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$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk- Overview Description Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Michigan!! Full-Time Opportunity, M-F 8am - 5pm type... ...record reviews in tandem with a certified professional coder at provider locations or at company\'s offices. Facilitates query...RiskFull timeWork at office
$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$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape.... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the...Risk$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products...Risk$71.8k - $120.2k
...Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments related to Medicare Risk Adjustment. This role involves analyzing clinical, claims, and enrollment data to ensure compliance with government regulations,...RiskContract workWork at office$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours- ...Establish initial reserves based on gathered information and adjust as appropriate through completion of assigned claim. Negotiate... ...proper and accurate payments as needed. Identify questionable risks, red flags, fraud indicators and alert the special investigation...RiskWork at officeLocal areaRemote workWork visa1 day per week
NJ CURE
Detroit, MI10 days ago $50k
...Job Description Job Description Sr. General Liability Claims Adjuster · New York Adjusters License A Must Work-From-Home... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from home- ...and team events to bring everyone together. As a successful Risk Manager, you will: Review all assigned incoming Incident Reports... ...of incidents that meet specific criteria. Work with adjusters on all assigned open claims Coordinate receipt of insurance...RiskTemporary workWork at officeFlexible hours
RHP Properties
Farmington Hills, MI1 day ago - Join to apply for the Risk Management Analyst role at Blogonize . Summary As the Risk Management Analyst, you will identify, assess... ...loss reserves, forecasts, and allocation. Reconcile premium adjustments for expired insurance policies. Oversee company‑owned vehicle...RiskFull timeMonday to FridayAfternoon shift
$40k - $250k
...We have a number of fantastic opportunities for Specialty Loss Adjusters across the US, Mexico and Brazil and a number of key locations.... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...Vice President of Risk and Compliance About the Company Well-established credit union Industry Banking Type Non Profit Founded 1951 Employees 201-500 Specialties personal accounts commercial accounts lending commercial loans...Risk
- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Bay City, MI24 days ago - ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift workNight shift
Magnet Medical
Sault Sainte Marie, MI13 days ago - ...National Bank of America is seeking a collaborative and analytical Risk Manager to join the Risk Management Team. The role will require... ...Pet Insurance Paid Time Off (PTO) 401k with employer match Adjustable desks that can be raised or lowered to sit or stand First National...RiskImmediate start
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Midwest Region PRIMARY PURPOSE : To handle losses or claims... ...candidate 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
- Senior Commercial Auto & General Liability Claims Adjuster - Hybrid Amerisure creates exceptional value for its partners, policyholders,... ...the house dealing with general contractors, subcontractors, and risk transfer. The ideal candidate will also possess the following skill...RiskFor contractorsWork at officeLocal areaNight shift
- ...Risk Manager Work Location: 601 First Street NW, Grand Rapids, MI 49504 Position Classification: Full-Time Regular About... ...compliance and updating records as necessary. Coordinate with adjusters to manage workers’ compensation and general liability claims....RiskFull timeContract workFor contractorsWork at officeLocal areaFlexible hours
- ...regardless of size, including the ability to address any complex adjustment issue and any medium sized and relatively complex National... ...responsibilities and qualifications.) Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal areaFlexible hours
- ...patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division#s philosophies and... ...safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences. Demonstrates...RiskDaily paidFlexible hoursShift work
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Midwest Region Responsibilities Handles complex losses locally... ...candidate 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
$22.02 - $30.24 per hour
Zurich is looking for an RCIS Crop Claims Field Adjuster I to work out of Michigan state. This incumbent will work from a home-based office... ...one of the nation’s largest crop insurance providers, offering risk management protection in all 50 states through a national...RiskHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeVisa sponsorship- Job Title : Risk Manager Department : Safety and Training Reports To : Assistant Vice President of Risk Management General Summary... ..., and claims; collaborate with legal counsel, insurers, and adjusters to ensure proper resolution and minimize financial impact. Ensure...RiskCasual workWork at officeLocal areaAfternoon shift
- ...Datawarehouse & Business Intelligence • Infrastructure & Network Services • Risk Management & Compliance • Business Continuity & Disaster... ...technical and architecture plan to achieve the stated goal and adjust the plans according to progress and interdependencies Experience...RiskPermanent employmentContract workFor contractorsImmediate start
- ...to help our customers identify, assess, and reduce work-related risks to quality, productivity, and employee health. In your day to... ...broader business objectives (business Acumen) The capacity to adjust strategies in dynamic project environments. (adaptable & flexible...RiskFull timeTemporary workFlexible hours
Sandalwood Engineering & Ergonomics
Livonia, MI26 days ago - ...for materials, equipment, and subcontractors. Identify project risks and develop strategies to mitigate them. Handle admin... ...ensuring efficient allocation of resources. Track project expenses, adjust for cost overruns, and ensure financial goals are met....RiskContract workFor contractorsWork at office
Benchmark Building Solutions, Inc
Lake Orion, MI4 days ago
