Get new jobs by email
$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$26.51 - $38.44 per hour
Join to apply for the Coder II role at CommonSpirit Health 4 days ago Be among the first 25 applicants *Overview* In 2020, united in... ...reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder supervisor to...RiskFull timeApprenticeshipWork experience placementWork at office$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$77.97k - $155.51k
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$69.92k - $133.62k
...Property Adjuster Specialist At USAA, our mission is to empower our members to achieve financial security through highly competitive... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shift$60k - $75k
...Ensure goals are met in areas including customer satisfaction, risk management, quality, and team member performance. Implement and... ...Regularly review community feedback; evaluate, communicate and make adjustments as needed. Maintain an efficient and effective forerunning...RiskFull time$140.8k - $274.55k
**Job Description** **Job Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Risk Adjustment...RiskWork experience placementLocal area- ...vision, peripheral vision, depth perception, and the ability to adjust focus. Note This job description in no way states or implies... ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The...RiskHourly payContract work
$95k - $105k
...Ensures the implementation of best practices for revenue growth, adjusting to customer experience survey results and feedback; drives and... .... Ensures compliance with ACS policies, including employment, risk management, event and cash handling, data management, and...RiskWeekend workAfternoon shift$80.41k - $188.16k
...management includes estimating, scheduling, costing, planning and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Manage project scope, schedule, and budget, making necessary adjustments as needed + Tracks and supports planned vs actual budget including all costs...RiskWork experience placementNight shift- ...operational budgets that support return on investment. Allocates or adjusts resources in accordance with priorities, volumes and demands,... ...hospital committee’s and leads groups as appropriate. Assists Risk and Patient Safety Officers in managing the performance improvement...RiskTemporary workLocal area
$77.97k - $155.51k
...required data sharing processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible for knowledge...RiskContract workWork experience placementLocal areaRemote work- ...staff Plays a lead role with implementing training modules, adjusting them according to demand and upgrading them on a continuous basis... ...to increase success in the community. Compliance & Risk Management: Ensures Incident Reports are initiated, completed...RiskHourly payFull timeContract workWork at officeMonday to FridayShift work
$23.81 - $27.6 per hour
...theater, and special interest activities. Assignment The school adjustment program is for students that demonstrate serious emotional-... ...language. Demonstrated ability to work with students who are in an at-risk situation. Ability to communicate in another language. Ability...RiskFull time$47.41 - $70.52 per hour
...reassess ongoing needs and to ensure that clinic activities are adjusted appropriately to meet expectations/demand in a timely, efficient... ...developing/administering clinic budget; 6) coordinating clinic security, risk management, disaster readiness and facilities upkeep/maintenance...RiskFull timeFor contractorsWork experience placement$100k - $130k
...Project Manager will manage the site’s financial performance, enforce risk management practices, ensure fair treatment of employees, and... ..., supervise, and support project staff and subcontractors; adjust staffing levels as workload requires. Conduct and participate in...RiskFull timeContract workTemporary workFor subcontractorNight shift- ...needs of the individuals we served, we were able to attract higher quality candidates and clients in need of their services. It’s a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Our candidates include...RiskShift work
$130 per hour
...About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality...RiskDaily paidPart timeFor contractorsReliefImmediate startFlexible hoursWeekday work$2,794 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskFor contractorsZero hours contractShift work$2,526 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskFor contractorsZero hours contractShift work$107.03k - $250.45k
...* **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight... ...be preferred for specific roles) - Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start- ...belonging. View our Purpose, Inclusion and Citizenship Report. Team Overview: As the Cyber Security Department Leader for Governance, Risk, and Compliance (GRC) Practice Management, you are a key member of the Information Security Leadership Team, responsible for driving...RiskTemporary workWork at officeWork from homeHome officeFlexible hours3 days per week
- ...understanding. Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions are mechanically assisted by life support equipment. Nurses who will assist in providing...RiskContract workLocal areaFlexible hoursShift workNight shift
- ...rehabilitation. Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions arc mechanically assisted by life support equipment. Knowledge of the transitional care of...RiskContract workWork experience placementLocal areaFlexible hoursShift work
- ...compliance with therapeutic and medical regimens. Teaching is based on scientific and behavioral knowledge. Assesses patient lifestyle risk factors. Integrates health promotion and preventive aspects of care with the ongoing assessment of nursing care needs. Works with...RiskDaily paidRemote work
- ...tailored solutions based on industry-leading practices. ProSidian services focus on the broad spectrum of Enterprise Solutions for Risk Management | Compliance | Business Process | IT Effectiveness | Energy & Sustainability | Human Capital . We help forward-thinking clients...RiskPart timeFor contractorsWork at officeRemote work
- ...difficult problems in care of critically ill patients arise. Serves as a member of the Neonatal Resuscitation Team; attends high-risk deliveries and initiates neonatal resuscitative measures as directed. HCW's will be required to float within similar specialties...RiskContract workLocal areaFlexible hoursShift work
- ...to ensure service quality and cost efficiency. Compliance and Risk Management Ensure properties comply with local, state, and... ...conditions. The position requires flexibility to travel, work in a fast-paced setting, and adjust priorities to meet organizational needs....RiskLocal areaRelocationNight shift
- ...place to start or build your career. Purpose, Inclusion and Citizenship Report. Edward Jones is investing in maturing our Enterprise Risk Management (ERM) capabilities and is seeking an Enterprise Risk Manager to join our Controls capacity as part of the Enterprise Risk...RiskTemporary workFlexible hours
- ...tailored solutions based on industry-leading practices. ProSidian services focus on the broad spectrum of Enterprise Solutions for Risk Management | Compliance | Business Process | IT Effectiveness | Energy & Sustainability | Human Capital . We help forward-thinking clients...RiskFor contractorsWork at officeLocal area


