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$77.97k - $171.06k
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- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Midwest Region PRIMARY PURPOSE : To investigate claims... ...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
Grand Rapids, MI17 hours ago - ...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
Sedgwick
Grand Rapids, MI16 hours ago $22.02 - $30.24 per hour
...Part-Time RCIS Crop Claims Field Adjuster I Zurich is looking for a Part-Time RCIS Crop Claims Field Adjuster I to work out of Michigan... ...one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network...RiskHourly payTemporary workPart timeWork at officeWork from home$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- ...Description and Requirements The USI Insurance Services Personal Risk Practice provides comprehensive risk management and insurance... ...0,000.00-$306,100.00 2 weeks ago Business Systems Analyst Risk Adjustment Senior Manager - Digital Services Information Security Risk...RiskFull timeWork at officeLocal areaFlexible hours
- ...Risk Manager Work Location: 601 First Street NW, Grand Rapids, MI 49504 Position Classification: Full-Time Regular About... ...compliance and updating records as necessary. Coordinate with adjusters to manage workers’ compensation and general liability claims....RiskFull timeContract workFor contractorsWork at officeLocal areaFlexible hours
- ...experience, making banking easy in an omni channel environment. Collaborates with a broad range of eco-system partners. Accountable for risk management and compliance . Builds a high performing team through the attraction, on-boarding, coaching and development of branch...RiskFull timeTemporary workPart timeWork experience placementWork at office
PNC
Grand Rapids, MI2 days ago $124k - $280k
...Managed Services Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 40% At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help...RiskFull timeH1bPwC
Grand Rapids, MI14 hours ago$120 - $150 per hour
...a range of domestic and international transactional tax planning services and tax-related advisory services. Our Tax Accounting and Risk Advisory Services (TARAS) practice operates within the NTD, and assists companies with all aspects of their financial reporting for...RiskWork experience placementSeasonal workRemote workFlexible hoursEY
Grand Rapids, MI14 hours ago- ...care team members. Quality Assurance and Regulatory Compliance: Tracks, trends, and reports clinical quality data to identify risk. Participates actively as a member of the community Quality Assurance and Performance Improvement committee. Leads clinical quality...RiskDaily paidWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift
Sunrise Senior Living
Grand Rapids, MI12 days ago $21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Grand Rapids, MI2 days ago- ...on a consistent basis to various stakeholders about strategy, adjustments, constraints, and progress in terms of performance to meet business... ..., budget estimations, and implementation plans, including risk mitigation. Assists with creating and maintaining project plans...RiskPermanent employmentWork at officeVisa sponsorshipWork visaRelocation package
- ...strategic, analytical, and proactive leader who can influence risk culture, collaborate across departments, and exercise discretion... ...programs. Stay informed of regulatory changes and implement necessary adjustments to underwriting processes. Oversee internal and external audit...RiskWork at officeFlexible hours
$102.4k - $204.1k
...help shape the future of our industry. Job Description Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal areaRemote workWorldwide- .... Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient...Risk
$102.4k - $204.1k
...help shape the future of our industry. Job Description: The Model Risk Manager will be responsible for performing and managing... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal areaRemote workWorldwide$80.41k - $163.16k
...program governance, reporting, and escalation processes. Provide executive-level status updates , including project progress, risk/issue management, and financial tracking. Support portfolio planning, resource alignment, and prioritization of security initiatives...RiskWork experience placementRemote workMolina Healthcare
Grand Rapids, MI14 hours ago- ...the field. Develop and manage detailed project plans, schedules, and budgets, adjusting as needed to keep projects on track. Establish and communicate clear success criteria, risk mitigation strategies, and contingency plans. Maintain strong client communication...RiskPermanent employmentFor subcontractorWork at officeWork from home
$110k - $130k
...negotiation, and performance monitoring. Use spend analysis and market intelligence to identify savings opportunities and mitigate risk. Collaborate closely with engineering, maintenance, and operations teams to align procurement strategies with technical needs...RiskContract workiMPact Business Group
Grand Rapids, MI14 hours ago$60k
...training of all new team members Administer human resources and risk management compliance issues Supervision of side work for all roles... ...Assisting in the execution of weekly inventory Build and adjust ordering pars for daily and weekly food, liquor and dry stock orders...RiskHourly payTemporary workLocal areaNight shiftWeekend work- ...regarding general documentation and coding best practices and risk adjustment Deliver internal and external-facing education and training... ...required ~ Current certification as a Certified Professional Coder (CPC), or equivalent ~ Certified Documentation Expert...RiskWork experience placementWork at officeRemote work
Aledade, Inc.
Wyoming, MI26 days ago - ...leading client engagements. This role requires a seasoned professional with a strong background in financial services, operational risk management, business continuity, and crisis management. The Managing Director will be expected to have a deep understanding of resilience...Risk
- ...routinely good Standard Care Precautions of cleanliness, hygiene, and health. Host and engage in activities with the residents daily. Risk Management and General Safety Partner with community team to ensure community is in compliance with national/provincial...RiskWork at officeLocal areaImmediate startShift work
Sunrise Senior Living
Grand Rapids, MI23 days ago - ...ventilation and air conditioning systems and equipment. Identifying maintenance risks on equipment. Diagnosing electrical and mechanical faults for HVAC systems. Cleaning, adjusting and repairing systems, and performing warranty services. Performing emergency...Risk
Jacobson Heating & Cooling
Grand Rapids, MI5 days ago $186.2k - $363.09k
...LTSS business growth. Assesses, evaluates, and communicates LTSS's overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success and reaching business objectives to a variety of audiences. Ensures that current...RiskContract workTemporary workWork experience placementWork at officeLocal areaRemote workMolina Healthcare
Grand Rapids, MI4 days ago- ...Lines Sales Executive Who We Are: HUB is one of the largest global insurance brokerages, providing a broad array of insurance, risk and wealth management, products and services. With over 20,000 employees in over 600 offices throughout North America, HUB has...RiskLocal areaFlexible hours
HUB International
Grand Rapids, MI14 hours ago $102.4k - $204.1k
...goal of assisting clients administering a sound and compliant AML risk management environment. The ideal candidate will have a solid... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal area$18.75 - $42.25 per hour
...client and/or team Nurtures client relationships by listening, prioritizing, and acting responsibly to meet client needs, mitigate risk and add shareholder value Qualifications and Education Requirements BS/BA degree in Business/Finance or equivalent...RiskFull timeOld National Bank
Grand Rapids, MI4 days ago- ...candidate will have a strong background in subcontractor management, project planning, material delivery, contract management, and risk management. Excellent communication and influencing skills are essential, as is the ability to build credibility and confidence with...RiskContract workFor subcontractor
