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$193k - $242k
Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution for... ...suggestions. Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$77.97k - $141.37k
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$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$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- ...Job Description Job Description Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Commercial General Liability Claims Adjuster adept at managing complex coverage, liability, and legal issues within claims. You will use your...RiskImmediate startFlexible hours
Applied Underwriters
Omaha, NE15 days ago - ...contract, employment, administrative, constitutional and tax law; risk management and compliance, planning and development; litigation;... ...color vision as well as the depth perception and the ability to adjust focus. Communication abilities include the ability to talk (...RiskContract workCasual workWork at officeDay shiftAfternoon shift
- ...Commercial Bodily Injury Adjuster Great West Casualty is a leader in the insurance industry, known for our commitment to delivering exceptional... ...Commercial Bodily Injury Adjuster to join our growing Specialty Risk team. As a Commercial Bodily Injury Adjuster, you will be...RiskRemote jobContract workWork at office
$47.01k - $62k
...Claims Adjuster - Workers Compensation By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues... ...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$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area- Applied Underwriters, Inc. Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Commercial General Liability Claims Adjuster adept at managing complex coverage, liability, and legal issues within claims. You will use your strong...RiskImmediate startFlexible hours
$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking individuals...RiskPermanent employmentFlexible 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- ...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
$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- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Midwest Region Primary Purpose PRIMARY PURPOSE : To investigate... ...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
- ...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
Omaha, NE10 days ago - ...ensuring that everyone understands their roles and responsibilities. Risk Management: Identifying potential risks and developing... ...Control: They monitor the project's progress and quality, making adjustments as necessary to meet the project's standards. Budget Management...Risk
- ...Monitor and evaluate program effectiveness, participation, and member satisfaction; adjust programs as needed. Ensure compliance with YMCA, local, and state standards for safety, risk management, and inclusion. Assist in marketing efforts, community outreach, program registration...RiskLocal area
$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$66.6k - $124.2k
...7/31/2025 Address: 790 N Water Street Job Family Group: Audit, Risk & Compliance Conducts audit engagements to critically assess management... ...Salary reflects the Milwaukee and Omaha markets. There is an adjustment for the Chicago market. Salary : $66,600.00 - $124,200.00 Pay...RiskContract workPart timeWork at officeLocal area- ...improve, as necessary, process documentation of quarter-end processes around data & model operations to comply with best practices, model risk management, and internal controls. Maintaining procedures quality assurance procedures and related controls that enhance the...RiskWork at officeFlexible hours
- ...regulations, and bar rules across multiple states; advise leadership on strategic responses and solutions. Conduct internal audits, risk assessments, and compliance reviews. Oversee ethics and professional responsibility compliance, including conflicts of interest...Risk
Berry Law Firm
Lincoln, NE11 days ago - ...include domestic and international Evaluates the results of annual and quarterly risk assessments across the enterprise to highlight changes in key business indicators for adjusting the annual plan of coverage Assigns and schedules priorities to achieve maximum utilization...RiskLocal area
- ...in our Medicare bids submissions. Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan specific... ..., 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 hours
- ...Purpose Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes. Responsibilities Apply... ...remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual\'s skills, experience, education, and other...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours
- ...Associates, P.C. represents creditors in foreclosure, bankruptcy and related litigation matters. We emphasize quality, compliance and risk management. We also deliver quality legal services with an emphasis on demonstrable subject matter expertise, domain knowledge and...RiskWork at officeLocal areaRemote workFlexible hours
Bonial & Associates, P.C.
Omaha, NE14 days ago
