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$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$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work- Senior Risk Adjustment Analyst page is loaded Senior Risk Adjustment Analyst Apply locations Boise, ID time type Full time posted on Posted 2 Days Ago job requisition id 2025-1263 Looking for a way to make an impact and help people? Join PacificSource and help our members...RiskFull timeWork experience placementSecond jobWork at officeRemote workFlexible hoursNight shift
$50k
...Description Job Description Senior Workers’ Compensation Claims Adjuster Idaho Claims Experience A Must Idaho Adjusters License A... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Caldwell, ID20 days ago- ...wellbeing of each person we serve. Our commitment to excellence and innovation has enabled us to maintain a best-in-class approach to risk management, employee benefits, retirement, and total rewards. We are seeking a talented proposal specialist to join our corporate...Risk
The MJ Companies
Meridian, ID4 days ago - ...development of customer proposals to ensure acceptable profitability and risk management. Provide technical assistance to all company... ...daily to ensure that obstacles are addressed and resources are adjusted as necessary Deliver projects on schedule and on budget Maintain...RiskTemporary workWork experience placementFlexible hours
Western Aircraft
Boise, ID14 days ago $21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Meridian, ID23 hours ago- ...Health Insurance Life Insurance Property Insurance Financial Services Professional Services Corporate & Business Risk Analysis Investment Management Finance Specialties ~ property and casualty insurance and insurance-related services...RiskWork at office
- ...recognizes the most engaged workplace cultures in the world. Credit Risk Analyst-Remote Indiana (Candidate may need to travel to the... ...legal action where necessary. Perform reconciliation, credit adjustments, bad debt write-offs, refunds, customer notification, and other...RiskH1bWork at officeRemote workFlexible hours
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$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- ...Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region Primary Purpose Primary Purpose : To handle... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...Risk Management Rotational Intern This internship offers a rotational experience within MJ's Risk Management Division, designed for a curious and determined learner passionate about the risk management and insurance industry. Interns will gain exposure to seven key...RiskInternshipWork at office
$74k - $118k
...decision we make. Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior... ...close, distance, color, peripheral, depth perception, and focus adjustments. Every employee must understand, comply with and attest to the...RiskRemote jobWork experience placementLocal areaVisa sponsorship- ...communication skills. Demonstrated ability to manage multiple priorities, work independently, and lead teams effectively. Experience with risk management and mitigation strategies. Knowledge of various project delivery methods, including General Construction, Design-Build...RiskContract workWork at office
Wright Brothers, The Building Company
Eagle, ID7 days ago - ...Review contractor and consultant pay applications, invoices, and change orders for accuracy and alignment with budget. ~ Track project risks and report issues to Senior PM/Director as needed. ~Eliminate conflict and strive for fairness for all project stakeholders...RiskFor contractorsWork at office
Paradigm of Idaho, Inc.
Boise, ID9 days ago - ...collaboration with the Estimation Team, understanding profit goals, identifying missed and resolving issues. Oversight of contracts and risk management by fully understanding Petra’s requirements and obligations so that recommendations to resolve anomalies. Negotiate and...RiskWork at office
- ...Assist in managing in-store events and promotional activities to enhance customer engagement and store traffic. Compliance and Risk Management: Ensure compliance with local, state, and federal regulations, including ATF regulations related to firearms. Help...RiskLocal area
$80.41k - $188.16k
...manage program governance, reporting, and escalation processes. Provide executive-level status updates, including project progress, risk/issue management, and financial tracking. Support portfolio planning, resource alignment, and prioritization of security...RiskRemote job- ...capabilities. Proactively seek out competitive market analytics and position reviews to inform business decisions. Participate in enterprise risk management initiatives. Talent Development Lead a small high-performing Actuarial Team, providing direction, mentorship, and...RiskFull timeWork at officeRemote workHome office
- ..., visit: . Responsibilities include: Attend high-risk deliveries and facilitate NICU admissions; Co-manage NICU patients... ...active management strategies that may include nutritional adjustments, ventilator management, lab and radiology review, and updating...Risk
Saint Alphonsus Health System
Boise, ID1 day ago - ...Ensure execution of MJ's consulting process, including coordination of activity of the respective MJ client team members in Analytics, Risk Services, Risk Transfer, Claims Consulting and Advocacy Oversee the lifecycle of a client's multi-year risk treatment strategy,...RiskWork at office
- ...inception through contract closeout, including establishing specific objectives and policies, adherence to the scope, schedule and budget, risk management, and change management. Demonstrated analytical skills, technical skills, and communication (oral and written) skills...RiskFull timeContract workWork at officeLocal areaImmediate startWorldwideFlexible hours
$77.67k
...initiatives that align with corporate objectives. The Senior HR Business Partner will play a key role in mitigating organizational risk and ensuring compliance with company policies and procedures. This role will be an advisor to business leaders for matters regarding...RiskFull timeWork at officeRelocationVisa sponsorship- ...with government agencies, stakeholders, and the public to obtain necessary approvals and address concerns Develop and implement risk management strategies to mitigate potential project issues Conduct thorough analysis of traffic patterns, capacity needs, and safety...RiskFull timeContract workWork at officeLocal areaWorldwideFlexible hours
$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in [EMEA]. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal area- ...Alphonsus, visit: . Responsibilities include: Attend high-risk deliveries and facilitate NICU admissions Manage NICU... ...providing active management strategies that may include nutritional adjustments, ventilator management, lab and radiology review, and updating...RiskFull timeRelocationNight shift
- ...providing active management strategies that may include nutritional adjustments, ventilator management, lab and radiology review, and updating... ...Retirement (403b) Responsibilities include: Attend high-risk deliveries and facilitate NICU admissions; Co-manage NICU...RiskPermanent employmentFull timeReliefRelocationShift work
SAINT ALPHONSUS MEDICAL CENTER - NAMPA
Nampa, ID1 day ago - ...inpatient pharmacy to include construction highly desired. ESSENTIAL FUNCTIONS: Comprehends and supports quality assurance and risk management issues, completes two performance improvement projects annually. Participates in various departmental duties;...RiskInternshipRelocation packageShift work
Saint Alphonsus
Nampa, ID20 days ago - ...that provides comprehensive care to a full spectrum of newborns, ranging from extremely premature infants, to term or near-term, high-risk and critically ill babies, to babies less critical but still recovering and maturing. In addition to providing around-the-clock care...RiskWeekly payZero hours contractShift work
Care Career
Boise, ID9 days ago
