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$193k - $242k
...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...RiskFull time$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- .../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 office
- ...Process Improvement Senior Manager, Medicare Risk Adjustment The Senior Manager, Planning and Process Improvement role reports to the Executive Director. This person will provide thought leadership while handling legal matters (DOJ, OIG, RADV audits) working closely with...RiskPart time
$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- Overview Join to apply for the Senior Risk Adjustment Analyst- Medicaid Encounters (Hybrid) role at CareFirst BlueCross BlueShield . The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment...RiskWork experience placementImmediate start
- ...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
$99.14k - $196.91k
...can be used to make informed decisions and assist the organization in making better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the Director of...RiskRemote jobWork experience placementImmediate start$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- ...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
- ...ManTech seeks a motivated, career and customer-oriented Supply Chain Risk Management Analyst to join our team in Fort Meade, MD. Responsibilities include but are not limited to: Review all-source intelligence products and industry trend data to understand and...RiskFull timeWork at office
$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$380 per month
...Head Of Global Risk Jeeves is a groundbreaking financial operating system built for global businesses that provides corporate cards... ...role will lead credit risk management strategies, optimize risk-adjusted returns, and maintain compliance with both internal policies and...RiskFull timePart timeRemote workWorldwide- ...specifications, and construction methods to ensure compliance. Perform risk management and quality control to minimize project risks. Create... ...vision, peripheral vision, depth perception, and the ability to adjust focus. • Performing this job requires use of hands to finger,...RiskPermanent employmentContract workTemporary workFor contractorsFor subcontractorWork at office
- ...Director, Risk, Forensics & Compliance (Compliance, Investigations & Oversight) Join to apply for the Director, Risk, Forensics & Compliance... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskFull timeImmediate start
- ...Compliance Specialist At TD Bank US Compliance, we're on a mission to build a more resilient and scalable compliance risk management function. As part of our team, you'll play a key role in reshaping compliance structures and processes, driving innovation at every level...RiskPart time
$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 area$10k
...interface data in a commonly accessible repository Assess each risk to the program and determine the probability of occurrence and... ...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 area$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Responsibilities / Opportunities Embark on an Exciting Career... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible hours$140k - $150k
Overview We seek a skilled expert in high-risk crisis response topics including insider risk, corporate espionage and IP theft mitigation... ..., age or veteran status. If you require any reasonable adjustments to participate in the interview process, please let us know and...RiskWork experience placementAfternoon shift$175.5k - $200.3k
Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal area$98k - $153k
...Security, IT and Cloud Infrastructure teams and leaders to plan risk and compliance strategies, goal setting, capacity building... ...Jane community. We encourage anyone who requires accommodation or adjustments throughout the interview process to let us know, and we will do...RiskPart timeRemote work$100k - $171k
...complex projects, and align community banking goals with broader business objectives. This role emphasizes collaboration, data analysis, risk management, and promoting an inclusive environment to enhance outcomes for customers, employees, and communities. Overview:...RiskFull timeWork experience placement- 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
$41 - $60 per hour
...Business Systems Analyst Financial Crime Risk & Data Solutions Location: Mount Laurel, NJ Salary Range: $41 - 60/hr Required Skills & Qualifications Must-have qualifications that candidates must meet to be considered: Applicants must be able to work directly...RiskPart time$46.99k - $122.4k
...convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national coordinating...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$225.4k - $257.2k
...Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per week- ...tracking and analysis, and make data-driven recommendations for adjustments and improvements as needed. Stay abreast of industry trends,... ...care business and financial principles such as underwriting, risk adjustment, medical management, physician reimbursement, and risk...RiskFull timeContract workPart timeInternshipLocal area
$60k - $80k
...Baltimore, we support the Firm\'s global Technology, Operations, Risk Management, Legal and Compliance, Internal Audit and Finance... ...learn from experience and mistakes; actively seek out feedback and adjusts behavior accordingly Role is hybrid and will require in office...RiskTemporary workWork at officeLocal area3 days per week