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$19.6 per hour
...Review, analyze, and code diagnostic information in a patient’s medical record based on client-specific guidelines for the project. The coder will ensure compliance with established ICD-10-CM, third-party reimbursement policies, regulations, and accreditation guidelines....RiskRemote jobFull timeWork at officeFlexible hours$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
- ...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 the...RiskFull time
$105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance Join to apply for the Data Scientist III - Risk Adjustment Compliance role at Centene Corporation. You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities...RiskFull timePart timeWork at officeRemote workFlexible hours- ...timelines, budget requirements, etc. Analyzes project(s) progress and notifies stakeholders to adjust timelines, as needed to achieve optimal results Identifies potential project risks and escalates to management or required stakeholders Contributes to the development and...RiskFor contractors
- ...operations of the performance improvement and risk management functions of the organization.... ...staff as well as accounting and medical coders to achieve maximum accuracy and... ...vision, depth perception, and the ability to adjust focus. Mental demands include the ability...RiskFull timeWork at officeLocal area
- ...across CSL Behring, CSL Seqirus, and CSL Vifor (the entire CSL Group). You will ensure the best possible value for CSL while managing risk and maintaining compliance in sourcing practices. You will be directly involved in major global sourcing or bid activities, driving...RiskLong term contractContract workSummer workLocal areaRemote work
- ...Claims Adjuster - Liability By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area- ...vendors • Track milestones, budgets, and deliverables • Prepare submittals, review shop drawings, and manage RFIs/ASIs • Support risk management and project documentation • Juggle multiple projects in a fast-paced environment Qualifications: • 2+ years’...RiskFull time
MRINetwork Jobs
Raleigh, NC14 days ago $231.88k - $331.25k
...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 areaChenMed
Holly Springs, NC6 hours agonew$15k
...Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area$5,000 per month
...understanding in technology transactions, IP licensing and SaaS agreements, a “Deal Maker” with business acumen with the ability to manage risk while enabling business success. What You'll Own Negotiate and close complex deals – Lead strategic, high-value enterprise...RiskContract workWork experience placementRemote workFlexible hoursWalkMe
Raleigh, NC16 days ago- ...Overview: We are hiring a Risk Manager (JP/EN bilingual preferred) with a strong background in data analysis, Java development, and risk assessment. **Responsibilities:** - Utilize data mining techniques to extract relevant information for risk assessment - Conduct...Risk
VMU Service INC
Cary, NC2 days ago - ...opportunities based on financial analysis and projections. Develop, adjust, and communicate company and department KPI’s that provide... ...the company are insured and controlled in a manner to mitigate risk. Oversee fixed asset purchase procedure and level of approval compliance...RiskContract workTemporary workFor contractors
- ...contract activities are executed according to the approved schedule. You’ll work closely with the PMC team to identify potential risks during contract execution and ensure effective mitigation measures are implemented. You’ll prepare and submit reports in accordance...RiskContract workFor contractorsWork at officeLocal areaFlexible hours
Accenture Infrastructure & Capital Projects, LLC
Clayton, NC4 days ago $125k - $175k
...Job Description Job Description Sr. Credit Risk Review Analyst - Commercial Lending Pittsburgh, PA $125,000 to $175,000+ Full benefits package Bonus + Paid Relocation Assistance Join our highly skilled Credit Risk Review (CRR) team as a Senior Credit Risk...RiskWork at officeRemote workRelocation packageButler Recruitment Group
Cary, NC20 days ago- ...Claims Leader , you lead a Top 100 insurance agency’s claims and risk prevention division. Your role is multi-faceted and requires... ...their knowledge and skills. Track open claims, files in suit, loss adjustment expenses, subrogation, and speed of settlement. Serve as the...Risk
$94.4k - $293.8k
...and future-proof their enterprises. About the Role As a Fraud Risk Manager, you will be at the forefront of helping financial services... ...that impact the industry, advising clients on necessary adjustments to their fraud risk programs. Champion Accenture’s offerings and...RiskWork at officeLocal area$74k - $118k
Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior Compliance Analyst assists... ...vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaImmediate startVisa sponsorshipWork visa$85k - $110k
...Equity and Inclusion (DEI) Sexual Harassment Preconstruction Testing and inspections Scheduling logic Introduction to Risk Management COMPENSATION AND BENEFITS: ~ Annual salary range: $85,000 - $110,000 based on qualifications and experience. ~...RiskWork at officeLocal areaSouthway Builders
Raleigh, NC3 days ago- ...competing demands Expertise with changing prioritization and ability to adjust to rapidly changing goals Experience in managing executive-level... ...and agile scrum Skilled in MS Project Understanding of risk management, including escalation strategies for overloaded workloads...RiskWork at officeRemote workShift work
- ...serve. Our nurse-to-patient ratio ranges from 3:1 and 5:1 as we adjust to safely meet the needs of the individualized patient. This allows... ...care issues, unusual teaching needs and/or those at high risk for discharge planning. 4. Leadership--With assistance, develops...RiskFull timeNight shift
Nash UNC Health Care
Raleigh, NC20 days ago - ...and deliver solutions that meet project objectives while overseeing all project execution metrics (including scope, budget, schedule, risk assessment & mitigation, change management, and project-level communications). This is a permanent opportunity with a competitive...RiskPermanent employmentContract workWork at officeRelocation
HireNetworks
Morrisville, NC22 days ago - ...models. Lead the strategic development and implementation of VBR programs including shared savings, capitation, bundled payments, and risk-based models. Will hire and manage Quality Department to ensure the achievement of all quality goals, programs. risk management...RiskPart time
Med First Primary & Urgent Care
Raleigh, NC8 hours ago $132.3k - $245.7k
...skill set, including strategic/tactical planning, team building, risk management, and budget adherence. Core Competencies... ...through 12/31/25, fluctuations in the job market may necessitate adjustments to pay ranges during this period. Further, final pay determinations...RiskRelocation package$201.44k - $295.44k
...right thing by identifying, monitoring, and reporting on potential risks in order to support the company’s goal of promoting trust in our... ...and implement testing methodologies and make recommendations to adjust the Compliance program as needed Lead annual and periodic risk-...RiskWork experience placement- Join to apply for the Credit Risk Lead role at Keep 13 hours ago Be among the first 25 applicants Join to apply for the Credit Risk Lead... .... You’ll build dashboards, analyze loan performance, adjust underwriting models, and collaborate cross-functionally to drive...RiskFull timeRemote workFlexible hours
