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- Overview The Clinical Risk Adjustment Coder plays a key role in ensuring accurate and compliant coding within a risk adjustment framework. This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with provider...Risk
$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday- Back Senior Claims Adjuster - Workers Compensation #4682 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description: Job... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskWork experience placement
PMA Companies
Baltimore, MD2 days ago - ...support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily responsible for driving strategic data-informed...RiskWork experience placementLocal areaRemote work
Kaiser Permanente
Fulton, MD4 days ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$105.04k - $194.98k
Overview Risk Adjustment Manager- Encounters (Hybrid) at CareFirst BlueCross BlueShield Responsibilities Proactively create, manage and communicate Risk Adjustment related encounter or submission KPIs, OKRs, ROI, action plans, progress and risks within organizational teams...RiskWork experience placement$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement$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$64.08k - $127.27k
Resp & Qualifications PURPOSE The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro‑active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start- 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
$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$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork 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- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region 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 officeLocal areaFlexible hours
Sedgwick
Annapolis, MD2 days ago $69.92k - $133.62k
...and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD2 days ago- ...Field Risk Specialist Position Opportunity! W e pay for drive time so candidates must live in the immediate area of Laurel, MD. This is a Field Based Position so you will not be assigned to a local office About DataScan Headquartered in Alpharetta, Georgia,...RiskLive inWork at officeLocal areaImmediate startFlexible hoursNight shift
DataScan
Gambrills, MD4 days ago $175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Baltimore, MD4 days ago$69.92k - $133.62k
...Property Adjuster Specialist At USAA, our mission is to empower our members to achieve financial security through highly competitive... ...claims, attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftMaryland Staffing
Baltimore, MD2 days ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets). *...RiskContract workFor contractors
- Join us on this journey as we execute this new mission-critical contract providing Cybersecurity Expertise and Risk Management! Your effort and expertise are crucial to the success and execution of this impactful mission that is critical in ensuring mission success through...RiskContract workFor contractors
- ...the accuracy of the loan system records (including interest rate adjustments on adjustable-rate loans) and ensure related general ledger... ...state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required...RiskFull timePart timeWork experience placement
The Harbor Bank of Maryland
Baltimore, MD1 day ago $27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work- Overview Specialty Loss Adjuster opportunities across the US, Mexico, Brazil and strategic locations globally with Sedgwick Specialty. Sedgwick... ...of skills and experience. Sedgwick is the world’s leading risk and claims administration partner, with 33,000 colleagues and 10...RiskFlexible hours
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...candidate 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
$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area$100k - $105k
...are committed to doing what is best for our customers. This is a remote work from home opportunity. Summit Risk Services is seeking a Professional Liability Adjuster, Attorney and/or JD required to join our growing team! Responsibilities Reviewing various insurance...RiskRemote jobHourly payWork at officeWork from home- ...Supply Chain Risk Management Analyst Mantech seeks a motivated, career and customer-oriented Supply Chain Risk Management Analyst to join our team in Fort Meade, MD. Responsibilities include but are not limited to: Review all-source intelligence products and industry...RiskWork at office
$118.2k
...adherence to best practices, optimizing performance, and managing risks throughout the project. The AWS Professional Services... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskAmazon Web Services, Inc.
Gambrills, MD10 days ago$138k - $148k
...Corporate , which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs... ..., hedging, and portfolios management to increase company risk-adjusted returns. This person will leverage advanced knowledge of...RiskContract workWork at officeRemote workWorldwideAegon Asset Management
Baltimore, MD1 day ago
