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- Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut, USA... ...AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC Minimum...RiskFull timeWork at officeMonday to Friday
- ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- ...health care more personal, convenient and affordable. Position Summary The Revenue Integrity (RI) Sr. Manager, Business Consultant (Risk Adjustment) is responsible for the management and monitoring of designated market/territory specific to the performance of risk adjustment...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area
$70k - $84k
...The Senior Analyst Fraud Risk Management is required to analyze bank transactions, new accounts, and customer behavior to identify... ...Mitigates identified potential fraud loss and fraud patterns by adjusting debit card fraud modules and rules, placing holds/restricting access...RiskFull time- ...and below-investment grade portfolios Experience and knowledge in risk management and asset-liability management for insurance... ...Nassau was founded in 2015 and has grown to $1.6 billion in total adjusted capital, $24.8 billion in assets under management, and 365,000 policies...RiskLocal area
- ...required and makes final determinations as to acceptability of audit adjustments. Financial and regulatory accounting for transaction taxes:... ...strategies, documenting alternatives and presenting options/risk factors to management; and consulting with internal and...RiskContract workTemporary workFor contractorsLocal area
- ...planning allowing time for emergencies or unexpected visits. c) Reports any cases to Clinical Manager where goals cannot be met or at risk situations exist and responds appropriately. d) Maintains required productivity expectation as established by the Agency. e)...RiskWork at officeFlexible hours
- ...summarize and present findings Lean/Continuous Improvement: Recommend and implement process improvements in deal tracking (savings, risk, metrics) and contract management to enhance efficiency and effectiveness. Contract Lifecycle Management: Support the review,...RiskContract workTemporary workWork experience placementFlexible hours
$67.71 - $81.25 per hour
...The Analyst Fraud Risk is required to analyze bank transactions, new accounts, and customer behavior to identify anomalous activity... ...Mitigates identified potential fraud loss and fraud patterns by adjusting debit card fraud modules and rules, placing holds/restricting...RiskFull timeWork experience placementWork at office- ...other legally protected characteristic. Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and...RiskWork experience placementOngoing contractWork at officeImmediate start
- ...bonds through surety agent; Back up to procure project & other insurance; Back up to procure Owner insurance (primarily Builders Risk insurance). Negotiate/Review third party agreements, as assigned; Process Credit applications, as assigned. Help prepare...RiskContract workFor contractorsFor subcontractorCasual workFlexible hours
- ...certified/board eligible required ~ Residency completion required ~1 year experience in Healthcare management ~ Experience with Risk Adjustment ~ Must reside in the state where the openings exists Pay Transparency: Individual compensation packages are based on...RiskPart time
- Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) Join to apply for the Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) role at ERM . Overview ERM seeks a motivated Managing Consultant, Ecological Risk Assessor/Project...RiskWork at officeRemote work
- ...contradictory, and rationalizes recommended course of action, recognizing risks and opportunities. Works with different areas to understand... ...in logic and business sense and also having the flexibility to adjust as new ideas are presented, ie. shows a great balance of...RiskHourly payFull timeTemporary workLocal areaFlexible hours
- ...procurement NPI, modification or work transfer project ~Ensure that the risk management process is followed for each procurement project ~... ...accessible recruitment process, so if you require reasonable adjustments at any stage during our recruitment process please get in touch...RiskWork at office
- ...Medicare prescription drug plans. This role involves evaluating risk, ensuring regulatory compliance, and supporting strategic... ...regulatory and legislative environment, continuously developing and adjusting strategies and processes to best position the business for success...RiskHourly payFull timeTemporary workLocal areaFlexible hours
- ...performance indicators, change management processes, implementation, and adjustments as necessary to achieve defined success parameters. This VP... ...program outputs into executive level presentations, updates, risk mitigation plans and business recommendations with ability to...RiskTemporary workWork at officeImmediate start
- ...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
- ...Payment Method (PDPM) and expense associated with a potential admissions Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement May train, mentor and/or manage MDS Coordinators, providing guidance and support...RiskTemporary work
- ...Complete and assure the accuracy of the MDS process for all residents Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement Ensure the highest level of revenue integrity and compliance to all state and federal...RiskTemporary workLocal area
- ...Strong problem-solving and analytical skills. Knowledge and advanced proficiency of Project Management toolsets (MS Project, Risk based decision making, proposal generation, task baselining, etc.). Demonstrated experience in leading complex products through all...RiskContract workFlexible hours
- ...Strong problem-solving and analytical skills. Knowledge and advanced proficiency of Project Management toolsets (MS Project, Risk based decision making, proposal generation, task baselining, etc.). Demonstrated experience in leading complex products through all...RiskContract workFlexible hours
- ...mechanic’s liens and bond claims. Drafting and negotiating construction contracts and related agreements. Advising clients on construction risk management, regulatory compliance, and insurance issues. Managing litigation caseloads, including depositions, court appearances,...RiskTemporary workRemote workFlexible hours
- ...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation... ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges...RiskFull timeContract workWork experience placement
- ...Vice President, Enterprise Security & Risk Governance Vice President, Enterprise Security & Risk Governance This range is provided by Glocomms. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range...RiskFull timeTemporary workInternship
$67.71 - $81.25 per hour
...to-day execution of the Issue Management program, as well as supporting design, implementation and operationalization of Enterprise Risk Acceptance program, including monitoring, reporting and providing QC/challenge. Key Responsibilities: Responsible for day-to-day execution...RiskFull time- ...is seeking an experienced project manager to support the stand-up of the new organization supporting Corporate Finance, Enterprise Risk, and Investment Management initiatives. In this role, you will report directly to the Investment Management Portfolio Lead and be accountable...RiskWork at office
- ...At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks...RiskFull timeContract workH1b
- ...changes in regulations, making recommendations for organizational adjustments, as needed. Collaborate with the executive leadership team on... ...surveys and develop plans of correction as needed. Oversee risk-management initiatives, identify potential risks, and implement...RiskTemporary workWork at officeLocal area
- ...Compliance Counsel role at Ascot Group Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent specialty...RiskFull timeTemporary workLocal areaRemote workFlexible hours