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... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Madison, WI
    2 days ago
  • $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... 
    Risk
    Remote work
    Flexible hours

    Datavant

    Madison, WI
    1 day ago
  • $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... 
    Risk
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Madison, WI
    3 days ago
  • 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... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Madison, WI
    3 days ago
  • $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

    Blue Cross and Blue Shield of North Carolina

    Madison, WI
    13 hours ago
  • 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... 
    Risk
    Work at office
    Night shift

    PacificSource Health Plans

    Oregon, WI
    4 days ago
  • $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... 
    Risk
    Work at office

    Cambia Health Solutions

    Oregon, WI
    3 days ago
  • $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... 
    Risk
    Full time
    Apprenticeship
    Work at office
    Remote work
    Day shift

    Gundersen Health System

    Madison, WI
    3 days ago
  • $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... 
    Risk
    Live in
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Banner Health

    Madison, WI
    2 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... 
    Risk
    Work experience placement

    Molina Healthcare

    Madison, WI
    4 days ago
  • $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... 
    Risk
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Flexible hours

    CVS Health

    Madison, WI
    1 day ago
  • $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.... 
    Risk
    Visa sponsorship
    Work visa
    Monday to Friday

    Synchrony

    Madison, WI
    2 days ago
  •  ...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.... 
    Risk
    Full time
    Work at office

    Miron Construction Co., Inc.

    Madison, WI
    7 hours agonew
  • $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... 
    Risk
    Permanent employment
    Worldwide

    JMJ PHILLIP

    Madison, WI
    2 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... 
    Risk
    Remote job
    Work experience placement
    Local area
    Immediate start
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Madison, WI
    3 days ago
  •  ...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... 
    Risk
    Full time

    Amazon Stores

    Madison, WI
    2 days ago
  • $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,... 
    Risk
    Full time
    For contractors
    Work at office
    Local area

    Exact Sciences

    Madison, WI
    26 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... 
    Risk
    Full time
    Part time
    Work at office
    Remote work
    Work from home
    Flexible hours

    Centene Corporation

    Madison, WI
    13 hours ago
  • $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... 
    Risk
    Remote job
    Full time
    Part time
    Work at office
    Work from home
    Flexible hours

    Centene Corporation

    Madison, WI
    3 days ago
  • $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... 
    Risk
    Full time
    Work at office
    Local area
    Relocation package

    American Family Insurance

    Madison, WI
    3 days ago
  • $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... 
    Risk
    Hourly pay
    Full time
    Work at office
    Remote work
    Work from home

    QBE North America

    Madison, WI
    3 days ago
  •  ...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... 
    Risk
    16 hours
    Full time
    Part time
    Work at office
    Remote work
    Work from home
    Flexible hours

    Centene Corporation

    Madison, WI
    3 days ago
  • $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... 
    Risk
    Temporary work
    Work at office

    Cognizant

    Madison, WI
    13 hours ago
  • $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... 
    Risk
    Full time
    For contractors

    CLEAResult

    Madison, WI
    4 days ago
  •  ...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... 
    Risk
    Full time
    Temporary work
    Part time
    Local area
    Flexible hours

    Access Community Health Centers, Inc.

    Madison, WI
    1 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

    Artera Services, LLC

    Madison, WI
    2 days ago
  • $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... 
    Risk
    16 hours
    Full time
    Contract work
    Work experience placement
    Remote work

    Walbridge

    Madison, WI
    13 hours 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 community... 
    Risk

    Charles Schwab

    Middleton, WI
    1 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 &... 
    Risk
    Work experience placement
    Visa sponsorship
    Work visa
    Monday to Friday

    Synchrony

    Madison, WI
    4 days ago
  •  ...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

    Confidential

    Madison, WI
    4 days ago