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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- ...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
- The Director of Risk Adjustment Analytics reports to the Vice President, Government Markets Performance and is responsible for analytics and reporting related to both Medicare and ACA risk adjustment. The Director will interact collaboratively with the Medicare Stars team...RiskTemporary workWork 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$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 homeNorth American Risk Services, Inc. (NARS)
Philadelphia, PA4 days ago- ...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, NJ12 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$96.3k - $157.7k
...Zurich’s Risk Engineering Property South Team is seeking a Senior Property Field Risk Engineering Consultant with large property highly... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA2 days ago- ...alignment of projects within the broader enterprise roadmap. Adjust project scope, timelines, and budgets based on evolving business... ...skills. • Preferred Skills Expertise in program governance, risk management, and stakeholder engagement. Experience working in...RiskTemporary workFor contractorsWork experience placement
Robert Half
Philadelphia, PA10 days ago - ...policies, and procedures. Issue reports summarizing findings and tracks resulting CAPAs to satisfactory closure to maintain appropriate risk posture for the site. Notifies relevant management of unresolved issues or trends. Develop and maintain metrics and key...RiskPart timeWorldwide
ClinLab Staffing
Newtown, PA8 hours 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- ...and USP regulatory frameworks governing oral solid dosage manufacturing. • Certification or training in Lean, Six Sigma, or Quality Risk Management methodologies preferred. What We Offer • Competitive compensation with annual performance bonus eligibility •...RiskFull timeMonday to Friday
KVK Tech
Newtown, PA1 day ago - ...support the team across all aspects of their work to ensure that risk standards are consistently upheld. This includes contributing to... ...a business environment CSGer Perks & Benefits (Feel free to adjust this by regional benefits!) Work from home, in-office, or hybrid...RiskWork at officeWork from home
- Overview The Vice President, Business Compliance & Risk Execution is responsible for leading the development and implementation of the client’s first-line compliance and risk management framework. This role serves as a key business partner, ensuring that operational teams...RiskFull time
- ...Job Description Job Description Sovereign Consulting Inc. seeks an Ecological Risk Assessment Specialist with 5+ years of ecological risk assessment experience in the Mid-Atlantic Region, Experience in New Jersey is a plus. The successful candidate will be responsible...RiskFull timeTemporary workRelocation package
Sovereign Consulting
Robbinsville, NJ16 days ago $99.7k - $166.1k
...provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted... ...market variations across various locations. The offer will be adjusted per geography. The base salary range anticipated for this...Risk- ...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, NJ27 days ago - ...between the business, IT, and information security – driving the identification, evaluation and prioritization of information security risks and measuring the progress of the overall information security program through benchmarking and metrics. The position also acts as a...Risk
$2,493 per week
...procedure. Conducting MRI Scans : Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...handling contrast agents and any equipment that could pose a risk to patients. Adhere to radiation safety standards for other...RiskZero hours contractImmediate startShift work$74.4k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA4 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- ...Measures self against standard of excellence; Takes calculated risks to accomplish goals. Planning/Organizing - Prioritizes and plans... ...include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. #PVJobs...RiskLocal areaFlexible hoursNight shift
Peddlers Village Partnership
Lahaska, PA22 days ago $130k - $215k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Philadelphia, PA3 days ago- ...summarizing findings and track resulting Corrective and Preventive Actions (CAPAs) to satisfactory closure, maintaining appropriate risk posture for the site. Develop and maintain metrics and key performance indicators to measure trends and improve quality performance...RiskWorldwide
KVK Tech
Newtown, PA10 days ago $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$145k - $220k
...Join our innovative Analytics team and help shape the future of risk management through data. As a Senior Manager of Risk Analytics,... ...employees when circumstances arise that require remote work or adjusted schedules. Our goal is to ensure everyone can effectively balance...RiskTemporary workWork at officeImmediate startRemote workFlexible hours
