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- ...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, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$70k - $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$70k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland,... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager May assist or...RiskFull timeWork at officeMonday to Friday$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$85k - $100k
Join to apply for the Personal Risk Advisor role at USI Insurance Services 2 weeks ago Be among the first 25 applicants Join to apply... ...Producer Process Improvement Senior Manager, Medicare Risk Adjustment Senior Manager, Risk Adjustment Coding Management (Medicare) Sr...RiskFull timeWork at officeLocal area- ...the accuracy of the loan system records (including interest rate adjustments on adjustable-rate loans) and ensure related general ledger... ...state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required...RiskFull timePart timeWork experience placement
Harbor Bank of MD
Baltimore, MD24 days ago - ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department....RiskContract work
Charter Global
Baltimore, MD17 days ago - ...for aviation clients. Responsibilities include planning, scope, schedule and budget, team coordination, stakeholder communication, risk management, resource management, quality assurance, and reporting. Projects can involve air side or land side operations. 95% in office...RiskContract workWork at office
Beneficial Talent Source
Cockeysville, MD12 days ago - ...Job Description Job Description Aviation Project Management (scope, schedule, budget), stakeholder communication, risk/resource/quality management, team leadership, schedule and plan creation, financial reporting, sub-consultant coordination, mentoring, proposal...RiskWork at office
head-huntress.com
Hunt Valley, MD2 days ago - Join to apply for the Risk Management Analyst role at Mariner Finance . Overview Risk Management Analyst - Credit Strategy | FLSA Status... ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workRelocation packageFlexible hours
- ...Facilitate discharge planning and care transitions Track service authorizations and manage approval/denial processes Perform medical risk assessments for Stop Loss carriers Manage assigned caseloads, providing insight into financial exposure for each case...RiskFull timeLocal area
MJ Morgan Group
Timonium, MD19 days ago $69k - $90k
...Description Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... New York Adjusters License Commercial Auto /... ...compensation and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeLocal areaWork from home- ...techniques, and self-management strategies to clients Monitor and adjust treatment plans as necessary to ensure progress and achievement... ...that take into account the facts, goals, constraints, and risks Problem Solving-Resolves complicated challenges Accountability...RiskFull timeWork at office
True Sports Physical Therapy LLC
Lutherville Timonium, MD27 days ago $139.3k - $232.2k
...Identify and successfully capitalize on cross-sell opportunities with bank partners. Achieve and surpass established sales goals within risk tolerance constraints. Assumes responsibility for highly complex activity for commercial banking. Responsibilities Identify,...RiskFull timeTemporary workWork experience placementLocal areaWork visaFlexible hours- ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift work
Magnet Medical
Baltimore, MD11 days ago $140k - $170k
...feeds, and analytics that support investment decision-making, risk management, trading, compliance, and client reporting. Role focus... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email...RiskContract workLocal areaWorldwideFlexible hours- ...clinical experience may be acceptable such as chronic or rehab care based on assigned areas or responsibility * Previous experience in risk management, patient safety or quality assurance preferred * Paralegal knowledge also an asset Total Rewards The referenced...RiskWork experience placement
University of MD Faculty Physicians Inc.
Baltimore, MD28 days ago $80k - $115k
Join to apply for the Personal Risk Specialist role at USI Insurance Services 2 weeks ago Be among the first 25 applicants Join to apply for the Personal Risk Specialist role at USI Insurance Services Direct message the job poster from USI Insurance Services Executive...RiskContract workTemporary workPart timeWork at officeLocal areaFlexible hoursAfternoon shift- ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency – Risk Management & Compliance Your Impact: Drive revenue by converting prequalified inbound leads into closed loan applications....RiskTemporary work
Dominion Financial Services
Baltimore, MD18 days ago $145k - $165k
...Investment Risk Manager At Franklin Templeton, we're advancing our industry forward by developing new and innovative ways to help... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please send an...RiskWork experience placementWork at officeLocal areaFlexible hours3 days per week$150k - $250k
...clients in connection with industrial park developments, acquisitions, and operations. Provide clear, practical legal advice and risk assessments to help clients achieve business goals. Maintain organized files, track key deal milestones, and ensure deadlines are...RiskLocal areaRemote workFlexible hoursJobot
Timonium, MD24 days ago- ...prioritized initiatives. Deliver high customer service to all constituents. Ensure compliance with NKF policies, including employment, risk management, event and cash handling, and financial controls. Demonstrate integrity, collaboration and stewardship. Other...RiskLocal areaFlexible hoursNight shiftWeekend workAfternoon shift
National Kidney Foundation
Cockeysville, MD18 days ago - ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency - Risk Management & Compliance Your Impact: ~ Monitor and manage assigned mortgage loan portfolios to minimize risk and maximize...RiskTemporary work
Dominion Financial Services
Baltimore, MD8 days ago - ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department. MUST HAVE...RiskContract workWork at officeImmediate start
Vega Consulting Solutions, Inc
Baltimore, MD7 days ago - ...or national organizations, as appropriate. Maintain oversight of risk and compliance management of all properties. Serve as a key... ...Develop department annual budget. Work with CFO in budget planning to adjust for changes in business strategy. Review and monitor budget vs....RiskTemporary workPrivate practiceLocal areaImmediate start
$87.7k - $101.9k
...activities by monitoring administrative, sales, and trading tasks performed by registered employees. Key responsibilities include limiting risk and financial exposure to the business unit and the bank for registered employees located in call centers or financial centers. Job...RiskWork at officeLocal areaHome officeShift workDay shift- ...for aviation clients. Responsibilities include planning, scope, schedule and budget, team coordination, stakeholder communication, risk management, resource management, quality assurance, and reporting. Projects can involve air side or land side operations. Essential...RiskFull timeContract workWork at office
