  •  ...has been helping generations of farmers take control of their risks since 1915. The Division is also one of a select few private companies...  ...crops. Great American is currently seeking Seasonal Crop Adjusters. Qualified candidates will cover territory in one of the... 
    Risk
    Full time
    Part time
    Seasonal work

    Great American Insurance Company

    Washington DC
    1 day ago
  •  ...Overview Supply Chain Risk Management Analyst (Intelligence Analyst 3) 25284 role at Mission Technologies, a division of HII. This...  ...specific to it Preferred: Bonus Points For... Ability to adjust to changing priorities and demands Frequent interaction with... 
    Risk
    Full time
    Work at office
    Local area
    Immediate start

    Mission Technologies, a division of HII

    Washington DC
    1 day ago
  • $81.65k

     ...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to...  ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... 
    Risk
    Full time
    Temporary work
    Traineeship
    Summer work
    Internship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich Insurance Company Ltd.

    Washington DC
    9 days ago
  •  ...value to clients through tailored solutions based on industry leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness, Energy & Sustainability, and Talent Management. We help forward thinking... 
    Risk
    Full time
    Contract work
    For contractors
    Work experience placement
    Internship
    Work at office

    ProSidian Consulting

    Vienna, VA
    5 days ago
  • $167.4k - $314.5k

     ...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role...  ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication... 
    Risk
    Full time
    For subcontractor
    Flexible hours

    Parsons Oman

    Washington DC
    3 days ago
  • Award Winning Northern Virginia Insurance Agency looking for CLAIMS ADJUSTER AS COMMERCIAL SALES ADVISOR PRIMARY ROLE: An award-winning...  ...gain the trust of our clients by educating and advising them on risk and claims management issues important to them. They place... 
    Risk
    Full time

    Coverage, Inc.

    Chantilly, Loudoun County, VA
    17 days ago
  •  ...job poster from HYR Global Source Inc (Hybrid 2 days/week onsite) Key Responsibilities: Design and execute targeted risk assessment plans and mitigation strategies Collaborate with internal teams and stakeholders to enhance risk evaluation approaches... 
    Risk
    Full time
    2 days per week

    Hyr Global Source Inc

    Vienna, VA
    1 day ago
  •  ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,...  .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination.... 
    Risk
    Contract work
    For contractors
    Work at office
    Local area
    Remote work
    Monday to Friday

    Strategic Resilience Group

    Washington DC
    1 day ago
  •  ...Job Description Summary Of Job Purpose: The General Adjuster effectively determines and communicates the extent of loss or damage associated...  ...but not necessarily limited to time element, builders' risk, and stock losses. Maintains accurate, thorough field notes,... 
    Risk
    Work at office
    Night shift
    Weekend work
    Afternoon shift

    Engle Martin

    Washington DC
    5 days ago
  •  ...Monitor changes in relevant laws and regulations in the medical devices industry and provide proactive guidance to mitigate legal risks and ensure compliance. Other duties and responsibilities as assigned by the Chief Legal Officer and Chief Compliance Officer.... 
    Risk
    Contract work

    Euclid Vision Corporation

    Vienna, VA
    4 days ago
  • $175.5k - $200.3k

     ...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services...  ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to... 
    Risk
    Full time
    Part time
    Local area

    Capital One

    Washington DC
    3 days ago
  •  ...Field Risk Specialist Position Opportunity! W e pay for drive time so candidates must live in the immediate area of Gaithersburg, MD. This is a Field Based Position so you will not be assigned to a local office About DataScan Headquartered in Alpharetta, Georgia... 
    Risk
    Live in
    Work at office
    Local area
    Immediate start
    Flexible hours
    Night shift

    DataScan

    Vienna, VA
    2 days ago
  •  ...that can demonstrate agility and sustainability during disruptive events and continue to operate critical processes within defined risk tolerance limits. Freddie Mac's Operational Resiliency Team protects corporate assets from significant business interruptions by... 
    Risk
    Work experience placement
    Local area

    Freddie Mac

    Falls Church, VA
    5 days ago
  •  ...Description: The IT Risk and Compliance Analyst will carry out IT security assessment activities including IT risk assessments and security reviews for university departments, as well as evaluations of third-party technology solutions, to ensure alignment with university... 
    Risk

    Shuvel Digital

    Vienna, VA
    4 days ago