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- Overview The Clinical Risk Adjustment Coder plays a key role in ensuring accurate and compliant coding within a risk adjustment framework . This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with provider...Risk
$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday- Back Senior Claims Adjuster - Workers Compensation #4682 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description: Job... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskWork experience placement
PMA Companies
Baltimore, MD18 hours ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start$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- 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
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$69.92k - $133.62k
...and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD18 hours ago- ...Field Risk Specialist Position Opportunity! W e pay for drive time so candidates must live in the immediate area of Laurel, MD. This is a Field Based Position so you will not be assigned to a local office About DataScan Headquartered in Alpharetta, Georgia,...RiskLive inWork at officeLocal areaImmediate startFlexible hoursNight shift
DataScan
Odenton, MD1 day ago $175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Baltimore, MD2 days ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets). *...RiskContract workFor contractors
- Join us on this journey as we execute this new mission-critical contract providing Cybersecurity Expertise and Risk Management! Your effort and expertise are crucial to the success and execution of this impactful mission that is critical in ensuring mission success through...RiskContract workFor contractors
$104k - $140k
...expenditures align with budgetary objectives and make necessary adjustments for any discrepancies. Documentation and Reporting: Take... ...material orders based on project timelines and unforeseen changes. Risk and Issue Management: Identify, assess, and monitor project...RiskContract workTemporary workFor contractorsFor subcontractorWork at officeLocal area$27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work$118.2k
...adherence to best practices, optimizing performance, and managing risks throughout the project. The AWS Professional Services... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskAmazon Web Services, Inc.
Odenton, MD8 days ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, and Acquisition Strategies... ...the allocation and tracking of resources; recommend funding adjustments as appropriate. Assist program managers in developing program...RiskContract work
Synergy ECP
Columbia, MD18 hours ago - Overview Specialty Loss Adjuster opportunities across the US, Mexico, Brazil and strategic locations globally with Sedgwick Specialty. Sedgwick... ...of skills and experience. Sedgwick is the world’s leading risk and claims administration partner, with 33,000 colleagues and 10...RiskFlexible hours
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...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 officeFlexible hours
$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...Supply Chain Risk Management Analyst ManTech seeks a motivated, career and customer-oriented Supply Chain Risk Management Analyst to join our team in Fort Meade, MD. Responsibilities include but are not limited to: Review all-source intelligence products and industry...RiskWork at office
- .... #LI-Onsite IND1 #LI-JA2 In This Role, You Will: Support the Risk department in developing and achieving department goals. Work closely... ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workPart timeRelocation packageFlexible hours
$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in [EMEA]. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal areaCoinbase
Annapolis, MD2 days ago- ...engagement, succession planning, and org design Identify trends, risks, and opportunities within the organization and develop solutions... ...problem-solving skills and the ability to be flexible and adjust direction when needed Proven ability to lead cross-functional...RiskFull timeWork at officeRelocationFlexible hoursShift work
Northrop Grumman
Linthicum Heights, MD3 days ago - ...interface data in a commonly accessible repository. • Assess each risk to the program and determine the probability of occurrence and... ...effort, recommend a preferred solution based on selection criteria adjusted for reasonableness and validity of assumptions, technology...RiskContract workTemporary work
