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- ...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....RiskFull timeWork at officeFlexible hoursWeekend work
$77.97k - $141.37k
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...RiskRemote jobWork experience placement- ...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...RiskPermanent employmentContract workTemporary workWork at office
- ...Summary: Memorial is seeking an experienced Medical Coder with a strong background in professional billing for Radiation... ...CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified...RiskRemote jobWork experience placementWork at officeLocal areaShift work
- ...within allowed scope for hospital outpatient coder.For hospital encounters, routes to... ...preventing completion of coding and/or billing.Adjusts and adapts to continual changes in the... ...Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, Certified...RiskRemote jobWork experience placementInternshipWork at officeLocal areaShift work
- ...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 -...RiskFull timeWork experience placementWork at officeLocal area
- ...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...RiskWork at officeImmediate startShift workDay shift
Bank of America
Hialeah, FL25 days ago - 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 &...RiskWork at office
- ...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...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
- ...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...RiskContract workTemporary workWork experience placement
World Insurance Associates, LLC.
Hialeah, FL25 days ago - ...is an innovative and established organization looking for an IAA Adjuster (II) to join our team. Family-owned, UAIC, is one of the largest... .... EDUCATION: ~ Bachelor’s degree in insurance, risk management, or a related field (preferred). ~ Minimum of 2 years...RiskTemporary workRemote workFlexible hours
United Auto Insurance
Miami, FL12 days ago - ...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...RiskFull timeWork at officeWork from homeFlexible hoursWeekend work
- ...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
PMA Companies
Miami, FL5 days ago - ...Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT... ...= 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0...RiskRemote jobWork experience placementInternshipWork at officeShift work
- ...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...RiskWork at officeLocal areaShift work
Regal Services
Miami, FL2 days ago - ...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...RiskHourly payFull timePart timeWork at officeLocal area
REGAL Entertainment LLC
Pembroke Pines, FL2 days ago - ...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...RiskFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shift
Independent Purchasing Cooperative
Miami, FL7 hours ago $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...RiskFull timePart timeWork at officeRemote workFlexible hoursWeekend workCentene Corporation
Hialeah, FL8 days ago$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...RiskLocal areaRemote workWorldwideCrowe
Miami, FL4 days ago$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...RiskFull timePart timeWork at officeLocal areaAon
Miami, FL2 days ago- ...(CAC), prospect targeting, win-back strategies, and lapse/churn risk management. AI-Powered Learning Platforms & Self-Service Tools... ...AI-Driven Media & Offer Optimization Develop AI agents that adjust channel spend in real-time to meet pass/ticket and visit goals...RiskImmediate startFlexible hours
United Parks LLC
Miami, FL5 days ago - ...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...RiskFull timeWeekend workAfternoon shift
University of Miami
Miami, FL26 days ago - ...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...RiskImmediate start
Lockton, Inc.
Pembroke Pines, FL2 days ago - ...Job Description Job Description Position: Analyst, Risk Department: Risk Management Reports To: Senior Risk Manager Employment Status: Full-Time, Exempt Office Location: Miami, FL (onsite) Supervise: None Job Summary The Risk Management...RiskFull timeContract workWork at office
Emigrant Bank
Miami, FL17 days ago $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...RiskHourly payContract workWork experience placementWork at officeSantander Holdings USA Inc
Miami, FL13 hours ago- ...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...RiskWork at office
- ...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...RiskRelocation
Aritzia
Miami, FL9 hours ago - ...Using stakeholders' feedback to inform necessary improvements and adjustments to the product Help develop frameworks for aggregating... ...and testing tools to do threat hunting, vulnerability detection, risk analysis, or compliance validation Bachelor's degree or higher...RiskTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours
CrowdStrike
Miami, FL7 hours ago - ...needs of the individuals we served, we were able to attract higher quality candidates and clients in need of their services. It’s a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Our candidates include...RiskShift work
Titan Medical Group
Doral, FL17 days ago - ...Job Description Job Description Director of Risk Management (Insurance Renewals) Miami, Florida -Hybrid Work Environment ARC Group is seeking a highly skilled Director of Risk Management to join our client's dynamic Risk Management team in Miami, FL. This is...RiskPermanent employmentFull timeWork at officeLocal areaImmediate startRelocation
ARC Group
Miami, FL17 days ago
