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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... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...RiskFull timeDatavant
Hartford, CT2 days ago$70k - $85k
Overview Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeMonday to Friday$77.3k - $128.8k
...difference in our success. The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment - EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for...RiskRemote jobLocal areaWork from homeIndividual & Family Plans (IFP) Risk Adjustment Program Management Advisor - Remote - Cigna Hea[...]
$93.3k - $155.5k
...operational and strategic contributor responsible for managing multiple interrelated projects for the Individual & Family Plans (IFP) Risk Adjustment (RA) team while overseeing end-to-end financial tracking and budgetary processes which ensure operational goals are met, budget...RiskRemote jobWork experience placementLocal areaWork from home- 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$50k
...Description General Liability Claims Specialist · New York Adjusters License Needed Work-From-Home Comprehensive Benefits... ...benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Hartford, CT3 days ago$24.9 - $34.86 per hour
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $24.90... ...Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto,...RiskHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours- ...significant experience in underwriting, policy development, and risk management, while also possessing a proven leadership... ...laws. Outline operational processes for policy issuance, claims adjustment, collections, and all customer and third party interaction points...RiskFull timeLocal areaShift work
- ...for safe transfer of care. 12.# Demonstrates knowledge of antineoplastic therapy; physical and psychological effects, side effects, risks and benefits. 13.# Demonstrates thorough knowledge of antineoplastic agents, method of administration, rate of delivery, drug properties...RiskImmediate startRemote workFlexible hours
- ...for safe transfer of care. 12.# Demonstrates knowledge of antineoplastic therapy; physical and psychological effects, side effects, risks and benefits. 13.# Demonstrates thorough knowledge of antineoplastic agents, method of administration, rate of delivery, drug properties...RiskImmediate startRemote workFlexible hoursShift work
$100k - $300k
...otherwise specified # #####by the physician. b)# Reports any cases to the Supervisor of Clinical Services where goals cannot be met or at-risk situations exist and respond appropriately. c)# Remains flexible in daily planning, allowing time for emergencies or unexpected...RiskFlexible hoursWeekend work- ...defining/refining future deliverables, measuring performance and adjusting the overall roadmap of deliverables as needed.* Translate... ...experience within the discipline being supported (e.g.: Claim, Risk Control, Technology, Project Management, Production, Application...RiskFull timeWork experience placementLocal area
Travelers Canada
Hartford, CT1 day ago - ...admission nurse arriving.# Completes the admission process, including physical assessment, interview, home medication list, Fall and Braden Risk Assessments, Educational Needs Assessment, and Immunization Form, in an accurate and complete manner. Promotes quality improvement...RiskWork at officeShift work
- ...professional leadership in the practice setting or healthcare system, in health care policy and delivery decisions, or in the administration of direct care programs. Acts as a knowledgeable, strong, risk taking nurse leader. Conveys a strong sense of staff advocacy and support.RiskLocal areaRelocation package
$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...leadership in the practice setting or healthcare system, in health care policy and delivery decisions, or in the administration of direct care programs. Acts as a knowledgeable, strong, risk taking nurse leader. Conveys a strong sense of staff advocacy and support. #SLECHNRiskLocal areaRelocation package
- ...States and Canada. We are currently seeking an Assistant Claims/Risk Manager to join our team in Bloomfield, CT. Position Overview... ...Minimum of five years' experience in property and casualty claims adjusting • CT Casualty Adjuster (all lines, except WC) required •...RiskFull timeHome officeMonday to Friday
Catholic Mutual Group
Bloomfield, CT24 days ago $60k - $65k
Overview Independent Adjuster Auditor at Sedgwick: We offer a role with new challenges and the chance to help solve complex problems for... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by...RiskLocal areaWork from homeFlexible hours$51.81k - $83.55k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for...RiskMinimum wageFull timeLocal areaRemote workFlexible hoursCorVel Enterprise Claims, Inc.
East Hartford, CT11 days ago- ...effective and efficient manner: a)## Reports any cases to the Hospice/Palliative Clinical Supervisor where goals can not be met or at-risk situations exist and responds appropriately. b)## Remains flexible in daily planning, allowing time for emergencies or unexpected...RiskWork at officeLocal areaFlexible hoursWeekend work
- ...Casualty/Auto Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork at officeWork from homeHome officeLong distance
- ...loss control programs. Conduct job hazard analyses to identify risks and recommend corrective actions to prevent employee accidents... ...) years of experience in risk management, loss control, claims adjustment, occupational safety and health, or contract management. Special...RiskContract workMonday to FridayDay shift
$59.68k - $83.55k
...written communication skills Ability to interface with claims adjusters, attorneys, physicians and their representatives, advisors/... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for...RiskMinimum wageFull timeWork at officeLocal areaFlexible hoursCorVel Healthcare Corporation
East Hartford, CT15 days ago$86k - $154.7k
...support bid certification efforts Conduct analysis, pricing and risk assessment to estimate financial outcomes Manage health plan specific... .... Total compensation may include incentives and will be adjusted based on skills, experience, education, and other factors. Equal...RiskWork at officeRemote workWork from homeFlexible hours- ...throughout the United States. Our mission is to provide the highest quality of mental health services to vulnerable, disabled and at-risk elderly population. In our effort to address the wide range of needs facing the senior community, we have created a framework with...Risk
Supportive Care
East Hartford, CT14 days ago - ...including endpoint protection, firewalls, multi-factor authentication, SIEM, and monitoring solutions. Conduct vulnerability assessments, risk reviews, and compliance gap analyses. Develop and maintain security policies, procedures, and documentation. Lead incident response...Risk
$147.35k - $163.72k
...required and makes final determinations as to acceptability of audit adjustments. Financial and regulatory accounting for transaction taxes:... ...strategies, documenting alternatives and presenting options/risk factors to management; and consulting with internal and...RiskContract workTemporary workFor contractorsLocal area- ...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...RiskFull timeContract workWork experience placement
