Get new jobs by email
$85k - $200k
.../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide... ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work...RiskFull timeWork at officeAnkura
Washington DC1 day ago$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$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday- ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD23 days ago $105.04k - $194.98k
Overview Risk Adjustment Manager- Encounters (Hybrid) at CareFirst BlueCross BlueShield Responsibilities Proactively create, manage and communicate Risk Adjustment related encounter or submission KPIs, OKRs, ROI, action plans, progress and risks within organizational teams...RiskWork experience placement$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement$145k - $170k
Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products, driving client data standardization, data integrations, database management, and optimization...Risk- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work$64.08k - $127.27k
Overview Senior ACA Encounters Risk Adjustment Analyst (Hybrid) role at CareFirst BlueCross BlueShield. The incumbent assumes a proactive approach in ensuring the accuracy and integrity of risk adjustment performance metrics through coordination of analytical processes,...RiskWork experience placement- ...Develop detailed project plans, including scope, resources, risk management, and communication strategies. Monitor project progress... ...and performance, providing regular updates to stakeholders and adjusting plans as necessary to meet objectives. Ensure compliance...RiskOngoing contractFor contractorsLocal area
CyberCoders
Beltsville, MD5 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...RiskWork experience placementImmediate start
- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets). *...RiskContract workFor contractors
$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD24 days ago$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskContract workTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD18 days ago$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskContract workTemporary workFor contractorsLocal areaImmediate startColumbia Technology Partners
Annapolis Junction, MD24 days ago$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$10k
...schedule estimation and tracking, contract performance management, risk management, requirements analysis, and quality assurance... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskContract workTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD24 days ago$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaRemote workColumbia Technology Partners
Annapolis Junction, MD16 days ago- ...conflicts to ensure smooth workflow. Resource Oversight: Track expenses, allocate resources efficiently, and adjust as required to avoid shortages or overlaps. Risk Management and Problem-Solving: Identify potential risks, develop mitigation strategies, and make quick...RiskContract workLocal areaRemote work
MVP360 Management
Silver Spring, MD11 days ago - ...industrial and service corporations, and departments and agencies of the U.S. Federal Government. We are actively searching for Risk Management Framework (RMF) Coordinator Skill Level 3 , located in Maryland , to support our team. We have varying levels of this...RiskFor contractorsWork at officeImmediate start
Prime Time Consulting
Annapolis Junction, MD17 days ago $10k
...information security controls, and perform and analyze the security risk assessment, risk analysis, risk management process, security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskContract workTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD24 days ago$50k - $290k
...The Mission, and remaining trusted leaders and advisers in national security and technology solutions. OPS Consulting is seeking a Risk Manager to work in Laurel, MD. Required Skills: Minimum (10) years of experience as a SE in programs and contracts of similar scope...RiskContract workWork experience placement$167.4k - $314.5k
...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role... ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication...RiskFull timeFlexible hoursParsons Oman
Washington DC2 hours agonew$42k
...Field Risk Specialist Position Opportunity! W e pay for drive time so candidates must live in the immediate area of Laurel, MD. This is a Field Based Position so you will not be assigned to a local office About DataScan Headquartered in Alpharetta, Georgia,...RiskPart timeLive inWork at officeLocal areaImmediate startFlexible hoursNight shiftDatascan Technologies, LLC
Laurel, MD17 hours ago- ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,... .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination....RiskContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
- ...delegate shift assignments including communicating expectations and adjusting as needed Supervise, provide leadership, and coach team... ...guidelines and procedures Immediately report all human resources and risk management concerns to your General Manager and District...RiskTemporary workLocal areaImmediate startRelocation packageFlexible hoursShift workNight shift
Zaxby's
Washington DCmore than 2 months ago - Cyntel Technologies is seeking Risk Management SMEs to join our team supporting our customer operations in the Annapolis Junction, MD area. Clearance – TS/SCI w/ Full Scope Poly Job Description: This position is for a Risk Management SME supporting a complex program...Risk
$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaColumbia Technology Partners
Annapolis Junction, MD18 days ago
