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$73.92k - $110.87k
Overview Risk Adjustment Coder Specialist role at SECUR Health Plan. This role is hybrid remote/office and is responsible for validating clinical documentation, supporting provider education, engaging in provider relations, and ensuring compliant coding practices to reflect...RiskFull timeWork at officeRemote work- ...committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition...RiskFull timeWork at officeFlexible hoursWeekend work
$105.6k - $195.4k
Data Scientist III - Risk Adjustment Compliance page is loaded## Data Scientist III - Risk Adjustment Compliancelocations: Remote-MO: Remote-FL: Remote-NCtime type: Full timeposted on: Posted Todayjob requisition id: 1603544You could be the one who changes everything for...RiskFull timePart timeWork at officeRemote workFlexible hours- Overview Risk Adjustment Coding Auditor AdventHealth PHSO Resources role focused on supporting inpatient and outpatient coding teams through... ...established by corporate leadership. Conduct initial audits during coder onboarding and support ongoing quality assurance needs for...RiskFull timeLocal areaRemote workMonday to FridayShift work
- Position Purpose Executes Line 2 oversight of Risk Adjustment including monitoring, auditing, and Line 1 oversight. Identifies and evaluates risk levels and effectively communicates findings to stakeholders, ensuring the highest quality of risk adjustment data. Develop...RiskFull timePart timeWork at officeRemote workFlexible hours
- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by... ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
$61.42k - $76.78k
Overview DEPARTMENT: HUMAN RESOURCES POSITION TITLE: RISK MANAGEMENT & HUMAN RESOURCES ANALYST (Exempt) PAY GRADE: Grade M34 PAY RANGE... ...; coordinate with medical representatives and claims adjusters; analyze trends and recommend corrective actions; coordinate with...RiskWork at office- ...centered agency dedicated to strengthening and stabilizing high-risk children and families. Our Early Intervention Speech-Language... ...records of therapy sessions, progress reports, and treatment adjustments. Ensure compliance with state and federal early intervention...RiskFull timeContract workPart timeRemote workFlexible hours
EmpowerED Care
Newburgh, NY21 days ago - ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the... ...determine compensability and total value of the claim; set and adjust reserve accordingly Initiate investigation and assign defense counsel...RiskTemporary workWork at office
$42.5k - $52.5k
P & C Liability Adjuster Department: Claims Administration & Adjusting Location: Lakewood Ranch, FL Compensation: $42,500 - $52,500 / year... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork experience placementWork at officeImmediate start- AVP, Audit Manager - Growth & Risk Management Synchrony is looking for an experienced audit professional to join our Growth & Risk Management... ...of economic, regulatory, and business risks, taking action to adjust risk assessments, audit plans, and audit programs as needed....Risk
- ...analytical, and technical duties in support of the Human Resources/Risk Management Department’s functions to include processing... ...Consults with medical representatives and coordinates with claims adjusters to resolve liability and property damage claims, including on-the...RiskWork at office
- ...responsible for the Village's insurance claims process and conducts Risk Management operations. Performs technical and administrative... ...approaches to address losses and exposures. Monitors the adjustment of liability, subrogation, and property loss issues, and develops...RiskWork at office
$75k - $130k
Role Summary/Purpose This position reports to the VP, Growth & Risk Management Audit and is responsible for providing independent and... ...business risks and issues, taking action to assure required adjustments to risk assessments, audit plans and audit programs. Maintain...RiskWork at officeWork from homeMonday to Friday$172.36k - $258.55k
...responsible for managing and overseeing the development of RADV risk exposure models, extrapolation impact analysis, and audit... ...functional collaboration : Working closely with other departments (Risk Adjustment Operations, Finance, DTS, Compliance, etc.) to ensure accurate...Risk- ...to join our team as Assistant Vice President, Non-Trading Market Risk Management Senior Analyst - Hybrid (Internal Job Title: Non-... ...Coverage varies by country. • We believe all parents deserve time to adjust to parenthood and bond with the newest members of their families...RiskFull time
$66.3k - $76k
Overview Pay Range: $66,300 - $76,000 Under the direction of the Director, Quality, Patient Safety & Risk Management, the Credentialing and Quality Data Coordinator is responsible for managing the day-to-day operations of provider OPPEs, FPPEs, and reappointments, ensuring...Risk- ...back to management on topics related to projects.* Continual awareness of activities in purview to identify potential key compliance risks for reporting to compliance management.**Other duties as assigned. May also be responsible for:*** Build relationships with business...RiskPart timeWork experience placementHome officeFlexible hours
- ...processes Apply rigorous attention to detail to minimize errors and risk Build and refine applications, data pipelines, and reporting... ...company founded in 2009, our mission is to deliver superior risk-adjusted returns for qualified investors, using advanced proprietary...RiskWork at officeNight shift
- ...financial markets. We are a 16+ year old quantitative systematic hedge fund that uses proprietary and open-source tools to deliver high risk-adjusted and uncorrelated returns to our investors. We are seeking enthusiastic, mathematically gifted, intellectually curious, highly...RiskWork at office
- ...and boundaries with service recipients. Attends safety and abuse risk management training as assigned. Provides employees with on-... ...families, agencies, courts, and interested parties to discuss youth adjustment and growth in the programs. Directs personnel functions...RiskCasual workWork at officeShift work
$135k - $230k
...profitability, and efficiency. Lead rigorous business case development, risk assessment, implementation, and validation of all new or... ...upon work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility Requirements...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to Friday- ...and work through volunteerism. Shape your Career with Citi Citi’s Risk Management organization oversees risk-taking activities and... ...Coverage varies by country. We believe all parents deserve time to adjust to parenthood and bond with the newest members of their families...RiskFull timeWork at office
$200k - $250k
...Liability Underwriter is responsible for underwriting complex transactions, identifying growth opportunities, proposing initiatives for risk mitigation, and ensuring accurate entries in connection with M&A transactions. The role monitors regulatory changes and cultivates a...RiskFull timeWork experience placementShift work- ...Purpose:** Assist in financial analysis and forecasting, pricing and risk assessment to estimate outcomes.**In this Sr. Actuarial Analyst... ..., 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 workWork from homeFlexible hours
- ...and/or deliver a contingency plan for significant aspects of the risk management and/or risk control processes. Develop and/or... ...situation and/or environment and making the appropriate/innovative adjustments to thinking and work habits to thrive in any scenario. Typically...RiskWork experience placementWork at officeLocal areaShift work
- ...sports. This role will own the market making, positioning, and risk management for the core sports product while being a strategic... ...customer maximization Manage exposure and risk limits in real time, adjusting strategy in response to betting patterns and volatility Develop...RiskWork at officeFlexible hours
- ...internal and external progress meetings, tracking deliverables and risks. Cost Estimation and Budget Management Develop, oversee, and... .... Monitor long-lead procurement items and potential delays, adjusting plans as needed. Executive and Stakeholder Engagement Serve...RiskFull timeContract workFor contractors
$50 - $58 per hour
...project is delivered on time, within budget, and that it meets or exceeds expectations Balance scope, schedule, quality, and risks. Make adjustments as necessary Define the project iterations strategy. Manage and evaluate iterations Develop, implement, and maintain the...RiskHourly payFull timeContract workWork at officeLocal areaWorldwide- ...and proactively identify and address performance or reliability risks across the platform; understand and implement service level... ...company founded in 2009, our mission is to deliver superior risk-adjusted returns for qualified investors, using advanced proprietary modeling...RiskFull timeWork at office
