Get new jobs by email
$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$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
$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at...Risk- Job Overview Senior Risk Adjustment Analyst - PacificSource Health Plans This role is responsible for accurate and comprehensive data submission to regulatory entities such as CMS for all risk adjustable populations. The Analyst will collaborate with internal and external...RiskWork at officeNight shift
$91.8k - $123.1k
Overview Actuarial Analyst, Commercial Risk Adjustment role at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Who We Are Looking For Every day, Cambia’s dedicated team of Actuaries is living our mission to make health care easier and...RiskWork at office$20.8 per hour
Join to apply for the Coder role at Gundersen Health System Love + medicine is who we are, it's what we do, it's why people want to work... ...and fully reflects the patient's Severity of Illness and Risk of Mortality. The specialist applies knowledge of the ICD-10-CM...RiskFull timeApprenticeshipWork at officeRemote workDay shift$27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$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$46.99k - $122.4k
Position Summary As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel defending CVS in premises lawsuits filed throughout the United States. Responsibilities Utilizing legal skills...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$75k - $130k
Job Summary AVP, Audit Manager - Growth & Risk Management at Synchrony reports to the VP of Growth & Risk Management Audit. The role... ...Maintain awareness of economic, regulatory, and business risks and adjust risk assessments, audit plans, and programs accordingly....RiskVisa sponsorshipWork visaMonday to Friday- ...negotiates Potential Change Items (PCIs). Actively participates in risk management on projects by identifying and addressing potential... ...and team members align. Monitors project success and adjusts as challenges and milestones occur, notifying the project team....RiskFull timeWork at office
$250k - $300k
...Impact Lead cost and product development initiatives in collaboration with cross-functional teams to meet margin goals Oversee a risk-adjusted portfolio of COGS reduction projects across operations, R&D, supply chain, and product development Project and Team Leadership...RiskPermanent employmentWorldwide$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- ...disciplines including scope, schedule, budget, quality, along with risk and critical path management experience - Experience managing... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskFull time
$133k - $226k
...engineering objectives with business, regulatory, and product strategies; adjust priorities and allocate resources based on organizational needs.... ...and milestones are tracked for measurable progress. Ensure risk management is integrated into the development lifecycle,...RiskFull timeFor contractorsWork at officeLocal areaExact Sciences
Madison, WI26 days ago$86k - $154.7k
...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 workWork from homeFlexible hours$105.6k - $195.4k
...actuarial experience. Position Purpose Conduct analysis, pricing and risk assessment to estimate financial outcomes for Individual... ...remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskRemote jobFull timePart timeWork at officeWork from homeFlexible hours$97k - $164k
...the business to generate consistent and sound prices. Builds forecasts and models for incurred losses and loss adjustment expense (LAE), CAT and investment risks, and reinsurance for the annual profit & growth plan. Serves as subject matter expert and consultant to...RiskFull timeWork at officeLocal areaRelocation package$25.5 - $38.25 per hour
...performing compliance reviews and identifying and mitigating potential risks. Overview Location: Work Remotely in Wisconsin, Iowa, North... ...: Experience with crop insurance including underwriting, adjusting and/or compliance Preferred Knowledge : Federal Crop Insurance...RiskHourly payFull timeWork at officeRemote workWork from home- ...Purpose Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes. In this Sr. Actuarial Analyst... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other...Risk16 hoursFull timePart timeWork at officeRemote workWork from homeFlexible hours
$93k - $104k
About the role As a Risk and Compliance Lead, you will make an impact by designing and implementing control frameworks that ensure regulatory compliance and mitigate operational risks. You will be a valued member of the Field Operations and Compliance team and work collaboratively...RiskTemporary workWork at office$131.9k - $197.8k
...creation, review, and execution of contracts Responsibly manage risk (identification, management, and resolution) for your entire... ...all inclusive. CLEAResult retains the right to make changes or adjustments to job descriptions and/or requirements at any time without notice...RiskFull timeFor contractors- ...with other site leaders to carry out Access’ mission and goals. Access’ leadership team is responsible for the implementation of risk management and safety functions throughout the organization. The Dental Services Manager is responsible for ensuring that event reports...RiskFull timeTemporary workPart timeLocal areaFlexible hours
Access Community Health Centers, Inc.
Madison, WI1 day ago - ...all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt. Oversee reporting... ...claims are being managed aggressively. Collaborate with the adjusters on insured claims during investigation, reserving and...Risk
$400k
...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation... ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges...Risk16 hoursFull timeContract workWork experience placementRemote work- ...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 community...Risk
Charles Schwab
Middleton, WI1 day ago $200k - $330k
...and strategic goals. Maintain strict adherence to compliance, risk management, and enterprise protection protocols across all marketing... ...upon work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility &...RiskWork experience placementVisa sponsorshipWork visaMonday to Friday- ...leading client engagements. This role requires a seasoned professional with a strong background in financial services, operational risk management, business continuity, and crisis management. The Managing Director will be expected to have a deep understanding of resilience...Risk
