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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$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome office$77.97k - $141.37k
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 to identify risks...RiskRemote jobWork experience placement$68.7k - $123.7k
Senior Compliance Risk Adjustment Analyst page is loaded## Senior Compliance Risk Adjustment Analystlocations: Remote-MOtime type: Full timeposted on: Posted Todayjob requisition id: 1615975You could be the one who changes everything for our 28 million members. Centene...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours$46.2k - $75.6k
...RCIS Claims Specialist I Crop Adjuster Zurich is currently looking for a Claims Crop Field Adjuster II to join our Rural Community Insurance... ...plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America...RiskTemporary workWork at officeLocal areaWork from home- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
 $117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape.... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the...Risk$105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance Centene Corporation invites a highly skilled Data Scientist III to lead advanced analytics initiatives supporting risk adjustment compliance for our 28 million members. Position Purpose Executes Line 2 oversight of Risk Adjustment...RiskFlexible hours- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Midwest Region PRIMARY PURPOSE : To investigate claims... ...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
 - ...including personnel, leasing, maintenance, financial, administration & risk management. As an offsite leader, you will supervise all... ...improvement; identify trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts Provide monthly...RiskPermanent employmentFor contractors
 $25.5 - $38.25 per hour
...performing compliance reviews and identifying and mitigating potential risks. Location: Work Remotely in Wisconsin, Iowa, North Dakota,... ...~ Experience with crop insurance including underwriting, adjusting and/or compliance experience Preferred Knowledge...RiskWork at officeRemote workWork from home$113.1k - $188.5k
...management, and the global Salesforce system for opportunity and risk management, in addition to establishing governance and controls... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskVisa sponsorship- ...Claims Adjuster - Workers Compensation By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues... ...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
 $102.5k - $188.9k
...Cortex XDR, CrowdStrike ~3-4 years of experience with governance, risk, or compliance initiatives involving common frameworks ~... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...Risk$40k - $250k
...Best Workplaces in Financial Services & Insurance. Specialty Loss Adjuster. Embark on an Exciting Career Journey with Sedgwick Specialty.... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible hours$61.74k - $98.79k
...process. Encova Insurance is seeking a Senior Property Claims Field Adjuster (Senior Property Resolution Specialist). This role will be home-... ...using estimating guides and estimating software Assist in risk evaluation on homeowners and commercial businesses including verifying...RiskWork experience placementWork at officeRemote workWork from homeFlexible hoursNight shift- ...and help customers succeed financially Resolve low to moderately complex issues regarding the customer and employee experience, risk, and growth of the team and the business to meet Branch Network business objectives Identify opportunities for making banking easier...RiskTraineeshipWork experience placementInterim roleWork at officeImmediate start
 - ...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskFull timeContract workTemporary workWork experience placementH1bWork at officeImmediate startWork visa
 $120 - $150 per hour
...a range of domestic and international transactional tax planning services and tax-related advisory services. Our Tax Accounting and Risk Advisory Services (TARAS) practice operates within the NTD, and assists companies with all aspects of their financial reporting for...RiskWork experience placementSeasonal workRemote workFlexible hours- ...Application, Security and Business requests, are fulfilled in alignment with SLA and business expectations with appropriate urgency. Risk Management and Compliance: Identify and manage risks associated with IT operations, including cybersecurity threats and operational...RiskContract workLocal area
 $20k
Ambulatory Procedure Visit-Outpatient Coder COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting... ...policies; coding audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but not limited to: The Federal...RiskContract workFor contractorsLocal area$116.5k - $207.76k
...The Director of Enterprise Risk Management (ERM) is responsible for the development and implementation of a comprehensive risk management framework and strategy across the organization. This role involves identifying, assessing, and mitigating risks to ensure the organization...RiskTemporary workWork experience placementLocal areaImmediate startFlexible hours$34.64 per hour
...regulatory framework. Market Improvements on the Horizon: Policy Adjustments and Price Drops Despite a rocky first year, the second year of... ...for how legalization is done right. Stay Informed: Sign Up for Our Exclusive Newsletter! #J-18808-Ljbffr Cannabis Risk ManagerRiskPermanent employment$74k - $118k
...drives every decision we make. Job Title: Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior... ...vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaImmediate startVisa sponsorshipWork visa- ...The Fraud Governance Manager plays a key role in the oversight and strategic coordination of the firm's fraud risk management framework. This role is responsible for supporting enterprise-wide fraud governance activities, including policy and standard development, risk...RiskWork at office
 - ...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskFull timeContract workTemporary workWork experience placementH1bWork at officeImmediate start
 - ...Application, Security and Business requests are fulfilled in alignment with SLA and business expectations with appropriate urgency. Risk Management and Compliance: Identify and manage risks associated with IT operations, including cybersecurity threats and operational...RiskContract workLocal area
 $80.41k - $188.16k
...delivering IT and business projects successfully. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to manage multiple complex, challenging projects simultaneously. Deep understanding...RiskWork experience placement$86k - $154.7k
...documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeRemote workFlexible hours

