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$77.97k - $171.06k
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$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at...Risk- ...the casino floor or game night with the family. The Machine Adjuster is responsible for the adjustments to all equipment in her or... ...basic hand tools 5. Full color vision 6. Involves moderate risks or discomforts and special safety precautions, e.g., working...RiskWork experience placementLocal areaWorldwideNight shiftAfternoon shift
Cartamundi - The United States Playing Card Company
Erlanger, KY10 days ago - ...Job Title: Corporate Risk Manager Location: Crestview Hills, KY Company: Crestview Management LLC Job Type: Full-Time Position Summary The Corporate Risk Manager will be responsible for managing the company's insurance programs, ensuring comprehensive...RiskFull timeTemporary workLive in
Crestview Management, LLC
Crestview Hills, KY3 days ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Mid Atlantic Region Primary Purpose: To investigate... ...for this or other roles. Sedgwick is the worlds leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Cincinnati, OH3 days ago $80.41k - $188.16k
...delivering IT and business projects successfully. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to manage multiple complex, challenging projects simultaneously. Deep understanding...RiskWork experience placementKentucky Staffing
Covington, KY5 days ago$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
Covington, KY2 days ago- ...as needs arise ● Work internally within various departments to access needed resources for programs Quality, Performance, and Risk Management ● Provide program consultation and support regarding behavioral issues to staff and foster parents; ● Works with the...Risk
Necco, LLC
Florence, KY6 days ago - ...management, quality management, real estate, regulatory support, risk management, scheduling, strategic planning, sustainability and... ...performance of the program against pre-established financial metrics and adjust as necessary to meet earnings and profitability targets, and...RiskContract work
Fashion Institute of Design & Merchandising
Cincinnati, OH5 days ago - ...drawback, free trade agreement utilization, special customs regimes). Serve as subject matter expert for clearance queries, audits, and risk assessments. Provide guidance and training for operational staff on best practices, regulatory changes, and process compliance....Risk
DHL Germany
Erlanger, KY4 days ago - ...considerations in all business decisions and able to leverage that information in creating customized customer solutions. + **Managing Risk** - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they...RiskFull timeTemporary workPart timeWork experience placement
PNC
Covington, KY9 hours ago - ...Quarterly development planning, communication with business leadership, and ongoing monitoring and communication of status. Mitigate risk with incident management and install validation. We partner across various business units on modernization efforts in Communications...RiskWork at office
Fidelity Investments
Covington, KY2 days ago $100 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
Florence, KY28 days ago- ...have to finish things before moving on; can comfortably handle risk and uncertainty. • Drive for Results: Can be counted on to exceed... ...develops schedules and task/people assignments; anticipates and adjusts for problems and roadblocks; measures performance against goals;...RiskShift work
Kyyba
Florence, KY1 day ago - ...standards. Develop and maintain enterprise encryption and key management policies, standards, and documentation. Identify high-risk systems and applications for prioritized compliance focus. Collaborate with technical owners of KMS, HSMs, PKI, and certificate...Risk
Kaptivative HR Solutions , LLC.
Cincinnati, OH5 days ago - ...strategy development, solution discovery, service management, risk management and relationship management. As a member of the Solution... ...and adapt to new/evolving individual and team assignments as adjustments are needed. # Ability to effectively communicate to all...RiskContract workRemote work
Perfict Global, Inc.
Erlanger, KY7 hours ago - ...in a managed care delivery system. Knowledge of clinical outcomes and quality improvement processes. Experience of population risk management or complex chronic disease care management. History of being a natural teacher to fellow Physicians. Other skills and...RiskWork at officeLocal area
ChenMed
Covington, KY2 days ago - ...Division Leadership: Build and lead the Aegis Risk & Advisory team, developing long-term strategy, service offerings, and delivery frameworks aligned with Aegis' mission and brand. Client Development: Identify, pursue, and secure consulting engagements and retainer...Risk
Aegis Protective Services
Cincinnati, OH4 days ago $80k - $90k
...s license (CDL-A) At least 1 year or 50,000 verifiable miles of tractor-trailer driving experience Must meet McLane's MVR and risk rating qualifications This position requires the ability to read, write, and understand English at a level sufficient to perform...RiskRelocation packageNight shift$10k
...integrate innovative solutions into BMP's operations. COMPLIANCE & RISK MANAGEMENT Ensure compliance with safety, environmental,... ...operations. Adaptable : Thrives in a dynamic environment, adjusting strategies to meet evolving demands. Collaborative :...RiskFull timeFor contractorsFor subcontractorWork at officeRelocation packageBuilding Management Partners
Hebron, KY3 days ago$77.97k - $141.37k
...rate validations are completed in conjunction with reporting. Works with other Health Plan and/or Corporate departments (e.g., Risk Adjustment) to ensure prospective and/or retrospective chart reviews and completed timely and accurately. Effectively oversees internal...RiskWork experience placementWork at officeLocal areaRemote workMolina Healthcare
Covington, KY5 days ago- ...innovation thrives and where your technical expertise is recognized and rewarded. The Opportunity P&G is seeking a Governance, Risk, and Compliance Director passionate about safeguarding data, enabling business through smart risk management, and shaping the future...RiskWorldwide
Procter & Gamble
Cincinnati, OHmore than 2 months ago - ...through observational coaching, joint sales calls, and utilization of the coaching model. (R.O.P.E.) Maintain all operational and risk management standards Assist District Leader with facilitation of conference calls and leading of team meetings and District/...RiskWork experience placementBank staffInternshipWork at officeLocal area
First Financial Bancorp
Edgewood, KY7 hours ago $161.91k - $315.73k
...practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. Experience in Utilization/Quality Program management HMO/Managed...RiskWork experience placementWork at officeLocal areaWisconsin Staffing
Covington, KY12 hours ago- ...Description and Requirements General Description: The USI Insurance Services Personal Risk Practice provides comprehensive risk management and insurance consultation to high net worth individuals and family offices with complex financial and insurance needs. The...RiskWork at officeLocal area
USI Holdings Corporation
Cincinnati, OH3 days ago - ...regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National... ...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
$152.1k - $327k
...take the next step? Discover a career in banking at Fifth Third Bank. Overview Lead the Credit Card Credit Risk Strategy function and team that maximizes risk adjusted returns through the cycle while staying within credit risk appetite through various credit risk...RiskWork at office- ...committed to business technology support, service management, risk management, and relationship management in support of all applications... ...and adapt to new/evolving individual and team assignments as adjustments are needed.* Knowledge of how current trends and technology can...RiskFull timeShift work
Kentucky Ag Connection
Erlanger, KY3 days ago - ...experience and skill level to provide quality patient care; reviews and adjusts assignments as needed based on daily activity • Ensure... ...• Submit information to licensed (as state required) healthcare risk manager, for preparation of risk management reports • Ensures...RiskTemporary workWork at office
Ambulatory Surgery Center
Cincinnati, OH3 days ago $152.1k - $327k
Join to apply for the Head of Credit Risk Strategy role at Fifth Third Bank . Be among the first 25 applicants. Make banking a Fifth... ...Card Credit Risk Strategy function and team that maximizes risk adjusted returns through the cycle while staying within credit risk appetite...RiskFull timeWork at office
