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- ...Job Description Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product... ...risk arrangements. - Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and...Risk
Lightbeam Health Solutions
Dallas, TX8 days ago $19.6 per hour
...Responsibilities As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ...system, 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- ...We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment...RiskFull timeShift work
$77.97k - $141.37k
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 to identify risks...RiskRemote jobWork experience placement$50k
...Description Job Description Senior Workers’ Compensation Claims Adjuster · Texas Claims Experience A Must · Texas Adjusters License... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Dallas, TX3 days ago$42.9k - $64.16k
CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded... ...may impact the salary range and these adjustments would be clarified during the offer process... ...: CorVel Careers | Opportunities in Risk Management In general, our opportunities...RiskMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...information to executive leadership, contract negotiation, compliance risk mitigation with Intellectual Property (IP), trademark and... ...and interpersonal communication skills. ~ Ability to pivot and adjust evolving workload. ~ Work independently and be a self-starter...RiskContract workWork at officeRemote work
Petmate
Arlington, TX15 days ago - ...Senior Risk Analyst Join our team and be part of something truly transformational! Under the name of CareGard Warranty Services... ...vehicle class performance quarterly; provide pricing and risk adjustment recommendations. Collaborate with insurance carriers on pricing...RiskTemporary workImmediate start
- ...treasury management, external reporting and analysis, compliance and risk management, investment and cash flow management, along with... ...vision, peripheral vision, depth perception, and the ability to adjust focus.Under The Americans with Disabilities Act reasonable accommodations...RiskWork at officeLocal area
- ...changes that can be implemented incrementally, while minimizing risk. Define and evolve model governance, monitoring, drift detection... ...required by this job include close vision and ability to adjust focus. WORK ENVIRONMENT AND ENVIRONMENTAL CONDITIONS The...RiskFull timeWork at office
Paycom Payroll Llc
Grapevine, TXa month ago - ...Job Description Job Description Corporate Insurance Risk Manager Pillar Income Asset Management, Inc. is seeking a Corporate... ...industry and macroeconomic trends to proactively mitigate risk and adjust insurance program structures. Educate business units on...RiskContract work
Premier Payroll Administration
Dallas, TX19 days ago $80.31k - $115.84k
...Conducts thorough inspections of jobs and recommends further work to adjusters or clients Tracks project plans and makes adjustment, as and... ...Xactimate required. Understands basics of cost containment and risk management. Experience in effective communications, coaching...RiskContract workFor contractorsWork at officeLocal areaImmediate startWeekend work- ...changes that can be implemented incrementally, while minimizing risk. Collaborate with a variety of stakeholders to determine architectural... ...required by this job include close vision and ability to adjust focus. WORK ENVIRONMENT AND ENVIRONMENTAL CONDITIONS The...RiskFull timeWork at office
Paycom Payroll Llc
Grapevine, TXa month ago $80.31k - $115.84k
...Conducts thorough inspections of jobs and recommends further work to adjusters or clients Tracks project plans and makes adjustment, as and... ...Xactimate required. Understands basics of cost containment and risk management. OSHA 10 certification, desirable. Applies good...RiskFull timeContract workFor contractorsWork at officeLocal areaImmediate startWeekend work- ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...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
- ...statements of individuals and/or firms to determine the degree of risk involved by performing duties related to allowance for credit... ...; specific vision abilities include close vision and ability to adjust focus. Work Environment Moderate noise level; reasonable accommodations...RiskWork at officeLocal area
$15k
...designation within 12 to 18 months in the role. Appropriate state adjuster license is required. Experience Three (3) years of related... ...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$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...to be a trusted advisor both internally and to the client. # Risk Management and new loan originations: Work closely with credit... ...whether it’s a service problem, a financial solution that needs adjusting, or an operational concern. # Compliance and Documentation :...RiskFull timeWork experience placementWork at officeMonday to Friday
THIRD COAST BANK
Dallas, TX28 days ago - ...Scope The Manager, Security & Privacy Compliance is responsible for leading and advancing the cybersecurity, privacy, and governance, risk, and compliance (GRC) programs for Kubota Credit Corporation, U.S.A. (KCC), Kubota Tractor Acceptance Corporation (KTAC), and Kubota...RiskContract workWork 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- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Dallas, TX10 days ago - ...development. This role involves drafting and negotiating complex legal documents, conducting due diligence, and advising clients on legal risks and compliance issues associated with commercial property matters. Duties : Candidates should possess experience in...RiskWork at officeRemote work
Trigild
Dallas, TXa month ago - ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Southwest Region PRIMARY PURPOSE : To handle losses or 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
- ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskFull timeWork at officeLocal area
- ...stakeholders, addressing performance metrics and strategizing adjustments to meet lender requirements if required. Resident Experience... ...fostering a culture of high performance and accountability. Risk Management & Compliance Ensure compliance with local regulations...RiskFull timeWork at officeLocal area
Mapletree
Dallas, TX3 days ago - Director, Technology Risk Fidelity Investments is seeking a strategic and experienced Director-level to join a high-impact team dedicated... ...reasonably accommodate applicants with disabilities who need adjustments to complete the application or interview process. Please email...RiskContract work
$95k - $140k
Senior Liability Adjuster - NY Labor Law Join to apply for the Senior Liability Adjuster - NY Labor Law role at Berkshire Hathaway GUARD... ...contracts and insurance policies to identify coverage issues and risk transfer strategies. Proactively negotiate claims to achieve favorable...RiskFull timeWork at officeRemote work3 days per week$77.97k - $155.51k
Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity...RiskRemote jobWork experience placementWork at office
