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- Risk Adjustment Coder At MVP Health Care, we're on a mission to create a healthier future for everyone. To achieve this, we're looking for a Risk Adjustment Coder to join #TeamMVP. This is an opportunity for those who have a passion for accuracy, quality, and compliance...RiskRemote work
- ...healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you have a passion for accuracy, quality, and compliance coding. What’...RiskRemote work
$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...RiskRemote jobFull timeWork at officeFlexible hours$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$77.97k - $141.37k
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$125k - $160k
...Description We are seeking an experienced Senior Actuarial Associate to lead initiatives within our Value-Based Care (VBC) and Risk Adjustment teams, playing a pivotal role in the strategic management of healthcare provider contracts and risk models. This individual will...RiskContract workRemote 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$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- 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
$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$60.41k - $84k
Overview Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS Responsibilities The Risk Adjustment Coding Coordinator... ...informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskWork at officeWork from homeHome office$50k
...Description Job Description Complex General Liability Claims Adjuster - New York Labor Law Claims · New York Adjusters License... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Albany, NY6 days 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...RiskRemote jobHourly payFull timeFlexible hours$83.2k - $128.96k
...logs, example: all Joint commission regulations KNOWLEDGE, SKILLS AND ABILITIES • Strong problem solving skills • Quality and risk management knowledge/experience • Ability to work independently • Strong health assessment and clinical management skills •...RiskShift work$103.87k - $131.3k
...under the direction of the NYS Gaming Commissions Director of Risk Management, leads information governance, compliance, privacy,... ...regulations affecting compliance and data-handling controls, and approve adjustments to meet obligations. Coordinate with ITS and internal teams...RiskFull timeFor contractorsWork at officeNew York State Center for Recruitment & Public Service
Schenectady, NY9 days ago$89.6k - $149.4k
...Procurement and in conjunction with the project team members. Manage vendor budget and relationships. Identify and manage project-related risks, measure and report on timely basis. Present recommendations for effective consensus decision making, taking into consideration...RiskFull timeRemote workNight shiftWeekend workNYISO
Rensselaer, NY24 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$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- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Northeast Region PRIMARY PURPOSE : To handle losses or claims... ...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
$83.2k - $128.96k
...the other site will focus on comprehensive therapy for adolescents and young adults seeking medical management of HIV and those at risk for HIV. Under the direction of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager...RiskFull timeWork at officeLocal areaMonday to FridayShift work- ...Transformation and Development About the business LexisNexis Risk Solutions is a pioneering leader in providing information-based... ...have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support...RiskTemporary workWork at officeWork from home
- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast 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
$48.8k
...medical providers as needed, and learn about OSHA regulations, risk, and analysis. The OMR will function as a part of the larger... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskWork experience placementWork at officeFlexible hoursShift workNight shiftWeekend workAmazon
Castleton On Hudson, NY3 days ago$223k - $255k
...translates to a richer life. Summary The Financial and Quantitative Risk team at SMBC MANUBANK’s is responsible for providing 2nd line... ...influences over drivers that can impact the bank - making adjustments as necessary. Work collaboratively with all members of 1st and...RiskRemote jobLocal areaWorldwide$55k - $65k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...Agency Mgmt System-EPIC. When an order comes in: verifies rates, adjusts for any additional premium and expedites invoice. Assists with billing...RiskFull timeImmediate startWork from homeShift work$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
Albany, NY4 days ago$18.75 - $24.52 per hour
...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskHourly payDay shift$55k - $120k
...Able to communicate effectively with staff, customers, insurance adjusters, and property managers Professional appearance and demeanor... ..., and contribute to, company meetings Contribute to safety and risk management protocol If not already IICRC certified must be able...RiskWork at officeMonday to FridayWeekend work$21.5 per hour
...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and... ...vision, peripheral vision, depth perception and ability to adjust focus. Equal Opportunity Equal Opportunity Employer. This employer...RiskHourly payPart timeWork at officeLocal area
