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- ...healthier future for everyone, which requires innovative thinking and continuous improvement. We are looking for a Professional, Sr. Risk Adjustment Analyst to join #TeamMVP. This is the opportunity for you if you have a passion for healthcare analytics, innovation, and...RiskFull timeRemote work
- ...We're Hiring: Sr. Medical Coder! We are seeking an experienced and detail-oriented Sr. Medical Coder to join our healthcare team... ...Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies...RiskRemote work
Tap Growth ai
Rochester, NY18 days ago $60.41k - $84k
Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS Overview The Risk Adjustment Coding Coordinator is responsible... ...informal discussion and over-read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskWork at officeRemote workWork from homeHome office- ...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
Rochester, NY15 hours ago $120k - $140k
...interpreting credit information to maximize credit while minimizing risk to the bank. Ensure loans are in compliance with investor... ...this job include close vision, distance vision, and ability to adjust focus. Reasonable accommodation may be made to enable individuals...RiskLocal areaGenesee Regional Bank
Rochester, NY14 hours ago$100k
...Position Type: Administrative - Classified/Risk Management & Compliance Officer Date Posted: 10/9/2025 Location: District Office Date Available: ASAP Closing Date: Until Filled The Greece Central School District believes that all students benefit...RiskFull timePart timeFor contractorsWork at officeImmediate startGreece Central School District
Greece, NY3 days ago$18.75 - $24.52 per hour
...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskHourly payTemporary workFlexible hoursDay shiftKey Bank
Rochester, NY13 hours ago$115k - $125k
...commercial bank clients, ensuring strong client relationships, risk management, and portfolio oversight. This role involves analyzing... ...this job include close vision, distance vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics...RiskWork at officeLocal areaGenesee Regional Bank
Rochester, NY12 hours ago$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$130k - $160k
Job Summary The Assurance Experienced Manager, Risk Advisory Services is responsible for managing and delivering high value solutions... ..., as needed Prepares periodic and timely billings, and manages adjustments to engagement realization, as needed Manages the engagement and...RiskWork at office$110.26k - $122.51k
...detailed project plans, including task assignments, timelines, risk assessments, and resource allocation. Apply both Agile (Scrum /... ...actionable tactics for non-technical stakeholders. Adaptability Adjust strategies to accommodate changing business needs. Make informed...Risk$65.6k - $69.24k
...centers serving residents living in three quadrants of Rochester, NY and in Canandaigua, N.Y. Jordan Health is now seeking a Risk Management Specialist who, under the guidance of the Chief Compliance & Risk Officer, is primarily responsible for managing the...RiskFull timeAnthony L. Jordan Health
Rochester, NY4 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
Rochester, NY2 days ago$214.13k - $417.56k
...support internal solution development and vendor partnerships. Partners with Legal, Compliance, and Information Security to manage risk and data privacy. Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions....RiskWork experience placementMolina Healthcare
Rochester, NY3 days ago$108.38k - $146.63k
...Plan, System and Information Integrity Plan, System and Communication Protection Plan, Security Assessment and Authorization Plan, Risk Assessment Plan, Program Management Plan, Security Planning, Physical and Environmental Protection Plan, Personnel Security Plan, Media...RiskMinimum wageContract workTemporary workWork experience placementWork at officeMAXIMUS
Rochester, NY3 days ago$111.1k - $207.8k
...diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. As a DSO Client Data Risk Manager at EY, you will play a crucial role in mitigating data risks associated with the delivery of our services. You will empower...RiskSummer holidayWork at officeFlexible hoursEY
Rochester, NY3 days ago$78k - $106.63k
Overview Risk Leader Specialist role at Highland Hospital of Rochester NY. Part-time position (24 hours per week). Responsibilities Oversee safety initiatives and achievement of related outcomes throughout the organization. Collaborate with clinical and administrative...RiskPart time- ...CEO John Fish. Suffolk is ranked #8 on ENR’s list of “Top CM-at-Risk Contractors.” For more information, visit and follow Suffolk on... ...close vision, distance vision, depth perception and the ability to adjust focus. The employee will spend their time in an office...RiskFor contractorsWork at officeLocal area
- ...Provides strategic direction for the project life cycle to include risk management, accountability, resource optimization, stakeholder... ...of ERP platforms (especially SAP) is preferred Can adjust to shifting priorities, demands and timelines. In compliance...RiskShift work
$78k - $106.63k
Overview Highland Hospital is seeking an experienced Risk Leader Specialist to work part time (24 hours a week). The Risk Leader Specialist is responsible for oversight of safety initiatives and achievement of related outcomes throughout the organization. Collaborates...RiskHourly payPart time$100k
...loan requests up to $100,000. Proactively bundle products and services as appropriate. Adheres to applicable compliance/operational risk controls in accordance with Company or regulatory standards and policies. Promotes an environment that supports a culture of...RiskTemporary workWork at officeM&T Bank
Rochester, NY12 hours ago$77.97k - $141.37k
...projects ~ Experience managing projects, communicating statuses and risks, and facilitating calls with cross-functional teams ~ Claims... ..., CERTIFICATION, ASSOCIATION : ~ Certified Professional Coder (CPC) To all current Molina employees: If you are interested...RiskWork experience placementMolina Healthcare
Rochester, NY12 hours ago$107.03k - $250.45k
...Description Job Summary The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and... ...may be preferred for specific roles) Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start- ...to take an active role in managing their health, reducing the risk of chronic diseases, and achieving personal health goals. Contributes... ...the progress of participants and provides ongoing support, adjustments to wellness plans, and follow-up care as needed. Maintains...RiskFull timeLocal areaShift work
University of Rochester
Rochester, NY4 days ago $66 - $70 per hour
...am-5pm) Contract : 6 month contract to hire Pay Rate : $66-70/hour Specific Duties: Provide specialized care to high-risk health plan members Work as part of an interdisciplinary team Conduct comprehensive assessments Manage acute and chronic medical...RiskContract workMonday to FridayPride Health
Rochester, NY21 days ago$117.73k - $209.58k
...Experience with Member, Enrollment, and Claims applications - which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting. Azure Databricks. Python. Spark. QNXT. Preferred License, Certification,...RiskWork experience placementRemote workMolina Healthcare
Rochester, NY2 days ago$37.18 - $49.92 per hour
...assessments using relevant physical, psychological, educational, and risk-screen data. Effectively communicate and document patient... ...to safety, medication administration, and documentation. Adjust care plans based on continuous evaluations and ensure timely updates...RiskFull timePart timeLocal areaNight shiftRochester Regional Health
Rochester, NY2 days ago$37.18 - $49.92 per hour
...utilizing relevant data (physical, psychological, educational, and risk-screen data). Effectively communicate and document... ...regarding safety, medication administration, and documentation. Adjust care plans based on continuous evaluations and maintain accurate...RiskFull timeLocal areaShift workNight shiftWeekend workRochester Regional Health
Rochester, NY1 day ago$77k - $202k
...At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks...RiskFull timeH1b$86.48k - $129.72k
Student Life Safety And Risk Mitigation Manager As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share : equity, leadership, integrity, openness, respect, and accountability....RiskFull timeWork at officeLocal areaFlexible hoursShift workAfternoon shift
