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$85k - $200k
.../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide... ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work...RiskFull timeWork at officeAnkura
Washington DC2 days ago$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Washington DC3 days ago- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
PMA Companies
Washington DC5 days ago - ...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...RiskWork experience placementImmediate start
Baylor Scott & White Health
Washington DC4 days ago - ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD25 days ago - ...support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily responsible for driving strategic data-informed...RiskWork experience placementLocal areaRemote work
Kaiser Permanente
Fulton, MD2 days 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
$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$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$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- ...conflicts to ensure smooth workflow. Resource Oversight: Track expenses, allocate resources efficiently, and adjust as required to avoid shortages or overlaps. Risk Management and Problem-Solving: Identify potential risks, develop mitigation strategies, and make quick...RiskContract workLocal areaRemote work
MVP360 Management
Silver Spring, MD13 days ago $35 - $50 per hour
...situations which require referral to other members of the health care team such as infection control, risk management, or quality management. Assures plan of care is adjusted as appropriate and that follow-up occurs. Keep leadership abreast of potential issues. 9....RiskFull timeReliefLuminis Health
Lanham, MD1 day ago- ...has been helping generations of farmers take control of their risks since 1915. The Division is also one of a select few private companies... ...crops. Great American is currently seeking Seasonal Crop Adjusters. Qualified candidates will cover territory in one of the...RiskFull timePart timeSeasonal work
Great American Insurance Company
Washington DC5 days ago $144.2k - $265.6k
...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorshipVirginia Staffing
Falls Church, VA5 days ago- ...Overview Supply Chain Risk Management Analyst (Intelligence Analyst 3) 25284 role at Mission Technologies, a division of HII. This... ...specific to it Preferred: Bonus Points For... Ability to adjust to changing priorities and demands Frequent interaction with...RiskFull timeWork at officeLocal areaImmediate start
Mission Technologies, a division of HII
Washington DC5 days ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate... ...candidate 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
Sedgwick
Annapolis, MD5 hours ago $68.1k
...scope and specifications from sales team to identify potential risks, changes, or additional costs. Define project scope with sales... ...and identify any areas that may require additional resources or adjustments. Vendor and Subcontractor Evaluation: Utilize manufacture standard...RiskFull timeFor subcontractorWork at officeLocal areaRemote workNight shift$167.4k - $314.5k
...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role... ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication...RiskFull timeFor subcontractorFlexible hoursParsons Oman
Washington DC4 days ago- ...batches, speed of machine etc. Monitor machine while working to adjust the feed, maintain temperature and identify issues Check... ...Understanding of health and safety regulations to reduce the risk of workplace accidents Preferred Qualifications: ~ Completion...RiskShift work
Science Systems & Applications
Lanham, MD13 days ago $81.65k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Washington DC8 days ago- ...delegate shift assignments including communicating expectations and adjusting as needed Supervise, provide leadership, and coach team... ...guidelines and procedures Immediately report all human resources and risk management concerns to your General Manager and District...RiskTemporary workLocal areaImmediate startRelocation packageFlexible hoursShift workNight shift
Zaxby's
Washington DCmore than 2 months ago - ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,... .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination....RiskContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
- ...leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness,... ...Create project plans for all process improvement initiatives. Adjust project plan and timeline as needed. Ensure compliance to the...RiskWork at office
ProSidian Consulting
Washington DC4 days ago $255k
...for the Divisions of Depositor and Consumer Protection (DCP) and Risk Management Supervision (RMS). Responsibilities include:... ...salary restored to their CM base salary, including any CM pay adjustments applied during the temporary assignment. If selected, you may be...RiskPermanent employmentTemporary workWork experience placementWork at officeImmediate startTrial periodUSA Jobs
Washington DC2 days ago- ...Agility: We welcome change; it's the only constant. We embrace, adjust, adapt. Passion for Positivity: We greet each day with warmth... ...wellbeing resources and benefits offerings. Compliance & Risk Management: Stay up-to-date with industry best practices, regulatory...RiskCasual workWork at officeLocal area
CAVA
Washington DC5 days ago $85.15k - $153.93k
...Job Description Description Leidos' Chief Information Office, within the Digital Modernization Sector, is seeking an IT Risk Management Analyst to join our CIO Services (CIOS) team. This is an exciting opportunity to use your experience and training to help mature...RiskFull timeWork experience placementWork at officeLocal areaImmediate startRemote workLeidos
Cabin John, MD6 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
$235k - $365k
...government antitrust investigations and merger enforcement actions, including Second Requests. Counsel clients on transactional antitrust risk, strategy, and compliance. Appear before enforcement authorities such as the U.S. Department of Justice, the Federal Trade...RiskDirect Counsel
Washington DC29 days ago
