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$77.97k - $141.37k
JOB DESCRIPTION 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...RiskRemote jobWork experience placement- ...staff Plays a lead role with implementing training modules, adjusting them according to demand and upgrading them on a continuous basis... ...to increase success in the community. Compliance & Risk Management: Ensures Incident Reports are initiated, completed...RiskHourly payFull timeContract workWork at officeMonday to FridayShift work
$26.51 - $38.44 per hour
Join to apply for the Coder II role at CommonSpirit Health 4 days ago Be among the first 25 applicants *Overview* In 2020, united in... ...reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder supervisor to...RiskFull timeApprenticeshipWork experience placementWork at office$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. + Technology... ...change management (training, SOPs, job aids, communications). + Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement$77.97k - $155.51k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions... ...years of program and/or project management experience in risk adjustment and/or quality - 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$90.81k - $116.96k
...capital outlay. Serves as internal auditor to reduce areas of risk and ensure adherence to financial policies and procedures. May... ...are reviewed annually. You will get an annual cost-of-living adjustment that increases the salary range as well as an annual step...RiskFull timeContract workTemporary workFor contractorsWork experience placementWork at officeLocal areaFlexible hoursNight shift$69.92k - $133.62k
...Property Adjuster Specialist At USAA, our mission is to empower our members to achieve financial security through highly competitive... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shift$60k - $75k
...Ensure goals are met in areas including customer satisfaction, risk management, quality, and team member performance. Implement and... ...Regularly review community feedback; evaluate, communicate and make adjustments as needed. Maintain an efficient and effective forerunning...RiskFull time$140.8k - $274.55k
**Job Description** **Job Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Risk Adjustment...RiskWork experience placementLocal area- ...collaboration. Job Description Lead full lifecycle project management, including scope definition, scheduling, budgeting, risk mitigation, change management, and stakeholder communication. Develop and manage detailed project plans, outlining milestones,...RiskFull timeContract workRelocation
$95k - $105k
...Ensures the implementation of best practices for revenue growth, adjusting to customer experience survey results and feedback; drives and... .... Ensures compliance with ACS policies, including employment, risk management, event and cash handling, data management, and...RiskWeekend workAfternoon shift- ...vision, peripheral vision, depth perception, and the ability to adjust focus. Note This job description in no way states or implies... ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The...RiskHourly payContract work
$80.41k - $188.16k
...management includes estimating, scheduling, costing, planning and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Manage project scope, schedule, and budget, making necessary adjustments as needed + Tracks and supports planned vs actual budget including all costs...RiskWork experience placementNight shift- ...operational budgets that support return on investment. Allocates or adjusts resources in accordance with priorities, volumes and demands,... ...hospital committee’s and leads groups as appropriate. Assists Risk and Patient Safety Officers in managing the performance improvement...RiskTemporary workLocal area
$77.97k - $155.51k
...required data sharing processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible for knowledge...RiskContract workWork experience placementLocal areaRemote work- ...Consultant Engineer I - Seattle at FM summary: The Consultant Engineer I at FM provides risk management and industrial property insurance solutions by performing site assessments and evaluating hazards at commercial properties. They leverage their engineering expertise...RiskContract workWork from homeWorldwideHome officeNight shift
- ...escalate issues. Collaborates with management team on project execution. Secures project management support. Participates in risk and change management discussions. Supports department initiatives. Skills Required ~ Four-year Bachelor's degree with...RiskFull timeContract workWork at officeLocal areaHome office
$2,161 per week
...incubators, ventilators, and phototherapy lamps. Provide direct patient care, including feeding, bathing, and wound care. Attend high-risk deliveries and respond to neonatal emergencies. Collaborate with doctors, respiratory therapists, dietitians, and other...RiskWeekly payImmediate startShift workNight shift$47.41 - $70.52 per hour
...reassess ongoing needs and to ensure that clinic activities are adjusted appropriately to meet expectations/demand in a timely, efficient... ...developing/administering clinic budget; 6) coordinating clinic security, risk management, disaster readiness and facilities upkeep/maintenance...RiskFull timeFor contractorsWork experience placement$100k - $130k
...Project Manager will manage the site’s financial performance, enforce risk management practices, ensure fair treatment of employees, and... ..., supervise, and support project staff and subcontractors; adjust staffing levels as workload requires. Conduct and participate in...RiskFull timeContract workTemporary workFor subcontractorNight shift- ...needs of the individuals we served, we were able to attract higher quality candidates and clients in need of their services. It’s a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Our candidates include...RiskShift work
$2,526 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskFor contractorsZero hours contractShift work$2,794 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskFor contractorsZero hours contractShift work$107.03k - $250.45k
...Description Job Summary The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and... ...may be preferred for specific roles) Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start- ...random patient visits, medical record reviews and case conferences. Enters infections and incidents/occurrences into the online Risk Management Incident Reporting System, as specified by policy. Assists in the orientation of new agency personnel. Provides...RiskFull timeWeekend work
- ...patients for medical, dietary and social history, including health risk factors. 4. Screens patients for health care services and... ...required by this job include close and far acuity and the ability to adjust focus. Hand-eye coordination is necessary to operate computers...RiskWork at office
$73.37k - $147.95k
...Sentry Insurance, a Mutual Company, is excited to share this Risk Control Consultant opportunity. Our dedication to customer service is embodied by our best associates. At Sentry, our associates take care of our customers with a passion for service and delivering business...RiskWork experience placementWork at officeImmediate startWork from homeNight shift- ...belonging. View our Purpose, Inclusion and Citizenship Report. Team Overview: As the Cyber Security Department Leader for Governance, Risk, and Compliance (GRC) Practice Management, you are a key member of the Information Security Leadership Team, responsible for driving...RiskTemporary workWork at officeWork from homeHome officeFlexible hours3 days per week
- ...understanding. Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions are mechanically assisted by life support equipment. Nurses who will assist in providing...RiskContract workLocal areaFlexible hoursShift workNight shift
- ...rehabilitation. Manages care of patients for a wide range of procedures of an advanced nature and difficulty where there is a high risk for infection and bodily functions arc mechanically assisted by life support equipment. Knowledge of the transitional care of...RiskContract workWork experience placementLocal areaFlexible hoursShift work




