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$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., 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$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk- ...and utilize each person’s talents and strengths. Position The Risk Adjustment Coding Specialist is responsible for comprehensive clinical... ...Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines. Comply with the Standards...RiskWork experience placementRemote work
$132.6k - $179.4k
Overview Assistant Director Risk Adjustment Member Engagement & Planning Work a hybrid schedule from Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking...RiskWork at officeImmediate startRemote workWork from homeFlexible hours$77.97k - $141.37k
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$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk- ...appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths. The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare...RiskWork experience placementWork at officeNight shift
$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$91.8k - $123.1k
...00 actuaries, consultants, data analysts and statisticians who provide pricing, financial and statistical projections and analysis, risk evaluation, research and custom reporting for Cambia’s health plans and customers in Idaho, Oregon, Utah, and Washington. We ensure...RiskWork at officeImmediate startWork from homeFlexible hours- ...Commercial Bodily Injury Adjuster Great West Casualty is a leader in the insurance industry, known for our commitment to delivering exceptional... ...Commercial Bodily Injury Adjuster to join our growing Specialty Risk team. As a Commercial Bodily Injury Adjuster, you will be...RiskRemote jobContract workWork at office
- ...development of customer proposals to ensure acceptable profitability and risk management. Provide technical assistance to all company... ...daily to ensure that obstacles are addressed and resources are adjusted as necessary Deliver projects on schedule and on budget Maintain...RiskTemporary workWork experience placementFlexible hours
Western Aircraft
Boise, ID17 days ago $50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$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- ...Alphonsus, visit: . Responsibilities include: Attend high-risk deliveries and facilitate NICU admissions Manage NICU... ...providing active management strategies that may include nutritional adjustments, ventilator management, lab and radiology review, and updating...RiskFull timeRelocationNight shift
Trinity Health
Boise, ID2 days ago - ...Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region Primary Purpose Primary Purpose : To handle... ...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
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Ketchum, ID7 days ago - ...focus on medication appropriateness and management. Initiate, adjust, and monitor psychotropic and addiction treatment medications,... ...Educate patients and families on medication purpose, benefits, risks, and safe use. Coordinate care with interdisciplinary team members...RiskPart time1 day per week
One Love Agency
Pocatello, ID16 days ago - Overview Mountain View Hospital is looking for a Certified Medical Coder to join our team! Role: WORKERS COMP - CERTIFIED MEDICAL CODER... ...payment card acceptance and security. Establish and comprehend Risk Coding; responsible for ensuring Risk codes are appropriate and...RiskFull timePart timeReliefFlexible hours
- ...Job Description Job Description POSITION OVERVIEW: Responsible for developing and implementing physician risk management services as these services will be of value to providing prevention, mitigation and control of losses. Develops, assists and/or oversees...Risk
CONSENSUS MANAGEMENT CORPORATION
Coeur D Alene, IDa month ago - ...Direct all aspects of program planning, resource allocation, risk management, and systems integration. Lead, mentor, and develop... ...collaborating with stakeholders, and continuously monitoring and adjusting existing roadmap as needed. Establish a culture of...RiskRemote workShift work
IDAHO ASPHALT
Coeur D Alene, ID26 days ago $74k - $118k
...decision we make. Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior... ...close, distance, color, peripheral, depth perception, and focus adjustments. Every employee must understand, comply with and attest to the...RiskRemote jobWork experience placementLocal areaVisa sponsorship- ...communication skills. Demonstrated ability to manage multiple priorities, work independently, and lead teams effectively. Experience with risk management and mitigation strategies. Knowledge of various project delivery methods, including General Construction, Design-Build...RiskContract workWork at office
Wright Brothers, The Building Company
Eagle, ID10 days ago - ...wellbeing of each person we serve. Our commitment to excellence and innovation has enabled us to maintain a best-in-class approach to risk management, employee benefits, retirement, and total rewards. We are seeking a talented proposal specialist to join our corporate...Risk
The MJ Companies
Meridian, ID2 days ago - ...enforce compliance with FIS/USSS rules, resort safety protocols, and risk management procedures. Collaborate with ski patrol, grooming,... ...vision, peripheral vision, depth perception and the ability to adjust focus. Preferred: Previous supervisory role in race crew,...RiskNight shiftEarly shift
- ...Review contractor and consultant pay applications, invoices, and change orders for accuracy and alignment with budget. ~ Track project risks and report issues to Senior PM/Director as needed. ~Eliminate conflict and strive for fairness for all project stakeholders...RiskFor contractorsWork at office
Paradigm of Idaho, Inc.
Boise, ID12 days ago - ...Health Insurance Life Insurance Property Insurance Financial Services Professional Services Corporate & Business Risk Analysis Investment Management Finance Specialties ~ property and casualty insurance and insurance-related services...RiskWork at office
$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
Idaho Falls, ID3 days ago
