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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 for... ...suggestions. Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$77.97k - $171.06k
Overview 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 to identify risks...RiskRemote jobWork experience placement$77.97k - $140k
Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and...RiskRemote jobWork 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$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- 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$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$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$80k - $145k
...fashion to ensure efficient and successful operations. Track and adjust to achieve optimal outcomes. Management of Suppliers and... ...to set realistic expectations and optimal sequencing of work. Risk Management: Maintain vigilance and proactively seek to mitigate...RiskOdd jobLocal areaGlobal Earthworks & Underground, LLC
Lincoln, NE19 days ago$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible hours$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- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift work
Magnet Medical
Lincoln, NE3 days ago $74k - $118k
Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior Compliance Analyst assists... ...vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaImmediate startVisa sponsorshipWork visa- ...Chief Risk Officer About the Company Diverse technology-focused company providing education-related services Industry Information Technology & Services Type Public Company Founded 1996 Employees 5001-10,000 Specialties student loan products...Risk
$21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Lincoln, NE1 day ago- ...meeting, overall Project Management Approach, Communication Plan, Risk Management, Issues Management, Change Control, etc.) Define... ...easily understood by others ~ Ability to incorporate feedback and adjust plans or approach ~ Business Acumen: ~ Ability to provide a...RiskWork experience placement
- ...in our Medicare bids submissions. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeWork at officeRemote workFlexible hours
- ...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 timePart timeWork at officeRemote workWork from homeFlexible hours
- ...schedules, audio/visual production services, all security, crowd and risk management, police, fire and safety personnel, and ADA... ...form. Ability to prioritize multiple projects. Remain flexible and adjust to situations as they occur. Demonstrate problem-solving and communication...RiskContract workPart timeFor contractorsWork at officeFlexible hoursNight shift
- ...Bachelor’s degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Experience: Ten (1... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal area
- ...accountability and momentum Provide consistent reporting on status, risks, blockers, and upcoming milestones Clear Process Thinking... ...by documenting change requests and ensuring alignment before adjustments are made Support disciplined decision-making through...RiskTemporary workWork at officeRemote workFlexible hours
Arbor Day Foundation
Lincoln, NE15 days ago - ...regulations, and bar rules across multiple states; advise leadership on strategic responses and solutions. Conduct internal audits, risk assessments, and compliance reviews. Oversee ethics and professional responsibility compliance, including conflicts of interest...Risk
Berry Law Firm
Lincoln, NE9 days ago - ...budget, and resource allocation. Monitor project progress and make adjustments as necessary to ensure successful project delivery. Stakeholder... ...and collaboration to ensure alignment and project success. Risk Management: Identify potential risks and develop mitigation strategies...RiskFull timeContract workFor contractorsWork experience placement
$15 per hour
...operations, in a safe and effective manner. • Follow all policies/procedures, risk management, safety precautions, rules, regulations, and emergency procedures. • Ability to remain flexible and adjust to situations as they occur. Job Requirements: • Working in...RiskImmediate startRelocationFlexible hoursShift workRemedy Staffing
Lincoln, NE2 days ago- .Chief Risk Officer- Nelnet Bank page is loaded## Chief Risk Officer- Nelnet Banklocations: Draper, UT: Remote: Lincoln, NEtime type: Full timeposted on: Posted Todayjob requisition id: R21783Nelnet is a diversified and innovative company committed to enriching lives through...RiskContract workTemporary workWork at officeLocal areaRemote work
Nelnet, Inc.
Lincoln, NE14 hours ago $2,446 per week
...procedure. Conducting MRI Scans : Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...handling contrast agents and any equipment that could pose a risk to patients. Adhere to radiation safety standards for other...RiskZero hours contractImmediate startShift work$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in [EMEA]. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal area$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
