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$60.41k - $84k
Overview Risk Adjustment Coding Coordinator I/II at Excellus BCBS. The role focuses on decision-making and implementation of medical coding... ...federal regulations. Provide peer-to-peer guidance and support coder training and orientation as requested. Maintain accuracy in coding...RiskRemote workWork from homeHome office$42.02 - $65.72 per hour
...available data sources, and making decisions based on this data. - Adjusts in daily schedules according to changes in staffing needs, due... ...of clinical issues, triage problems, staffing issues, and risk management concerns. - Acts on behalf of Clinical Manager / Director...RiskFlexible hours$42.02 - $65.72 per hour
...analyzing data sources and making decisions based on this data. Adjusts daily schedules according to changes in staffing needs due to... ...informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts on behalf of Clinical Manager /...RiskFull time$25.59 - $36.59 per hour
...medications Coordinate and complete appeals for denials as needed Monitor and Review REMS clearance for monthly refills of high-risk medications ordered for patients Monitor and Manage Department in Basket E-Guthrie Medical Advice Requests Medication...RiskFull timeWork at officeRelocation packageMonday to Friday$48.11 - $75.08 per hour
...potential situations which may place the health care system at risk for corporate compliance. Communicates appropriately to administrator... ...to meet budgetary targets. A. Anticipates, monitors, and adjusts human and material resources appropriate to volume and patient acuity...RiskFull timePart timeShift work- ...s license (CDL-A) At least 1 year or 50,000 verifiable miles of tractor-trailer driving experience Must meet McLane's MVR and risk rating qualifications This position requires the ability to read, write, and understand English at a level sufficient to perform...Risk
$48.11 - $75.08 per hour
...potential situations which may place the health care system at risk for corporate compliance. Communicates appropriately to the administrator... ...of care and practice. 11. Anticipates, monitors, and adjusts human and material resources appropriate to volume and patient acuity...RiskPart time$26.27 - $41.61 per hour
...patient's illness, his need for care, his response to treatment, and adjustment to care in the hospital; Assessment of the patients' medical... ...when on‐call Provides interventions for identified high‐risk patients (i.e. abuse, neglect, substance abuse, etc.) Other...RiskDaily paidWork at office$400k
...trained breast radiologists, medical oncologists, radiation oncologists, reconstructive surgeons, and advanced practice providers High Risk Clinic Lymphedema therapy program Access to clinical trials Comprehensive Compensation and Benefits ~ Competitive...RiskRelocation$39 - $54.12 per hour
...available data sources, and making decisions based on this data. Makes adjustments in daily schedules according to changes in staffing needs, due... .../ Director informed of clinical issues, staffing issues, and risk management concerns. Acts on behalf of Clinical Manager /...RiskFull timeWork at officeFlexible hours- ...Lead and evaluate project managers and other staff ~ Develop and control deadlines, budgets, and activities ~ Apply change, risk, and resource management ~ Assume responsibility for the program’s people and vendors ~ Assess program performance and aim to...RiskFull timePart timeShift workWeekend work
- ...Use client-centered approaches to identify individual client and family needs, goals, strengths, and challenges. Complete client risk assessment to determine need for and level of service and support. Communicate and work with the Program Manager on high need/high...RiskFull time
- ...compliance with state, federal, and other applicable regulations. Develop/coordinate the quality improvement plan: infection control, risk management, patient reported outcomes, clinical and operational benchmarking etc. Oversee and help Clinical Director develop annual...RiskFull timeContract workLocal area
$83k - $104k
...environmental permits Manages progress against plans, performs risk assessment and take action to mitigate risk Verifies project... ...skillsets. The disclosed range is an estimate and has not been adjusted for the applicable geographic differential associated with the location...RiskTemporary workLocal areaFlexible hours$110k - $160k
...employment matters, education law, and other civil matters Provide counsel on employment and labor issues, compliance, contracts, and risk management Handle client meetings, hearings, and litigation as assigned Draft contracts, policies, legal memoranda, and...RiskOngoing contractLocal area- ...issues and managing complex claims. Oversee carrier and TPA adjusters on the evaluation and adjudication of insurance claims. Analyze... ...Analyze claims and collaborate with underwriting to mitigate risk Monitor defense counsel and outside vendors to ensure a high...Risk
$65k - $118k
...WBS, Cost Baseline and OBS structure, initiating the project, building its comprehensive work plan, controlling and managing to the risks, scope, schedule and budget Managing Teams — facilitating commitment and productivity, removing obstacles, and managing teams...RiskContract workTemporary workFor contractorsWork at officeFlexible hours- ...WBS, Cost Baseline and OBS structure, initiating the project, building its comprehensive work plan, controlling and managing to the risks, scope, schedule and budget Managing Teams — facilitating commitment and productivity, removing obstacles, and managing teams...RiskFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$70k - $95k
...identification and integration into Change Management system. Track and manage OT asset portfolio with regards to cost, control, risk, compliance, and business performance objectives. Track and maintain contract lifecycle documentation. Work with IT Management...RiskContract workTemporary workFor contractorsWork at officeFlexible hours$128k - $142.92k
...implementing utility system resiliency plans to address wildfire risks and the impacts of climate change. This senior-level position... ...evaluate the effectiveness of resiliency plans and make necessary adjustments. Stay current with industry best practices and regulatory...RiskWork at officeLocal areaRelocationRelocation package- ...actuarial opinion expected. Ability to design and direct the creation of complex actuarial models. Advanced knowledge of financial and risk health arrangements. Proficiency in Microsoft Office Suite, Visual Basic and SAS. Advanced ability to communicate technical analysis...RiskLive inWork at officeRemote work
$40.25 - $62.59 per hour
...mentor for development of nursing staff. E. Promotes activities that assist others, as appropriate, in becoming informed about costs, risks, and benefits of patient care delivery. F. Participates in professional continuing education programs and meets the current...RiskHourly payDaily paidPart time- ...optimize inventory levels, and ensure timely returns processing and merchandising. Safety & Compliance - Enforce PPE use, promote risk management practices, and uphold company safety standards. Commercial Account Support - Assist in managing commercial and hub departments...RiskFull timePart timeFlexible hoursNight shiftDay shift
- ...rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk management and financial solvency for the health plan operation. Summary Job Description: The Actuarial Analyst performs actuarial...RiskFull timeLive inWork at officeRemote work
- ...About Advantmed Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and...RiskDaily paidPart timeFor contractorsReliefImmediate startFlexible hoursWeekday work
- ...Surety, Group Retirement Plans including 401(k) and 403(b) Plans, Risk Management, and Financial Services. You’ll bring a deep desire... ...competing priorities to reach goals and meet deadlines. Ability to adjust to shifting priorities. Ability to solve practical problems and...RiskFull timeTemporary workWork at officeFlexible hoursShift work
$65k - $95k
...Safety: Ensure the property meets government regulations, environmental standards, and health and safety requirements. • Security and Risk Management: Implement security measures and emergency preparedness plans. Requirements Project Management Institute (PMI)...RiskFull timeContract workTemporary workWork at officeFlexible hours$400k
...trained breast radiologists, medical oncologists, radiation oncologists, reconstructive surgeons, and advanced practice providers High Risk Clinic Lymphedema therapy program Access to clinical trials Comprehensive Compensation and Benefits ~ Competitive...RiskRelocation$25.6 - $39.94 per hour
...repair and for new equipment installation. Monitors specific security indicators periodically to alert TGC to potential security risks. Responsible for protecting The Guthrie Clinic against the misuse or theft of services by ensuring that the appropriate safeguards are...RiskFull timePart timeWork at office$43.28 - $67.65 per hour
...potential situations which may place the health care system at risk for corporate compliance. Communicates appropriately to administrator... .... Remains fiscally responsible: Anticipates, monitors, and adjusts human and material resources appropriate to volume and patient acuity...RiskFull timeWork at officeShift work



