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$75k - $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$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
$71.3k - $82.6k
...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...RiskFull timeWork experience placement- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
- ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation...RiskFull time
- ...outcomes and assign follow-ups to ensure technical alignment and risk mitigation. Issue Resolution: Maintain a live project issue... ...consistent, data-driven updates to executive and technical stakeholders; adjust strategies and timelines as needed based on risk and performance...RiskRemote work
- ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)....RiskWork at office
$30 - $33 per hour
...Thursday - Friday Remote Part B ~ Wednesday - Friday Onsite / Monday - Tuesday Remote We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours- ...Job Description Job Description The Hospital Claims Adjuster is responsible for the adjusting of hospital risk claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospitals/IPAs. Research, reviews, and contacts...Risk
- ...scheduled for the procedure. • Reviews with the patient the risks and benefits of surgery/procedure per the Doctor’s orders, and... ...to the billing department. • Collaborates with workers comp adjusters and case managers on workers comp requests for authorizations and...RiskContract workTemporary workWork at office
- ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the... ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
$75k
...Bellwether is privately held and has offices in Los Angeles, Newport Beach, Salt Lake City, London and Dallas. We are seeking a Risk Management Analyst to expand the risk management team and get exposure on a variety of real estate and constructions risks. The Analyst...RiskLocal area$50k - $90k
...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within... ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in...RiskFull timeTemporary workWork at office$91.2k - $170.3k
...stakeholder relationships and internal reviews. # Lead and direct project teams to meet cost, schedule, and technical goals. # Support risk, issue, and opportunity development. Qualifications Basic Qualifications Bachelor's Degree + 5 years related experience,...RiskFull timeWork at office$133.9k
...components Communicate regularly with senior management on status, risks, and change control Be expected to dive deep into the technical... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskLocal areaRemote work- ...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is... ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. Ability to anticipate and articulate...RiskContract workSeasonal work
$73.3k - $110k
Join to apply for the Pricing Risk Analyst role at American Honda Motor Company, Inc. Join to apply for the Pricing Risk Analyst role... ..., CA $195,995.00-$364,003.00 3 weeks ago Manager of Risk Adjustment & Documentation Los Angeles, CA $110,000.00-$130,000.00 2 weeks...RiskFull timeTemporary workWork experience placementRelocation package$91.2k - $136.8k
...Demonstrate leadership, collaboration, business analysis, communication, project management, stakeholder management, change management, risk management, capture, and proposal-based capabilities. Establish and maintain proposal metrics, derive insights for leadership,...RiskFull timeWork at officeRelocation packageFlexible hoursShift work- ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of... ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
- ...culture across all levels of staff. Support talent development through training, performance feedback, and knowledge sharing. Risk Management & Incident Response Proactively assess and mitigate risks related to cargo theft, physical security breaches, and supply...RiskWork at office
- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and inventory... ...salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time
$190k - $219k
...critical systems, and sensitive data across the directorate. You will play a hands?on role in Cybersecurity Analysis, Engineering, and Risk Management Framework (RMF) compliance, driving mission assurance for some of the nations most important space systems. Minimum...RiskFull timeContract work- ...deadlines are met without compromising on quality or safety. Risk Management: Identify potential risks or challenges during... .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing...RiskFor contractorsWork at officeLocal area
- ...management of client. Proactive development and execution of client risk management strategy. Knowledge of full portfolio of P&C... ...Specific vision abilities required by this job include ability to adjust focus when using computers tablets or other electronic devices....RiskWork experience placement
- ...forecast, supply planning, weeks of supply, and on-hand inventory) to identify gaps, risks, and opportunities. Incorporate acquisition and marketing spend data into weekly forecast adjustments; update and upload forecasts every Tuesday. Execute tactical adjustments...RiskFlexible hours
- Overview Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment...RiskContract workLocal areaImmediate start
$240k - $340k
...informative written presentations in MS Word, MS Power Point and skilled at financial modeling in MS Excel. Knowledge and Skills: Risk Management: Skilled in identifying and mitigating potential risks associated with acquisitions, including financial, operational,...RiskFull timeTemporary workPart timeWork experience placementLocal area




