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$77.97k - $171.06k
Join to apply for the Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE role at Molina Healthcare 1 day ago Be among the first 25 applicants Join to apply for the Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE role at Molina Healthcare Job Summary...RiskRemote jobFull timeWork experience placement$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- ...change management protocols , evaluating and documenting all scope adjustments. Design and execute field strategies that drive... ...senior leadership, federal agencies, and key stakeholders. Lead risk management activities , including identification, mitigation,...RiskContract workFor contractors
Mechanical Contractor Oak Ridge TN
Paducah, KY8 days ago - ...account types such as ED, OBS, SDS, ANC, ONC, L&D, and IP. The coder interacts with hospital staff and physicians, participates in performance... ...diagnoses, co-morbidities, complications, severity, and risk factors. Extract and enter information into coding systems, adhering...RiskWork at officeRemote workShift work
$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- ...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
- ...Foster a collaborative team environment to drive project success. Risk Management: Identify potential project risks, including... ...plans. Monitor risk factors throughout the project lifecycle and adjust plans as necessary. Quality Assurance: Establish quality...RiskFor contractors
Nexpera LLC
Greenup, KY8 days ago $27.72 - $46.2 per hour
Overview Join to apply for the Facility Inpatient Complex Senior Coder role at Banner Health Estimated Pay Range: $27.72 - $46.20 /... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more . This is a facility-based coding position requiring...RiskLive inWork at officeRemote workShift work- Join to apply for the Claim Adjuster I role at Kentucky Farm Bureau Insurance Overview The claim adjuster I will complete required training... ...of all summonses. Report incorrectly rated policies or poor risks to PARM (Underwriting) with the assistance of your supervisor....RiskFull timeTraineeshipInternshipWork at officeImmediate start
- ...Medicare Risk Adjustment Process Expert I Location: Louisville, KY Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This...RiskTemporary workWork at officeLocal area2 days per week1 day per week
- ...property/casualty and auto claims and managing and maintaining online risk management and policy platforms on behalf of the ARH System and... ...Two years training or experience in insurance, claims adjusting, and/or experience in the legal environment required. Related experience...RiskWork experience placement
- ...maintaining accurate project schedules, tracking progress, identifying risks, and supporting on-time project delivery. The ideal candidate... ..., multi-phase projects Exposure to resource leveling, risk adjusted scheduling, or earned value management (EVM) Project...Risk
Diversified Automation
Louisville, KY15 days ago $53k - $79k
...Claims Adjuster - Crop In this role, you will respond to crop claims by completing field inspections, communicating with involved parties... ...objectives by participating in quality control tasks, audits, risk assessments and field reviews Contribute to a positive work...RiskFull timePart timeWork experience placementWork at officeRemote workWork from homeHome office- ...ensuring sustainable revenue growth, margin improvement, and cash flow performance.* Monitor financial results, identify risks and opportunities, and adjust strategies to achieve short- and long-term targets.* Maintain strong business controls, compliance, and governance...RiskTemporary work
- ...effectively. Monitor subcontractor performance and ensure alignment with scope, schedule, and quality expectations. Financial & Risk Management Control project costs and maintain profitability through proactive forecasting and financial tracking. Produce...RiskTemporary workFor contractors
Appleton Finn
Louisville, KY10 days ago - ...established performance-improvement policies and procedures Safety/risk-management program a) Adheres to safety policies and... ...for diagnostic purposes. b) Position radiologic equipment and adjust controls to set exposure time and distance according to specification...RiskFull time
Bluegrass Specialty Surgery Center
Lexington, KY11 days ago - ...Develop personnel forecast to project employment and equipment needs. Actively participate in policy and procedure development. Risk management. Financial Controls Oversee project buyout process by preparing subcontractor bid packages, negotiating, awarding...RiskWork at office
Bristol Group, LLC
Lexington, KY8 days ago $66.8k - $91.1k
...office. This role would be considered hybrid based on business discretion. *** The MRA Finance team supports Humana’s Medicare Risk Adjustment business area. The Finance team develops revenue and risk score projections for bids and budgets, evaluates changes in Medicare...RiskBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeWork from homeRelocationHome office- ...Purpose: Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes. Responsibilities Apply... ...remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other...RiskFull timeWork at officeRemote workWork from homeFlexible hours
- ...Strong sense of ownership and collaborative spirit. Willingness to adjust to shifting priorities. Physical Requirements Primarily... ...Related Jobs Portfolio Analyst — Irvine, CA Associate, Finance, Risk & Compliance — Irvine, CA Senior Asset Mgmt. Analyst — Newport Beach...RiskWork at officeShift work
$94k - $175k
...activities. Create and manage sprints in Jira; monitor velocity and adjust plans as needed. Facilitate Agile ceremonies: daily stand‑ups,... ...management planning, communication, and training initiatives. Risk, Issue, and Compliance Management Track and resolve issues;...RiskFor contractorsWork at officeFlexible hours- ...design integration, and subcontractor procurement Ensure seamless coordination among internal and external teams Execution & Risk Management Lead field operations and ensure projects are executed safely, efficiently, and to specification Proactively manage...RiskContract work
GeoSpecialties
Lexington, KY28 days ago $102.4k - $204.1k
...help shape the future of our industry. Job Description Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal areaRemote workWorldwide$86k - $154.7k
...quarterly Medicare financial forecasts. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Responsibilities... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours- ...customer including their representatives and ensuring that potential adjustments in the project are documented You will be the “Contract owner”; handling contractual challenges and ensuring justifiable risk management You will draw up offers and contract documents in...RiskPermanent employmentContract workLocal areaImmediate startWorldwideFlexible hours
- ...appointments and follow-ups Monitor and complete preventive health measures Alert providers to diagnoses and care gaps for risk adjustment Use registries to inform care teams of needed preventive services Counsel patients on recommended health screenings...RiskContract workTemporary workMonday to Friday
RemX
Louisville, KY1 day ago - ...and competitive performance with the President/General Manager, adjusting strategies to maintain a strong market position. Ensure the... ...and security of guests and team members by promoting proactive risk management and incident reduction programs. Establish and maintain...RiskTemporary workLocal areaFlexible hoursNight shift
- ...representing Day Spring positively and ethically at all times. The FHP Program Manager collaborates with team members to build retention, risk management, and crisis prevention strategies and stays abreast of best practices. The FHP Program Manager is accountable to the...RiskWork at officeLocal areaWork from homeNight shiftWeekend work
Day Spring Inc
Louisville, KY3 days ago - ...identify trends. Use insights to drive initiatives that reduce risk, improve service delivery, and enhance profitability. Product Expertise... ...: Regularly analyze departmental profitability and performance. Adjust strategies, processes, and team behaviors as needed to align...RiskMonday to Friday
- ...training of all new team members Administer human resources and risk management compliance issues Supervision of side work for all roles... ...Assisting in the execution of weekly inventory Build and adjust ordering pars for daily and weekly food, liquor and dry stock orders...RiskHourly payTemporary workLocal areaNight shiftWeekend work
