Get new jobs by email
$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$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Trenton, NJ3 days ago$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$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- 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- ...journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician-facing position and must... .... RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding,...RiskWork experience placementWork 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$50k
...Job Description Job Description Sr. General Liability Claims Adjuster – Bodily Injury · New York Adjuster License Needed Work... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from home- ...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
Trenton, NJ10 hours ago $98.3k - $185.1k
...Power Generation Risk Engineering Consultant 128056 Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk... ...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 NA
Trenton, NJ4 days ago$22 - $25 per hour
...direct supervision of the Vice President of Risk Management, receiving and processing... ...contacts (4 point contact) with client, adjuster, employee and provider. Report claims to... ...2,602.48-$52,602.48 1 week ago Certified Coder, Senior Administrative Claims Specialist...RiskFull time- ...recognized as an industry leader in project management, construction management, project controls, planning and scheduling, cost estimating, risk management, construction delay claims, and related fields. Providing innovative solutions through the project delivery cycle, we...RiskWork at office
JCMS Inc
Mercerville, NJa month ago $102.8k - $171.3k
...About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Government vertical... ...have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support...RiskTemporary workLocal areaRemote workRELX
Trenton, NJ5 days ago$25 - $35 per hour
...Auto Claims Adjuster By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day... ...candidate 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- ...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
Princeton, NJ15 days ago $40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours$150k - $170k
Overview Join to apply for the Quantitative Enterprise Risk Manager role at MSIG USA MSIG USA is the US-based subsidiary of MS&AD Insurance... ...Responsibilities Lead the company’s capital modeling and risk-adjusted return analytical processes. Parametrize and maintain the...RiskWork experience placementLocal area$120k - $135k
...Clinical Cost Containment RN Berkley Accident and Health is a risk management company that designs innovative solutions to address... ...understanding the nuances of each line of business and adjusting activities and interventions based on the uniqueness of each market...RiskFull timeContract workWork at officeRemote workW. R. Berkley
Trenton, NJ5 days ago- ...Vice President, Business Compliance & Risk Operations About the Company Leading loan servicing provider for residential mortgages Industry Financial Services Type Privately Held Founded 1958 Employees 1001-5000 Specialties loan servicing...Risk
- ...property & casualty and title insurance companies. Founded in 1923 and a member of the Fortune 500, we are a leader in underwriting and risk management services for business partners across the United States and Canada. Our specialized operating companies are experts in...RiskFull timePart timeLocal area
Old Republic Specialty Insurance Underwriters
Yardley, PA12 hours ago - Risk Adjustment Client Service Liaison page is loaded Risk Adjustment Client Service Liaison Apply locations NJ - Remote time type Full time posted on Posted Yesterday job requisition id R-107069 AnewHealth is one of the nation’s leading pharmacy care management companies...RiskFull timeTemporary workWork at officeLocal areaRemote workFlexible hours
$74k - $118k
Job Posting Title Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Job Description The Senior Compliance Analyst assists... ...vision, peripheral vision, depth perception and ability to adjust focus Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaImmediate startVisa sponsorshipWork visa$120 - $150 per hour
...a range of domestic and international transactional tax planning services and tax-related advisory services. Our Tax Accounting and Risk Advisory Services (TARAS) practice operates within the NTD, and assists companies with all aspects of their financial reporting for...RiskWork experience placementSeasonal workRemote workFlexible hoursEY
Trenton, NJ10 hours ago- ...misses, and injuries. Participate in developing and updating risk assessments and review all applicable risk assessments annually... ...the machining process including, but not limited to, making adjustments for tool wear and changing tools when they become dull or broken...RiskContract workPart timeImmediate start
Hutchinson Industries Inc
Trenton, NJ18 days ago $96.3k - $157.7k
Overview Senior Risk Engineering Consultant role at Zurich North America. This is a work-from-home position, ideally located in Pennsylvania... .... This range represents nationwide market values and may be adjusted for geographic differentials. Zurich North America is an equal...RiskFull timeTemporary workRemote workWork from homeVisa sponsorship- ...for program design and decision‑making. Governance, Compliance & Risk Management: Ensure compensation programs comply with global... ...cause or notice by either the employee or the company. Legend may adjust base salary or other discretionary compensation at any time based...
- ...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and... ...vision, peripheral vision, depth perception and ability to adjust focus. Equal Opportunity Employer This employer is required...RiskHourly payFull timeWork at officeLocal area
Regal Entertainment
Burlington, NJ4 days ago - ...Roles and responsibilities within Cenlar's Enterprise Risk Management Framework are assigned across three lines of defense in alignment with industry standards and ERM best practices. The defined lines of defense are often referred to as the "Line 1" (L1), "Line 2" (L...Risk
Cenlar
Yardley, PA4 days ago
