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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$19.6 per hour
..., analyze, and code diagnostic information in a patient\'s medical record based on client specific guidelines for the project. The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines. Coders...RiskRemote jobFull timeWork at officeFlexible hours$77.97k - $141.37k
Overview JOB DESCRIPTION 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$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$68k - $90k
...Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... · Litigation Experience · Severe Injury Experience... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeLocal areaWork from homeNorth American Risk Services, Inc. (NARS)
Santa Fe, NM8 days ago$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 Overview Executive General Adjuster - Power/Energy (SE & SW Regions) Primary purpose : To... ...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
- ...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
- ...with stakeholders to develop viable WBS and Schedule, Project Standards, Change Control Plan, Resource and Staffing Plan, Budget Plan, Risk Management Plan, and Communication Plan. · Develops and maintains relationships with program managers and the teams of WSMR funded...RiskContract workFor contractors
H2 Performance Consulting
Organ, NM16 days ago - ...changes, recommending and implementing best practices to reduce risk and maintain compliance. Hold responsibility for delivering... ...relationships. Monitor benefit programs for effectiveness and recommend adjustments as needed. Employee Relations & Risk Management Serve as the...RiskFull timeLocal areaFlexible hoursAfternoon shift
- ...Director, Corporate Risk Location: Albuquerque, NM, United States Job ID: 6089035 Date Posted:May 13, 2025 JOB DESCRIPTION... ...walk, and stoop up to 1/3 of the time. Good vision and ability to adjust focus is required. Manual dexterity is required. Must...RiskWork at office
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Southwest Region PRIMARY PURPOSE : To handle losses or claims... ...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
- ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift workNight shift
Magnet Medical
Albuquerque, NM4 days ago - ...Workplaces in Financial Services & Insurance National General Adjuster - Southwest 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
$32.26 - $49.26 per hour
Overview Presbyterian is seeking a Complex Litigation Claims Adjuster II that investigates, evaluates, and negotiates more severe and complex... ...reserving and case strategy. At the direction of the risk director and risk attorney, directs PHS participation in defense...RiskFull timeLocal area- ...follow-up care, preventive measures, and any necessary lifestyle adjustments. \n \n \n ~\n Crisis Management : \n \n ~ Respond to... .... \n ~ Follow infection control guidelines to reduce the risk of hospital-acquired infections. \n \n \n ~\n Education...RiskZero hours contractShift workNight shift
Wellspring Nurse Source
Alamogordo, NM18 hours ago - ...after each visit Communicate with supervising OTs about progress and treatment adjustments Participate in care conferences and quality initiatives Support patients with exercises and interventions to reduce risk and promote daily living skills Requirements:...RiskWork from homeFlexible hours
SIERRA HEALTHCARE
Las Cruces, NM26 days ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Southwest Region PRIMARY PURPOSE To investigate losses or... ...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
- ...are resolved in a timely manner Recommends incentives, salary adjustments, transfers, promotions, and dismissals Stays up to date on... ...Experience in identifying, assessing, and mitigating operational risk Exceptional attention to detail Flexibility to pivot and...Risk
Specialized Trust
Albuquerque, NM3 days ago - ...disorders, psychosis, and mood disorders Prescribe, monitor, and adjust psychiatric medications in accordance with evidence-based... ...in technology, processes, and practices, encouraging strategic risk-taking and creativity to enhance healthcare delivery, patient safety...RiskLocal area
Roosevelt General Hospital
Portales, NM5 days ago - ...impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents... ...laws. Licensing An applicable resident or designated home state adjuster’s license is required for ESIS Field Claims Adjusters. Adjusters...RiskContract workLocal area
- ...and feasibility of project timelines. Provide ongoing monitoring and adjustments to schedules to accommodate changes and ensure alignment with project goals. Analyze project performance, identifying risks and opportunities, and report to management with detailed forecasts...Risk
$1,880 - $1,930 per week
...electronic charting systems\n Skills in antepartum care, high-risk and vaginal deliveries, circulating for C-sections, sterile... ...Occupational Therapists (OTs), Medical Technologists (MTs), Medical Coders, Medical Billers, and many other healthcare specialists in contract...RiskWeekly payPermanent employmentContract workLocumLocal areaShift workNight shiftWeekend workPlanet Healthcare
Albuquerque, NM26 days ago$94k - $160k
...subject matter experts to identify compliance requirements, assess risks, and recommend compliant solutions that support enterprise goals... ...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$98.3k - $161k
...Senior Risk Engineering Consultant Zurich's Marine Risk Engineering team is seeking a Senior Risk Engineering Consultant with Marine... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskTemporary workApprenticeshipWork at officeLocal areaWork from home- TMC Technologies is seeking a Risk Management Framework (RMF) subject matter expert to support our Space Systems Command (SSC) customer in Albuquerque, New Mexico. This position primarily supports collateral Top Secret and below programs performing all aspects of DoD RMF...RiskLocal area
- ...ensure optimal execution. You will conduct regular site inspections, review construction plans and specifications, identify potential risks, implement proactive measures to mitigate them and verify that all the work is performed to the highest quality standards. If you...RiskContract workFor contractorsFor subcontractorLocal area
Barnsley Construction
Albuquerque, NM6 days ago $21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Santa Fe, NM4 days ago- ...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
