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- ...Job Description Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product... ...risk arrangements. - Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and...Risk
Lightbeam Health Solutions
Dallas, TX10 days ago $19.6 per hour
...Responsibilities As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ...system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours- ...We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment...RiskFull timeShift work
$77.97k - $141.37k
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 to identify risks...RiskRemote jobWork experience placement$50k
...Description Job Description Senior Workers’ Compensation Claims Adjuster · Texas Claims Experience A Must · Texas Adjusters License... ...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)
Dallas, TX5 days ago- ...Job Description Job Description Corporate Insurance Risk Manager Pillar Income Asset Management, Inc. is seeking a Corporate... ...industry and macroeconomic trends to proactively mitigate risk and adjust insurance program structures. Educate business units on...RiskContract work
Premier Payroll Administration
Dallas, TX21 days ago - ...statements of individuals and/or firms to determine the degree of risk involved by performing the following duties for the preparation... ...required by this job include close vision and ability to adjust focus. Work Environment The work environment characteristics...RiskContract workWork at officeLocal areaRemote work
Origin Bank
Dallas, TX2 days ago $98.3k - $161k
...Zurich’s Risk Engineering Energy Casualty Team seeks a Senior Risk Engineering Consultant with casualty OGP experience in West Texas... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Dallas, TX4 days ago- .../or patients with AIDS, HIV, and hepatitis B viruses involving Risk Classification Categories 1, 2, and 3**. Environmental conditions... ..., sharpening, replacing broken handles, and making simple adjustments and repairs as necessary. Performs pool maintenance duties where...RiskFull time
Christian Care Centers- Mesquite
Mesquite, TX3 days ago - ...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
LDG Development
Dallas, TX5 days ago $55k - $95k
...stakeholders. Planning, Scheduling & Project Close-Out Develop and adjust project schedules with oversight. Create detailed work... ...with the Safety team on corrective actions. Contract, Risk & Compliance Management Draft and organize contract documents...RiskFull timeContract workTemporary workWork at officeLocal areaImmediate startCompu Dynamics
Dallas, TXa month ago$48 per hour
...Job Description Job Description Risk Management Advisor Full-Time, In-Office WHAT WILL YOU DO? As an Advisor you are building a book of business starting from zero (with a competitive base salary). Not afraid to prospect, your business grows out of your...RiskFull timeWork at officeC1 Insurance Group
Dallas, TX22 days ago- Overview 35548 Risk Management Auto Claims Specialist Join to apply for the 35548 Risk Management Auto Claims Specialist role at Garland... ...Bachelor’s degree in a related field Texas Claim Adjusters License A.R.M., C.S.R.M., or TASBO Certification, preferred Experience...RiskFull time
- ...development. This role involves drafting and negotiating complex legal documents, conducting due diligence, and advising clients on legal risks and compliance issues associated with commercial property matters. Duties : Candidates should possess experience in...RiskWork at officeRemote work
Trigild
Dallas, TXa month ago - ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Dallas, TX12 days ago - ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) 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
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...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
$135k - $215k
...Liaise with clients and stakeholders to keep them informed of progress and address any issues or concerns that arise. 6. Conduct risk management to minimize project risks. 7. Ensure compliance with local and national electrical codes and standards. 8. Manage relationships...RiskPermanent employmentFor contractorsLocal areaJobot
Dallas, TX2 days ago- ...Description Job Description Description: As an Assistant Project Manager, you will assist our clients, mitigate construction risk, and keep them knowledgeably informed as to a project’s construction status – including scheduled site visit dates, delays or site access...RiskWork at officeLocal areaRemote work
BBG, INC.
Dallas, TX2 days ago $74.4k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Dallas, TX5 days ago- ...team, you'll play a critical role in our ability to successfully and efficiently resolve injury claims. Investigating complex and high-risk claims which may be attorney represented or have additional litigation features you'll consult with police officers, medical...RiskTemporary workWork experience placementWork at officeMonday to FridayFlexible hours
- ...transplant surgery, ensuring that they understand the procedure, risks, and post-transplant care. \n ~ Collaborate with other... ...e.g., kidney or liver function tests, biopsy results) and make adjustments to care plans as needed. \n ~ Perform routine checks on transplanted...RiskZero hours contractShift workNight shift
Magnet Medical
Dallas, TX6 days ago $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$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- Overview Hazmat Claims Adjuster - Remote after training. By joining Sedgwick, you\'ll be part of something truly meaningful. It’s what our... ...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
- ...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
- ...stakeholders, addressing performance metrics and strategizing adjustments to meet lender requirements if required. Resident Experience... ...fostering a culture of high performance and accountability. Risk Management & Compliance Ensure compliance with local regulations...RiskFull timeWork at officeLocal area
Mapletree
Dallas, TX4 days ago $77.97k - $155.51k
Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity...RiskRemote jobWork experience placementWork at office- ...environments Experience in marketing functions or in branded product development. Experience and awareness of governance, financial management and risk management. Ability to be a constant force for improvement in the development and marketing of world class products....RiskCasual workFlexible hours
Forhyre
Dallas, TX11 days ago - ...Risk Management Specialist Under general direction of the Sr Risk Management Services Manager or Sr Enterprise Risk Management... ...including conducting site visit and/or investigations with insurance adjusters. Supports the analytics: trending of incident and claims to...RiskContract workFor contractors
