Get new jobs by email
$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$77.97k - $140k
JOB DESCRIPTION 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...RiskRemote jobWork experience placement$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement$66.5k - $89.9k
...The opportunity Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York. As a Senior Risk... ...compensation statutes, typical litigation procedures, casualty claims adjustment principles, medical management processes, and related medical...RiskFull timePart timeWork experience placementShift workDelaware North
Buffalo, NY12 days ago- Join to apply for the Risk Adjustment Coding Coordinator I/II role at Univera Healthcare 1 day ago Be among the first 25 applicants Join to... ...through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskFull timePart timeLive inWork at officeRemote workWork from homeHome officeNight shift
$50k
...Job Description Sr. General Liability / Property Damage Claims Adjuster ~ New York Adjusters License A Plus Work-From-Home... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from home- Overview Risk Manager Job Duties : Leads the identification, communication, measurement, and management of company-wide risk. Responsibilities... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
$70k - $95k
...Litigation Adjuster - Construction Specialist Merchants Insurance Group, a leading Property and Casualty Insurer in the Northeast, is... ...and equitable settlements directly with attorneys. Identifying risk transfer opportunities through trade contracts and/or applicable...RiskTemporary workSummer workWork at officeImmediate startWork from homeFlexible hours$115.84k - $173.76k
Overview Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....RiskFull time$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- ...Job Description Grow your career as an Operational Risk Business Analyst with an innovative global bank in Getzville, NY. Contract role with strong possibility of extension. Will require working a hybrid schedule 3 days onsite per week. \n \nJoin one of the world...RiskContract workWorldwide3 days per week
Motion Recruitment
Getzville, NY19 days ago $70k - $95k
...Provide leadership and direction to team to achieve organizational objectives Continuously monitor the risk environment, foster a risk culture, and effectively adjust tactics to ensure compliance with corporate risk appetite and risk thresholds. Stay abreast of risk trends...RiskTemporary workWork at officeRemote workWork from homeHome officeFlexible hours$66.5k - $89.9k
The opportunity Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York. As a Senior Risk Analyst... ...statutes, typical litigation procedures, casualty claims adjustment principles, medical management processes, and related medical and...RiskFull timeWork experience placementShift work$219.3k - $301.5k
...operational management, negotiation, and change management skills, with a working knowledge of finance, accounting, and enterprise risk management Deep understanding of sourcing and procurement principles, modern systems, and industry dynamics, including regulatory...RiskFull timePart timeDelaware North
Buffalo, NY23 days ago$75k - $150k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...an awareness of different personality types with the ability to adjust approach to effectively drive the optimal outcome; capable of interacting...RiskFull timeWork at officeLocal areaRemote work$110.26k - $122.51k
...detailed project plans, including task assignments, timelines, risk assessments, and resource allocation. Apply both Agile (Scrum/Kanban... ...actionable tactics for non-technical stakeholders. Adaptability Adjust strategies to accommodate changing business needs. Make informed...RiskFull time$80k - $110k
...practice, ensuring timely and accurate reimbursement while minimizing risk. Essential Functions Ensures the physician practice’s revenue... ...and health regulations. Certifications Certified Professional Coder, Certified in Healthcare Compliance, or Certified Revenue Cycle...RiskHourly payWork experience placementWork at officeRemote work$50 - $55 per hour
...managers to manage key initiatives, including supporting critical cross-functional projects related to strategic objectives, improving risk management and ensuring efficiency and sustainability of core processes and positioning. Apply now to be a part of a company that...RiskHourly payWork experience placementVisa sponsorshipImagine Staffing Technology
Buffalo, NY22 days ago- .... Develops and publishes the staff schedule and fills in for absences. Provides supervision and training to staff. Ensures that all risk management policies are followed. Responsible for the setup and breakdown of program areas and for the maintenance and control of supplies...RiskImmediate startWeekend workAfternoon shift
- ...service excellence. This commitment to community and financial well-being has fueled our sustained growth and success. The Director of Risk & Lending Strategy will serve as a key bridge between operations, compliance, and lending-helping ensure Our client remains well-...RiskPermanent employmentContract workTemporary work
W3Global Inc.
Buffalo, NY5 days ago $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
Buffalo, NY1 day ago- ...of LAG’s EHS programs and processes in order to ensure effective risk management and loss control, and a safe, healthy, and productive... ...prioritize, balance and manage multiple tasks simultaneously, adjust to changing priorities, and make decisions with speed and accuracy...RiskTemporary workWork at officeLocal areaWorldwide
$18.75 - $24.52 per hour
...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...RiskHourly payTemporary workDay shift- ...misses, and injuries. • Participate in developing and updating risk assessments and review all applicable risk assessments annually.... ..., depth perception vision for moving objects and ability to adjust focus. • This position is not substantially exposed to adverse...RiskContract workImmediate startDay shiftAfternoon shift
Hutchinson Industries Inc
Buffalo, NY27 days ago - ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for...RiskPart time
Charles Schwab
Amherst, NY7 hours ago - ...issues including but not limited to patient confidentiality and risk management; ensures compliance with JCAHO, federal, state, and local... ...patients, families, and other healthcare professionals. · Adjusts to fluctuating peaks in patient flow, acuity, and other operational...RiskLocal area
WINSTON G DOUGLAS
Buffalo, NY3 days ago $38.22 - $50.96 per hour
...~ Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). ~ Communicates and documents assessment of patient...RiskFull timeLocal area$150k - $175k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal areaFlexible hours- ...units and/or functional areas for the purpose of business technology strategy development, solution discovery, service management, risk management and relationship management. You will be the business relationship link between business units or functional areas and...RiskFlexible hours
MSR Technology Group
Buffalo, NY18 days ago - ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for...Risk
Charles Schwab
Amherst, NY14 hours agonew
