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$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$70k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland,... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager May assist or...RiskFull timeWork at officeMonday to Friday- ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD19 days ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$64.08k - $127.27k
Resp & Qualifications PURPOSE The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro‑active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Annapolis, MD5 days ago- ...ManTech seeks a motivated, career and customer-oriented Supply Chain Risk Management Analyst to join our team in Fort Meade, MD. Responsibilities include but are not limited to: Review all-source intelligence products and industry trend data to understand and...RiskWork at office
ManTech
Maryland5 days ago $225.4k - $257.2k
...Senior Manager, Technology Change Risk Oversight at Capital One summary: The Senior Manager, Technology Change Risk Oversight leads... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per weekCapital One
Baltimore, MD2 days ago$100k - $120k
...as development of new partnerships. Critically, this role will require expertise in stakeholder management, strategic thinking, risk mitigation, budget management and project execution, expertise in diabetes and related metabolic disorders. It is anticipated that this...RiskFull timeWork at officeRemote workFoundation for the NIH
Rockville, MD7 days ago$27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work$245.45k - $381.11k
...Vice President & US Chief Compliance Officer (CCO) to mitigate risk and enable business success. The successful leader is a consummate... ...typical pay for the role in the United States and may be adjusted based on experience, skills, and internal comparisons. Pay will...RiskFull timeTemporary workWork at officeWorldwideFlexible hoursOtsuka Pharmaceutical Companies (U.S.)
Rockville, MD20 days ago- ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department....RiskContract work
Charter Global
Baltimore, MD15 days ago $57k - $98k
Independent Insurance Claims Adjuster in Upper Marlboro, Maryland 1 month ago Be among the first 25 applicants IS IT TIME FOR A CAREER CHANGE... ...REMOTE Maryland, United States $57,000 - $98,000 Sr. Claims & Risk Manager, Amazon Shipping Arlington, VA $109,000 - $185,000...RiskFull timeRemote work$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeFlexible hours
- Join to apply for the Risk Management Analyst role at Mariner Finance . Overview Risk Management Analyst - Credit Strategy | FLSA Status... ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workRelocation packageFlexible hours
$69k - $90k
...Description Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... New York Adjusters License Commercial Auto /... ...compensation and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeLocal areaWork from home- ...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...RiskContract workFor contractorsWork at officeImmediate start
Suffolk Construction
Frederick, MD11 days ago - ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift work
Magnet Medical
Clinton, MD13 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...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$190k - $230k
...conditions and share insights and recommendations on any suggested adjustments to the pricing strategy. Collaborate with marketing to... ...process for community-specific work. Partner with legal and risk management to address emergencies and any loss claims, ensuring...RiskFull timeTemporary workWork at officeLocal areaWashREIT
Bethesda, MD21 days ago$85k - $100k
Join to apply for the Personal Risk Advisor role at USI Insurance Services 2 weeks ago Be among the first 25 applicants Join to apply... ...Producer Process Improvement Senior Manager, Medicare Risk Adjustment Senior Manager, Risk Adjustment Coding Management (Medicare) Sr...RiskFull timeWork at officeLocal area$140k - $170k
...feeds, and analytics that support investment decision-making, risk management, trading, compliance, and client reporting. Role focus... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email...RiskContract workLocal areaWorldwideFlexible hours- ...resumes highlighting their relevant experience. Position Title: Risk Management Specialist Location: Hanover, MD Clearance... ...2 weeks ago Process Improvement Senior Manager, Medicare Risk Adjustment Credit Product Specialist, Global Wealth & Investment Management...RiskFull timeLocal areaImmediate startDay shift
- ...financial infrastructure. Position Overview The Head of Market Risk (Decibel) is a senior leadership role responsible for overseeing... ...risk vectors for internal and external stakeholders. Define and adjust max leverage, position limits, and maintenance margin ratios per...RiskRemote jobContract workLocal areaFlexible hours
