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$193k - $242k
...healthcare. 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...Risk$77.97k - $171.06k
Overview 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...RiskRemote jobWork experience placement$26 - $36 per hour
Overview GENERAL DESCRIPTION The State Office of Risk Management (SORM) is currently seeking an experienced Claims Adjuster or Insurance Adjuster who specializes in adjusting Workers’ Compensation claims. The ideal candidate will have high-level knowledge and experience...RiskFull timeWork at officeRelocationNight shift$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$68k - $90k
...Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... · Litigation Experience · Severe Injury Experience... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeLocal areaWork from home- ...school districts across Texas. These roles include work in TASB’s Risk Management Services division, which provides administrative... ...! About You As the Auto Bodily Injury & Litigation Claims Adjuster , you bring deep experience investigating, evaluating, and resolving...RiskWork at officeNight shift3 days per week
$29 - $33 per hour
...diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$50.1k
...customer centric pharmacy option. The Payer Biz Dev team is seeking a Risk Manager I to develop and execute foundational submission,... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskWork at office- ...Job Description Job Description Aravo Solutions, Inc. is a global leader in third-party risk management, ESG, and vendor lifecycle management solutions. Our cloud-based platform empowers organizations of all sizes, from Fortune 100 to mid-level enterprises, to streamline...Risk
- ...service. •Direct the day-to-day activities of loss prevention, risk management, safety/security, maintenance, marketing, leasing,... ...color and peripheral vision, depth perception, and the ability to adjust focus. Occasional travel may be required for training, property...RiskContract workWork at officeRemote workFlexible hoursWeekend work
- ...goals. # Direct the day-to-day activities of loss prevention, risk management, safety/security, maintenance, marketing, leasing, and... ...and peripheral vision, depth perception, and the ability to adjust focus. Occasional travel may be required for training, property...RiskHourly payFull timeContract workInterim roleWork at officeRemote work
$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area- ...vehicle record that meets necessary requirements. Appropriate state adjuster license is required. Experience Three (3) years of related... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at office
$65k - $101k
...to three days a week. The Auto Bodily Injury & Litigation Claims Adjuster uses deep experience investigating, evaluating, and resolving... ...through resolution, and navigating Texas liability standards for TASB Risk Management Fund members. Responsibilities Provide high quality...RiskFull timeWork at officeNight shift3 days per week- ...automates revenue collection. We're hiring a Staff Claims Adjuster. In this position, you will play a vital role in our small-but... ...analyzing claims data and make informed decisions swiftly, balancing risks and available resources Ability to document and ensure...RiskRemote jobWork at officeShift work
$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- ...maritime operations for the Department of Defense (DoD) through autonomous and intelligent platforms. We are seeking a Third-Party Risk Management Analyst to join our Governance, Risk, and Compliance (GRC) team supporting a defense and aerospace organization. In this...RiskPermanent employmentContract workTemporary workWork experience placementWork at office
$70k - $93.5k
Join to apply for the Claims Adjuster Senior - Litigation - Austin, TX role at VetJobs Progressive is dedicated to helping employees move... ...resolve injury claims. Investigating complex and high‑risk claims - which may be attorney represented or have additional litigation...RiskTemporary workWork experience placementWork at officeMonday to FridayFlexible hours$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- ..., complaints and any crime-related activities/inquiries, including the dispatch for patrol services. Complete incident report for Risk Management as needed. 11. Serve as organizational representative along with the Business Manager for court appearances regarding non...RiskTemporary workFor contractorsWork at officeLocal areaImmediate startRemote workFlexible hoursAfternoon shift
- ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskFull timeWork at officeLocal area
$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...that all required safety requirements are followed 100% Daily Logs - Update daily logs every day with all required information. Risk Management - Identify potential risk and develop strategies to mitigate those risk. Communication - Daily communication with PMs....RiskLocal areaImmediate start
$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...RiskFull timeLive inWork at officeRemote workMonday to FridayFlexible hoursShift work- ...and vendors. Ensure insurance documents meet contractual requirements and are renewed timely. Serve as a point of contact for risk management and insurance compliance documentation. Qualifications: ~ Associate or Bachelor's degree in Business Administration,...RiskFull timeFor contractorsWork at officeFlexible hours
$102.4k - $134.3k
...The Contracts Manager position plays a key role in Rosendin's Contracts/Legal team and supports the contracting effort within the Risk Management/Legal Department. Competitive salary and benefits for the role depending on experience. WHAT YOU'LL DO: Provide a critical...RiskContract workFor contractorsLocal areaFlexible hours$90k - $130k
...management and clients. Maintain accurate and up-to-date project documentation and daily logs. Identify and mitigate project risks. Conduct daily site walks to monitor progress and plan ahead. Ensure availability and condition of all materials and equipment...RiskFor contractorsWork at office- ...Preparing, reviewing and negotiating company contracts, requests for proposals and other legal documents. Managing and mitigating legal risks by designing and implementing company policies and procedures on industry-specific issues, corporate governance or regulatory...Risk
- ...with subcontractors. Manage hourly employees and temporary laborers, including task allocation and timekeeping. Equipment and Risk Management Oversee site equipment inventory and maintenance, ensuring tools are in safe working condition. Collaborate with the...RiskHourly payTemporary workFor contractorsWork at officeShift work
$58k - $61k
...neurodivergent people to apply. We're happy to make any reasonable adjustments that will help you feel more confident throughout the process,... ...on complex or urgent cases. Identify and escalate potential risks, breaches, or unusual member behavior. Maintain detailed,...RiskWork at officeShift work

