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- ...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
- ...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
- ...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
- ...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
$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...RiskRemote jobWork experience placement- ...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 - ...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
- ...patient data. Competencies ACCOUNTABILITY ACCURACY (DRG) ACCURACY - CODER ACCURACY - OUTPATIENT ANALYSIS AND DECISION MAKING CUSTOMER... ...Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser...RiskRemote jobWork at officeLocal areaShift work
- ...matters. The Construction Attorney collaborates closely with department directors and the Legal Department to identify potential legal risks, develop compliance strategies, and implement policies and procedures that promote efficiency and mitigate liability. Additionally,...RiskWork at office
The Alliance Group
Hollywood, FL4 days ago - ...Title: Chief Risk Officer - Payments Location: Hybrid Miami Overview: Our Client, a leading payments provider, is searching for a Chief Risk Officer (CRO) to join their leadership team. This senior executive is responsible for the effective independent oversight...Risk
Fintech Executive Search Consultants
Hollywood, FL3 days ago - .... The Construction Attorney collaborates closely with TCD department directors and the Legal Department to identify potential legal risks, develop compliance strategies, and implement policies and procedures that promote efficiency and mitigate liability. Additionally,...RiskWork at officeFlexible hoursAfternoon shift
Seminole Tribe of Florida
Hollywood, FL3 days ago - ...every team member in the store Use company provided tools to coach, mentor and develop a high performing store team Ensure all risk management issues are in compliance with company standards Create or approve Management and Associate schedules to ensure proper...RiskWork at officeLocal areaShift work
RaceTrac
Hollywood, FL4 days ago - ...to file required reports within specified time frames, mitigate risk, minimize loss and protect the interest and assets of the tribe.... ..., color, and peripheral vision, depth perception and ability to adjust focus. Native American Preference Policy The Tribal Council gives...RiskFull timeWork experience placementWork at officeRemote work
- ..., ADEA, and HIPAA. · Knowledge of human resources techniques, risk management, labor relations, benefits, city employee rules and regulations... ...vision, peripheral vision, depth perception and ability to adjust focus. Employment At-Will Employees have a work-at-will...RiskContract workFor contractorsFor subcontractorWork at officeLocal area
- ...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 - ...Cancer Institute (MCI), part of Memorial Healthcare System, is seeking a BE/BC physician, dedicated to women's breast health and cancer risk assessment to join a multidisciplinary team in delivering world class cancer care. MCI is recognized by the National Accreditation...RiskFull timeRelocation
Memorial Healthcare System
Hollywood, FL3 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, FL14 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- ...and accountability partner all in one Adjust EMS suits and equipment like a pro (Well... ...~ Tech confidence (you dont have to be a coder, just not afraid of gadgets) ~ Energy for... ...your day Getting in shape shouldn't mean risking injury Everyone deserves to feel...RiskCasual workFlexible hours
- ...component manufacturing and productivity solutions; powertrain distribution and logistics services; commercial and personal insurance and risk management; and retail automotive sales as one of the largest privately owned dealership groups in the United States. Holman is...RiskFull timeTemporary workPart timeWork experience placementLocal areaFlexible hours
Holman Inc
North Miami, FL15 hours 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, FL17 hours 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$65k - $85k
...evaluations, payroll, benefits Accounting, QBO, Analysis of financial reporting, AP, and AR Policy and Procedures, SOPs, compliance, and risk management Managing an extensive list of vendors, contract negotiations, etc Technology: CRMs, CMS, and MS Office Excellent...RiskContract workGrimaldi Law Firm
Hollywood, FL3 hours agonew- ...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, FL2 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 - ...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
$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, FL20 hours ago$115k - $145k
...attorneys on litigation strategy and case development Provide legal analysis and risk assessments to clients and insurers Maintain regular communication with clients, adjusters, and opposing counsel Qualifications Juris Doctor (J.D.) from an accredited...RiskWork at officeOptimum Results Staffing
Coral Gables, FL2 days 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
