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- ...We're Hiring: Sr. Medical Coder! We are seeking an experienced and detail-oriented Sr. Medical Coder to join our healthcare team... ...Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision. Understands, respects, and applies...RiskRemote work
Tap Growth ai
Rochester, NY26 days ago $60.41k - $84k
Join to apply for the Risk Adjustment Coding Coordinator I/II role at Excellus BCBS Overview The Risk Adjustment Coding Coordinator is responsible... ...informal discussion and over-read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskWork at officeRemote workWork from homeHome office- ...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
Rochester, NY4 days ago $115k - $125k
...commercial bank clients, ensuring strong client relationships, risk management, and portfolio oversight. This role involves analyzing... ...this job include close vision, distance vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics...RiskWork at officeLocal areaGenesee Regional Bank
Rochester, NY3 days ago$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$77.97k - $155.51k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions... ...years of program and/or project management experience in risk adjustment and/or quality - 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$130k - $160k
Job Summary The Assurance Experienced Manager, Risk Advisory Services is responsible for managing and delivering high value solutions... ..., as needed Prepares periodic and timely billings, and manages adjustments to engagement realization, as needed Manages the engagement and...RiskWork at office$120k - $140k
...interpreting credit information to maximize credit while minimizing risk to the bank. Ensure loans are in compliance with investor... ...this job include close vision, distance vision, and ability to adjust focus. Reasonable accommodation may be made to enable individuals...RiskLocal areaShift work$150k - $273k
Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients. It's also enabled by our culture, which encourages...RiskH1bWork at officeLocal areaKPMG
Rochester, NY1 day ago$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...Risk$86.48k - $129.72k
...**Responsibilities:** GENERAL PURPOSE Develops, maintains, implements, and manages policies, procedures, and programs that promote risk mitigation, student safety, and event management for Student Life. Develops risk management protocols and resources needed to manage...RiskHourly payFull timeWork at officeLocal areaFlexible hoursShift workAfternoon shiftUniversity of Rochester
Rochester, NY4 days ago- ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based...RiskFull timeWorldwideFlexible hours
$76k - $141k
...actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and State governments, employer groups, and other public entities +...RiskLocal area$65.6k - $69.24k
...RISK MANAGEMENT SPECIALIST ROCHESTER, NY ( • Corporate Compliance Apply Job Type Full-time Description The health services that became theAnthony L Jordan Health Corporation ( (Jordan Health) began more than 100 years ago, in 1904. As one of the first...RiskFull timeAnthony Jordan Health Corp
Rochester, NY12 hours ago$140.8k - $274.55k
**Job Description** **Job Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Risk Adjustment...RiskWork experience placementLocal area- ...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...possess an awareness of different personality types and ability to adjust approach to effectively drive the optimal outcome; capable of...RiskFull timeWork at officeLocal areaRemote workShift work
$130.8k - $241k
.../or HR applications, including timeline, budget and quality and risk management. + Demonstrating your leadership experience, being self... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship$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$80.41k - $188.16k
...Project management includes estimating, scheduling, costing, planning and issue/risk management. Responsibilities Manage project scope, schedule, and budget, making necessary adjustments as needed Tracks and supports planned vs actual budget including all costs for all...RiskWork experience placementNight shift- ...Risk Operations Analyst II - Remote At PayNearMe, we're on a mission to make paying and getting paid as simple as possible. We... ...including support for RFIs (Networks, Partners, Banks), limits adjustments, merchant underwriting, and tailored risk interventions. PNM...RiskRemote job
$77.97k - $155.51k
...required data sharing processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible for knowledge...RiskContract workWork experience placementLocal areaRemote work$100k
...Position Type: Administrative - Classified/Risk Management & Compliance Officer Date Posted: 10/9/2025 Location: District Office Date Available: ASAP Closing Date: Until Filled The Greece Central School District believes that all students benefit...RiskFull timePart timeFor contractorsWork at officeImmediate startGreece Central School District
Greece, NY1 day ago- ...developing and implementing operating plans, maintaining KPIs, and ensuring financial oversight and analytics. The role also involves risk management, compliance, and fostering a culture of accountability, collaboration, and innovation. The ideal candidate will have a...RiskShift work
$113.1k - $188.5k
...management, and the global Salesforce system for opportunity and risk management, in addition to establishing governance and controls... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskVisa sponsorship$52k - $62k
...timeline. Responsible for administrative tasks, including working with MCC administrative departments such as Grants, Compliance, Risk Management, Grants Accounting, EDIWS data collection, Marketing, and purchasing, in order to meet federal EDA compliance and project...RiskFull timeTemporary workPart timeRemote workFlexible hoursShift workMonroe Community College
Rochester, NY1 day 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 timePart timeLocal area$78k - $106.63k
Overview Risk Leader Specialist role at Highland Hospital of Rochester NY. Part-time position (24 hours per week). Responsibilities Oversee safety initiatives and achievement of related outcomes throughout the organization. Collaborate with clinical and administrative...RiskPart time- ...CEO John Fish. Suffolk is ranked #8 on ENR's list of "Top CM-at-Risk Contractors." For more information, visit and follow Suffolk on... ...close vision, distance vision, depth perception and the ability to adjust focus. The employee will spend their time in an office...RiskFull timeFor contractorsWork at officeLocal area
- ...Provides strategic direction for the project life cycle to include risk management, accountability, resource optimization, stakeholder... ...of ERP platforms (especially SAP) is preferred Can adjust to shifting priorities, demands and timelines. In compliance...RiskShift work
$101.2k - $215.1k
...leveraging professional experience, internal playbooks/guides, and when required, escalate clauses for review to subject matter experts, risk management, independence, and office of general counsel, ensuring their input is incorporated into contracts, and negotiate directly...RiskContract workH1bWork at officeLocal areaKPMG
Rochester, NY12 hours ago
