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$193k - $242k
...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...RiskFull timeDatavant
Hartford, CT2 days ago$70k - $85k
Overview Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeMonday to Friday$77.3k - $128.8k
...difference in our success. The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment - EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for...RiskRemote jobLocal areaWork from homeIndividual & Family Plans (IFP) Risk Adjustment Program Management Advisor - Remote - Cigna Hea[...]
$93.3k - $155.5k
...operational and strategic contributor responsible for managing multiple interrelated projects for the Individual & Family Plans (IFP) Risk Adjustment (RA) team while overseeing end-to-end financial tracking and budgetary processes which ensure operational goals are met, budget...RiskRemote jobWork experience placementLocal areaWork from home- 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
$50k
...Description General Liability Claims Specialist · New York Adjusters License Needed Work-From-Home Comprehensive Benefits... ...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)
Hartford, CT3 days ago$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities 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- ...defining/refining future deliverables, measuring performance and adjusting the overall roadmap of deliverables as needed.* Translate... ...experience within the discipline being supported (e.g.: Claim, Risk Control, Technology, Project Management, Production, Application...RiskFull timeWork experience placementLocal area
Travelers Canada
Hartford, CT1 day ago - ...States and Canada. We are currently seeking an Assistant Claims/Risk Manager to join our team in Bloomfield, CT. Position Overview... ...Minimum of five years' experience in property and casualty claims adjusting • CT Casualty Adjuster (all lines, except WC) required •...RiskFull timeHome officeMonday to Friday
Catholic Mutual Group
Bloomfield, CT24 days ago - ...Best Workplaces in Financial Services & Insurance National 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
- ...Casualty/Auto Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork at officeWork from homeHome officeLong distance
- ...significant experience in underwriting, policy development, and risk management, while also possessing a proven leadership... ...laws. Outline operational processes for policy issuance, claims adjustment, collections, and all customer and third party interaction points...RiskFull timeLocal areaShift work
- ...throughout the United States. Our mission is to provide the highest quality of mental health services to vulnerable, disabled and at-risk elderly population. In our effort to address the wide range of needs facing the senior community, we have created a framework with...Risk
Supportive Care
Enfield, CT11 days ago - ...Purpose Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes. Responsibilities Apply... ...remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
£54.33k per year
...Take case management responsibility for the most complex/high risk cases in the service, provide a clear and accurate assessment of... ...and welcome applications from diverse backgrounds. Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable...RiskPermanent employmentFull time- ...of the assets, to ensure quality is maintained and to minimize risks. • Works with Facilities team to oversee capital improvement projects... ..., and stays abreast of changes in the market place and adjusts marketing strategies accordingly. • Reduces vacancy by fostering...Risk
West Hartford Housing Authority
West Hartford, CT7 days ago $102.4k - $204.1k
...help shape the future of our industry. Job Description Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal areaRemote workWorldwide$110 per hour
...Job Description Job Description Seeking Nurse Practitioners with 1+ year of experience to conduct In-Home Health Risk Assessments. What's in it for you? · Flexibility: Operate on your terms. Set your own hours , 7 days a week between 8am-8pm. The role is based...RiskFor contractorsWork at officeNortheast Healthcare Recruitment
Springfield, MA24 days ago$275k - $300k
...provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk‑adjusted returns for our shareholders. As a member of AXIS, you join a team that is among the best in the industry. All...RiskFull timeContract workWork at office3 days per week- ...for safe transfer of care. 12.# Demonstrates knowledge of antineoplastic therapy; physical and psychological effects, side effects, risks and benefits. 13.# Demonstrates thorough knowledge of antineoplastic agents, method of administration, rate of delivery, drug properties...RiskImmediate startRemote workFlexible hours
- ...contribute to, monitor, and influence Business Unit strategies, results, risk appetite, coverages, terms & conditions, pricing, guidelines, and underwriting tools, to help our businesses deliver on risk adjusted return goals. In the role you will facilitate corporate technical...RiskFull timeTraineeshipWork at officeRemote workWorldwideHome office
- ...for safe transfer of care. 12.# Demonstrates knowledge of antineoplastic therapy; physical and psychological effects, side effects, risks and benefits. 13.# Demonstrates thorough knowledge of antineoplastic agents, method of administration, rate of delivery, drug properties...RiskImmediate startRemote workFlexible hoursShift work
- ...policy and procedure and as assigned by the Director of Nursing Services. # Provide immediate response to situations of resident risk such as allegations of abuse, neglect or misappropriation of property. # Report incidents timely and to appropriate persons per...RiskTemporary workImmediate startShift work
CareOne
East Longmeadow, MA2 days ago $135.7k
...conflicts within and across teams. Anticipate challenges, identify risks, and recommend mitigations and solutions. Continuously... ...communicate thoughts, concepts, practices effectively at all levels, adjusting as needed to a target audience. ~ Collaboration: Expertise...RiskLocal areaTravelers
Hartford, CT16 days ago$80k - $120k
...collaborate with FPI to ensure alignment with FCE’s standards and will serve as the internal subject matter expert for IAM-related audits, risk assessments, and project support. This role also ensures appropriate access control mechanisms are in place for new and existing...RiskTemporary workWork at officeLocal areaRemote work- Chief Actuary & Chief Risk Officer opening in NY/CT. Create actuarial framework, ensure regulatory compliance financial reporting, drive profitability & strategy, and direct actuarial risk management for Fixed Annuities, including MYGAs. Ideal candidate: FSA or Career...Risk
$100k - $300k
...otherwise specified # #####by the physician. b)# Reports any cases to the Supervisor of Clinical Services where goals cannot be met or at-risk situations exist and respond appropriately. c)# Remains flexible in daily planning, allowing time for emergencies or unexpected...RiskFlexible hoursWeekend work- ...quality service. Ensure the team adheres to business unit standards, risk management practices, and internal policies. Data-Driven... ...~ Ability to work independently, balancing priorities and adjusting throughout the day ~ Experience developing associates at all...RiskFull timeWork at office
MassMutual
Springfield, MA2 days ago $160k - $220k
...requires a close working partnership with line of business clients at all levels, with other internal legal colleagues, as well as risk management, compliance, regulatory and audit partners supporting those lines of business. Responsibilities Structure complex deposit...Risk- ...data-driven insights, increase customer satisfaction, and manage risk and compliance. EXL serves the insurance, healthcare, banking... ...Communicate subrogation needs and investigation strategies to front-line adjusters Collect and upload supporting documentation for subrogation...RiskWork experience placementWork at officeLocal area
