Get new jobs by email

  • Risk Adjustment Quality Assurance Specialist

     ...Educate coding team on CMS coding guidelines and appropriate Risk Adjustment procedures to ensure adherence to CMS standards. Build and generate...  ...and accuracy of severity of illness (SOI) and quality. Coach coders as assigned by regions, guiding daily workflow activities.... 
    Risk
    Full time
    Work at office
    Flexible hours
    Weekend work

    Cano Health

    Miami, FL
    2 days ago

  • Senior Actuarial Analyst (Medicaid Risk Adjustment)- REMOTE

    $77.97k - $171.06k

    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 sources... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Miami, FL
    2 days ago

  • Auto Claims Adjuster (TEMP-PERM/HYBRID)

     ...seeking a detail-oriented and proactive  Claims Examiner to join our risk management team. In this role, you will be responsible for...  ...carriers Required Qualifications: Florida 6-20 All-Lines Adjuster License (or ability to obtain within 90 days of hire) At least... 
    Risk
    Permanent employment
    Contract work
    Temporary work
    Work at office

    Questpro

    Hollywood, FL
    1 day ago

  • Physician Coder I

     ...coding experience. Physician Billing Credentials For Physician Billing: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified Coding Specialist -... 
    Risk
    Full time
    Work experience placement
    Work at office
    Local area

    Memorial Healthcare System

    Miramar, FL
    5 days ago

  • Research & Adjustments Rep II

     ...Description: This job is responsible for resolving research and adjustment inquiries within the bank's practices and procedures. Key...  ...and escalating matters or issues to leadership to ensure minimum risk occurs. Line of Business Job Description: Resolves Research... 
    Risk
    Work at office
    Immediate start
    Shift work
    Day shift

    Bank of America

    Hialeah, FL
    26 days ago

  • Auditing Manager CPC Coders

    Auditing Manager CPC Coders Hybrid work setting, Florida residency required As Mount Sinai grows, so does our legacy in high-quality health...  ...the institution. Analyze audit findings and identify trends, risks, and opportunities for improvement. Team Leadership &... 
    Risk
    Work at office

    International Executive Service Corps

    Miami Beach, FL
    5 days ago

  • Bodily Injury Adjuster

     ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by...  ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position... 
    Risk
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    2 days per week
    3 days per week

    GMMI Inc.

    Hollywood, FL
    4 days ago

  • CDI Specialist - Outpatient / Risk Adjustment

     ...reflect the true clinical picture, improving the quality of risk adjustment data, and ensuring compliance with CMS (Centers for Medicare...  ...communication skills for interacting with medical professionals, coders, and other stakeholders. Education & Experience Associate\'s... 
    Risk
    Full time
    Work at office
    Work from home
    Flexible hours
    Weekend work

    Cano Health

    Miami, FL
    4 days ago

  • Deputy General Manager

     ...management policies and procedures are adhered to always Monitor risk management as it pertains to the theatre (employee/guest safety,...  ...vision, peripheral vision, depth perception and ability to adjust focus. The physical demands described here are representative... 
    Risk
    Work at office
    Local area
    Shift work

    Regal Services

    Miami, FL
    3 days ago

  • Regal Westfork Stadium 13 - Full Time Hourly Assistant Manager

     ...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and...  ...lbs. The vision requirements include: close vision, distance vision, peripheral vision, depth perception and ability to adjust focus... 
    Risk
    Hourly pay
    Full time
    Part time
    Work at office
    Local area

    REGAL Entertainment LLC

    Pembroke Pines, FL
    3 days ago

  • Sr. Manager, Strategic Sourcing - Indirects

     ...suppliers, services and product categories to assure supply, reduce risk and ensure compliance with Brand claims and government...  ...variety of communication settings, attentively listens to others and adjusts their own style Decision Quality: Makes good and timely decisions... 
    Risk
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Shift work
    Night shift

    Independent Purchasing Cooperative

    Miami, FL
    1 day ago

  • Pediatric & Family Medicine Medical Director - Florida

    $231.9k

     ...~ Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes...  ..., 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
    Flexible hours
    Weekend work

    Centene Corporation

    Hialeah, FL
    9 days ago

  • Technology Risk and Controls Manager

    $102.4k - $204.1k

     ...the future of our industry. Job Description: Technology Risk and Controls Manager Joining our Consulting Technology Audit...  ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the... 
    Risk
    Local area
    Remote work
    Worldwide

    Crowe

    Miami, FL
    1 day ago

  • Chief Growth Officer Private Risk Management (Personal Lines)

    $200k - $325k

     ...Chief Growth Officer Private Risk Management (Personal Lines) This is a hybrid role with the flexibility to work both virtually and...  ...internal equity and alignment with market data. The salary may also be adjusted based on applicants geographic location. This position is... 
    Risk
    Full time
    Part time
    Work at office
    Local area

    Aon

    Miami, FL
    3 days ago

  • Business Control & Risk Management, VP

    $86.25k - $155k

     ...Business Control & Risk Management, VP at Santander Holdings USA Inc summary: The VP of Business Control & Risk Management leads risk management efforts within the first line of defense by embedding risk practices, monitoring key risk indicators, and ensuring compliance... 
    Risk
    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Santander Holdings USA Inc

    Miami, FL
    1 day ago

  • Director, Events and Project Management

     ...impacted by project activities. Monitor progress of initiatives and adjust to ensure successful completion. Consult with leadership on...  ...operations. Create and monitor a control environment and risk management practices. Additional Duties Participate in evening... 
    Risk
    Full time
    Weekend work
    Afternoon shift

    University of Miami

    Miami, FL
    3 days ago

  • Senior Account Executive, Team Lead - Commercial Construction

     ...Summary: The Account Executive is the leader of multi-level risk management team responsible for translating risk and loss...  ...others. Actions: Organizes communication, maintains attention, adjusts to the listener, ensures understanding, listens actively, conveys... 
    Risk
    Immediate start

    Lockton, Inc.

    Pembroke Pines, FL
    3 days ago

  • Personal Lines Senior Client Manager

     ...who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help...  ...working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible... 
    Risk
    Contract work
    Temporary work
    Work experience placement

    World Insurance

    Hialeah, FL
    4 days ago

  • Executive General Adjuster - Power/Energy (SE & SW Regions)

     ...Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) PRIMARY PURPOSE : To investigate...  ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by... 
    Risk
    Work at office

    Sedgwick

    Miami, FL
    3 days ago

  • Risk Associate - Brickell City Center

     ...THE DEPARTMENT Our Enterprise Risk Management department is responsible for minimizing loss while respecting people, brand and operations. THE OPPORTUNITY With a special focus on merchandise security, our Risk Associate supports the Boutique... 
    Risk
    Relocation

    Aritzia

    Miami, FL
    1 day ago

  • Experienced Desk Adjuster - Remote

    $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... 
    Risk
    Remote job
    Work at office
    Local area

    Sedgwick

    Miami, FL
    3 days ago

  • Executive Underwriter OR AVP, Underwriting Director- Contract Surety

    $98.5k - $215k

     ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...  ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading... 
    Risk
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Live in
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Miami, FL
    13 hours ago

  • Senior Environmental Underwriter (Sr. Level III or AVP Level IV)

    $98.5k - $215k

     ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...  ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading... 
    Risk
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Miami, FL
    13 hours ago

  • Wealth Management Risk Associate

    $65.63k - $110k

     ...Wealth Management Risk Associate at Santander Holdings USA Inc summary: The Wealth Management Risk Associate supports risk management frameworks within the High Net Worth and Ultra High Net Worth client segments, focusing on fiduciary, operational, and suitability... 
    Risk
    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Santander Holdings USA Inc

    Miami, FL
    1 day ago

  • Project Accounting Manager

     ...positive and timely cashflow, accurate project reporting, proactive risk identification and effective contract administration throughout...  ...# Prequalification's # Project Evaluations and Projection adjustments # Ensure contract approval process is administered according... 
    Risk
    Contract work
    Local area

    Ascension Property Services

    Hialeah Gardens, FL
    13 hours ago

  • Sr Relationship Manager (Greater Miami)

     ...recommendation to loan decision process based on evaluation of credit risk and other key factors from Credit Management Negotiates...  ...business development activities, review and communicate results, and adjust tactics accordingly Promotes and offers full suite of... 
    Risk
    Local area
    Remote work
    Work from home
    Flexible hours

    TD Bank Group

    Coral Gables, FL
    1 day ago

  • Design Manager - Transportation, Major Projects - Florida

     ...quality management, contract administration, change management, and risk management. This position can be based in any of Stantec's...  ...recruitment process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a... 
    Risk
    Full time
    Contract work
    Temporary work
    Part time
    Casual work
    Local area
    Flexible hours

    Stantec

    Miami, FL
    1 day ago

  • Deputy Design Manager - Transportation, Major Projects

     ...quality management, contract administration, change management, and risk management. This position can be based in any of Stantec's...  ...recruitment process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a... 
    Risk
    Full time
    Contract work
    Temporary work
    Part time
    Casual work
    Local area
    Flexible hours

    Stantec

    Miami, FL
    4 days ago

  • International Banking Team Leader

     ...develops tailored sales strategies to address complex client needs. Evaluates business, management, industry, financial, and structural risk; documents assessments in credit approval documents as required. Partners with senior management to identify market opportunities... 
    Risk
    For contractors
    Work at office

    City National Bank of Florida

    Miami, FL
    20 days ago

  • Risk & Quality Performance Manager

    $77.97k - $155.51k

    Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team...  ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine... 
    Risk
    Work experience placement
    Work at office

    Molina Healthcare

    Miami, FL
    5 days ago