Get new jobs by email
$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$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...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Trenton, NJ3 days ago- ...journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician-facing position and must... .... RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding,...RiskWork experience placementWork at office
- The Director of Risk Adjustment Analytics reports to the Vice President, Government Markets Performance and is responsible for analytics and reporting related to both Medicare and ACA risk adjustment. The Director will interact collaboratively with the Medicare Stars team...RiskTemporary workWork experience placement
$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours$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- 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
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. 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...Risk- ...Establish initial reserves based on gathered information and adjust as appropriate through completion of assigned claim. Negotiate... ...proper and accurate payments as needed. Identify questionable risks, red flags, fraud indicators and alert the special investigation...RiskWork at officeLocal areaRemote workWork visa1 day per week
NJ CURE
Princeton, NJ15 days ago $34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$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- ...experience, making banking easy in an omni channel environment. Collaborates with a broad range of eco-system partners. Accountable for risk management and compliance . Builds a high performing team through the attraction, on-boarding, coaching and development of branch...RiskFull timeTemporary workPart timeWork experience placementWork at office
PNC
Bristol, PA9 hours ago $96.3k - $157.7k
...Zurich’s Risk Engineering Property South Team is seeking a Senior Property Field Risk Engineering Consultant with large property highly... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA5 days ago- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Trenton, NJ10 hours ago $94.4k - $293.8k
...and future-proof their enterprises. About the RoleAs a Fraud Risk Manager, you will be at the forefront of helping financial... ...technologies that impact the industry, advising clients on necessary adjustments to their fraud risk programs. Champion Accenture's offerings...RiskLive inWork at officeLocal areaAccenture
Philadelphia, PA3 days ago$74.4k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA8 days ago$130k - $215k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA10 days ago- ...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and... ...vision, peripheral vision, depth perception and ability to adjust focus. Equal Opportunity Employer This employer is required...RiskHourly payFull timeWork at officeLocal area
Regal Entertainment
Burlington, NJ4 days ago $98.3k - $185.1k
...Power Generation Risk Engineering Consultant 128056 Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich NA
Trenton, NJ4 days ago$135.6k - $207.9k
...provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted... ...market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this...RiskMunich Reinsurance America, Inc.
Princeton, NJ5 days ago- ...professional liability (MPL) insurance, including pricing, reserving, risk assessment, and financial forecasting. This executive role... ...policy terms. Monitor market trends and competitor pricing to adjust strategies accordingly. Regulatory Compliance & Financial...RiskFull timeRemote work
AMS Management Group
Pennington, NJ5 days ago $50k
...Job Description Job Description Sr. General Liability Claims Adjuster – Bodily Injury · New York Adjuster License Needed Work... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Philadelphia, PA7 days ago- ...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskDay shift
KeyCorp
Ambler, PA5 days ago $22 - $25 per hour
...direct supervision of the Vice President of Risk Management, receiving and processing... ...contacts (4 point contact) with client, adjuster, employee and provider. Report claims to... ...2,602.48-$52,602.48 1 week ago Certified Coder, Senior Administrative Claims Specialist...RiskFull time$65k - $90k
...information or clarification is needed. Placement: Submit the risk to the marketplace ensuring carriers have all information they... ...working at a varying pace, managing multiple deadlines, and adjusting priorities is required. High degree of self-discipline and motivation...RiskMarsh McLennan
Philadelphia, PA12 hours ago- ...support the team across all aspects of their work to ensure that risk standards are consistently upheld. This includes contributing to... ...a business environment CSGer Perks & Benefits (Feel free to adjust this by regional benefits!) Work from home, in-office, or hybrid...RiskWork at officeWork from home
- ...Job Description Job Description Sovereign Consulting Inc. seeks an Ecological Risk Assessment Specialist with 5+ years of ecological risk assessment experience in the Mid-Atlantic Region, Experience in New Jersey is a plus. The successful candidate will be responsible...RiskFull timeTemporary workRelocation package
Sovereign Consulting
Robbinsville, NJ19 days ago - ...between the business, IT, and information security – driving the identification, evaluation and prioritization of information security risks and measuring the progress of the overall information security program through benchmarking and metrics. The position also acts as a...Risk
$275k - $300k
...provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate...RiskContract workWork at office3 days per weekAxis Services
Princeton, NJ9 hours ago- ...good Standard Care Precautions of cleanliness, hygiene, and health. Host and engage in activities with the residents daily. Risk Management and General Safety Partner with community team to ensure community is in compliance with national/provincial regulations...RiskLocal areaImmediate startShift work
Sunrise Senior Living
Morrisville, PA4 days ago
