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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... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Des Moines, IA
    4 days ago
  • $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

    Datavant

    Des Moines, IA
    4 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    For contractors
    Remote work
    Work from home
    Home office

    Humana

    Des Moines, IA
    3 days ago
  • $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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Des Moines, IA
    4 days ago
  • $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... 
    Risk
    Full time
    Part time
    Work at office
    Remote work
    Work from home
    Flexible hours

    Oklahoma Complete Health

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Temporary work
    Work at office
    Local area
    Work from home

    Zurich Insurance Company

    Des Moines, IA
    5 days ago
  • 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... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Des Moines, IA
    2 days ago
  • $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

    Blue Cross and Blue Shield of North Carolina

    Des Moines, IA
    2 days ago
  • $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... 
    Risk
    Flexible hours

    Centene Corporation

    Des Moines, IA
    3 days ago
  •  ...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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Des Moines, IA
    6 hours ago
  •  ...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... 
    Risk
    Permanent employment
    For contractors

    Asset Living

    Des Moines, IA
    a month ago
  • $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... 
    Risk
    Work at office
    Remote work
    Work from home

    QBE Americas, Inc.

    Des Moines, IA
    3 days ago
  • $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... 
    Risk
    Visa sponsorship

    Iowa Staffing

    Des Moines, IA
    5 days ago
  •  ...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... 
    Risk
    Remote job
    Work at office
    Flexible hours

    Iowa Staffing

    Des Moines, IA
    5 days ago
  • $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

    Iowa Staffing

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Permanent employment
    Flexible hours

    Sedgwick

    Des Moines, IA
    2 days ago
  • $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... 
    Risk
    Work experience placement
    Work at office
    Remote work
    Work from home
    Flexible hours
    Night shift

    Encova Insurance

    Des Moines, IA
    2 days ago
  •  ...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... 
    Risk
    Traineeship
    Work experience placement
    Interim role
    Work at office
    Immediate start

    Wells Fargo

    Des Moines, IA
    6 hours ago
  •  ...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... 
    Risk
    Full time
    Contract work
    Temporary work
    Work experience placement
    H1b
    Work at office
    Immediate start
    Work visa

    Global Atlantic Financial Group

    Des Moines, IA
    1 day ago
  • $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... 
    Risk
    Work experience placement
    Seasonal work
    Remote work
    Flexible hours

    EY

    Des Moines, IA
    6 hours ago
  •  ...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... 
    Risk
    Contract work
    Local area

    Iowa Staffing

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Contract work
    For contractors
    Local area

    Health Partners Mgmt Group

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Temporary work
    Work experience placement
    Local area
    Immediate start
    Flexible hours

    Cardinal Health

    Des Moines, IA
    6 hours ago
  • $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 Manager
    Risk
    Permanent employment

    Cannabis Risk Manager

    Des Moines, IA
    2 days ago
  • $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... 
    Risk
    Remote job
    Work experience placement
    Local area
    Immediate start
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Des Moines, IA
    2 days ago
  •  ...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... 
    Risk
    Work at office

    Raymond James Financial Services

    Des Moines, IA
    6 hours ago
  •  ...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... 
    Risk
    Full time
    Contract work
    Temporary work
    Work experience placement
    H1b
    Work at office
    Immediate start

    Global Atlantic Financial Group

    Des Moines, IA
    4 days ago
  •  ...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... 
    Risk
    Contract work
    Local area

    Corteva Agriscience

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Work experience placement

    Kentucky Staffing

    Des Moines, IA
    5 days ago
  • $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... 
    Risk
    Full time
    Part time
    Remote work
    Flexible hours

    Centene Corporation

    Des Moines, IA
    5 days ago