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- Overview Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product Operations Reports to: VP of Product... ...risk arrangements. Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk...RiskRemote work
- ...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 - $140k
Overview Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores...RiskRemote jobWork experience placement$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement- Senior Casualty Claims Adjuster page is loaded Senior Casualty Claims Adjuster Apply locations Dallas, TX time type Full time posted on Posted... ...Ago job requisition id JR100960 Department: Safety Training & Risk Management Job Description: JOB SUMMARY: The Senior Casualty...RiskFull timeWork experience placementWork at officeWeekend work
- ...Data Risk Officer, Risk Appetite Planning, Metrics and Analysis - Vice President Operational Risk Management (ORM) is an enterprise... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....Risk
$103.92k - $155.88k
Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide oversight... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....RiskFull time- ...Senior Auto & General Liability Adjuster Amerisure creates exceptional value for its partners, policyholders, and employees. As a property... ...the house dealing with general contractors, subcontractors, and risk transfer. The ideal candidate will also possess the following...RiskFor contractorsWork at officeLocal areaFlexible hoursNight shift
- The Risk Manager at Berkshire Hathaway Automotive will develop and administer organization-wide risk management programs while continuously... ...and business partners. Flexibility and good judgment - easily adjust priorities and workflow based on needs. * Self-starter with the...RiskFull timeWork at office
$94.4k - $293.8k
...market and future-proof their enterprises. About the RoleAs a Fraud Risk Manager, you will be at the forefront of helping financial... ...technologies that impact the industry, advising clients on necessary adjustments to their fraud risk programs. Champion Accenture’s offerings...RiskWork at officeLocal area- ...including Nursing Standards and Practices, competencies and accreditation of staff. Collaborates with staff, physicians, administration and risk management to evaluate and improve patient services. e. Responsible for tracking the effectiveness of unit policies and procedures...RiskFull timeTemporary workSecond job
Parkland Health and Hospital System
Irving, TX14 days ago $117.6k - $206k
...secure operational frameworks while fostering a culture of proactive risk management and continuous improvement. Responsibilities Develop... ...needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range....Risk$120.5k - $231k
...in? Join the #VTeamLife. What you'll be doing The Verizon Cyber Risk Programs (CRP) Principal Consultant, is an experienced resource... ...potential to earn more. For part-time roles, your compensation will be adjusted to reflect your hours. The annual salary range for the location(...RiskFull timeTemporary workPart timeWork experience placementWork at officeWork from homeShift work3 days per week$135.2k - $236.6k
...operational continuity across workstreams. It proactively manages risk by identifying dependencies, surfacing issues early, and... ...organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range....Risk$156.16k - $234.24k
...restructuring and remedial management team in Banking & International Risk (BIR) with approval responsibility for the firm’s high risk... ...the day-to-day execution of the remedial strategy and adjust to dynamic situations. The Transactor also works with internal and...RiskFull time- ...private and public owners, as well as a variety of delivery methods such as Design-Bid-Build, Design-Build and Construction Manager at Risk. This position is a managerial position responsible for managing projects and leading a team. As the Project Manager, you are...RiskContract workInternship
F.H. Paschen
Irving, TX4 days ago - ...experience, making banking easy in an omni channel environment. Collaborates with a broad range of eco-system partners. Accountable for risk management and compliance . Builds a high performing team through the attraction, on-boarding, coaching and development of branch...RiskFull timeTemporary workPart timeWork experience placementWork at office
PNC Financial Services Group
Irving, TX15 days ago - ...legislation that may affect workers’ compensation claims. Manage and adjust procedures to always ensure full compliance with the Texas... ...TPA Develop and produce reports upon request from the District’s Risk Management Information System. Conduct site visits to Third-...RiskWork at office
- ...data-driven insights and continuous improvement. Compliance & Risk Management Ensure compliance with internal policies, regulatory... ...awareness of change impacts across a dynamic business environment, adjusting IT services to minimize risk and disruption. Qualifications...RiskFull time
- ...management as well as aftercare planning, group psychotherapy, suicide risk assessment and crisis intervention. Primary Duties and... ...placement under observation due to suicide risk or inability to adjust within general population due to symptoms of mental illness....RiskWorldwide
The GEO Group, Inc.
Irving, TX8 days ago - ...stability in the patient population served. Works collaboratively with Nurse Navigators to manage medical stability in patients with high-risk disease management with complex comorbid conditions. Responsibilities: Manages a case load of 10,000-15,000 patients with...RiskFull time
Christus Health
Irving, TX1 day ago - ...Business Risk And Control Officer Business Operational Risk Expert on Risk Management. RCSA or MCA Excel Role: The Business Risk and Control Officer is a strategic professional who stays abreast industry trends and technological advancements. They work cross-functionally...Risk
- ...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
- ...Credit Underwriting team provides a critical service within GMF’s risk management and dealer services platform; we identify, analyze... ...returns to financial statements, analysis of retained earnings adjustments, and bank statement reconciliations. Excellent written and...RiskWork experience placementWork at officeFlexible hours2 days per week
- ...and entrepreneurial mindset. The Vice President will also be expected to collaborate with executive leadership on pipeline strategy, risk management, and support M&A and financing processes. Experience in WECC, MISO, or SPP markets is a nice-to-have. Travel Percent...Risk
- ...Risk Management Consultant The contractor will report to the Head of Macro Scenario Design. S/He will help scenario design team in the firm-wide economic scenario generation and other stress testing processes, including CECL, Rapid Stress Testing (RST), CCAR and ente...RiskFor contractors
$156.16k - $234.24k
...Senior Compliance Risk Officer Serves as a senior compliance risk officer for Independent Compliance Risk Management (ICRM) Global Functions Fraud responsible for establishing internal strategies and processes to prevent violations of law, rule, or regulation related...RiskFull timeLocal areaFlexible hours- ...coordination. Identify and resolve early-stage development risks through environmental, civil, and title investigations. Pre... ...modifications or remodeling needs, such as minor finish adjustments, tenant improvement requests, or layout refinements, based on operational...RiskContract workFor contractors
Realty Capital Residential
Irving, TX5 days ago - ...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
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
