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$77.97k - $155.51k
Overview The Program Manager - Provider Engagement role plays a key role in driving risk adjustment and quality performance outcomes through effective program management, operational execution, and provider engagement support. This role is responsible for overseeing program...RiskWork experience placement$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$77.97k - $140k
JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate...RiskRemote jobWork experience placement- Auditing Manager CPC Coders Hybrid work setting, Florida residency required As Mount Sinai grows, so does our legacy in high-quality health... ...the institution. Analyze audit findings and identify trends, risks, and opportunities for improvement. Team Leadership &...RiskWork at office
- ...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
- ...Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER... ...CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS),...RiskWork experience placementWork at officeLocal areaShift work
- ...Security, Risk and Compliance Consultant An SEI-er is a master communicator and active listener who understands how to navigate an... ...Self-aware, almost to a fault, SEI-ers keenly understand how to adjust their support and problem solving based on the situation. Following...RiskPermanent employmentPart time
SEI
Miami, FL1 day ago $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$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area- ...experience, making banking easy in an omni channel environment. Collaborates with a broad range of eco-system partners. Accountable for risk management and compliance . Builds a high performing team through the attraction, on-boarding, coaching and development of branch...RiskFull timeTemporary workPart timeWork experience placementWork at office
- ...Syndicated loans portfolio. This role is critical in ensuring sound risk management, regulatory compliance, and optimal asset performance... ...vision, peripheral vision, depth perception, and ability to adjust focus. WORK ENVIROMENT The work environment characteristics...Risk
Intercredit Bank N.A.
Miami, FL1 hour agonew - ...proposals for assigned projects. Communicate known project hazards, risk Oversee the management of projects, ensuring they are completed... ...on performance metrics, identifying areas for improvement and adjusting strategies to meet goals. Build a network of industry contacts...RiskFull timeFor contractorsWork at officeLocal area
$30k
...Lennar Corporate Risk Management Position We are Lennar. Lennar is one of the nation's leading homebuilders, dedicated to making... ...Manage the activity of the Third Party Administrators and/or adjusters on a daily basis with respects to all claims. Possess the ability...RiskPart timeLive inWork at officeLocal areaLennar
Miami, FL1 day ago- ...could lead to Bank loss to appropriate supervisor. Identify, evaluate, monitor and make any recommendation deemed necessary to the Risk Management Committee in order to assess, reduce, eliminate or control any current or prospective risks to earnings or capital arising...RiskWork experience placementBank staffNight shift
- Overview Join to apply for the Aviation Adjuster role at McLarens Location: Miami - Hybrid, FL, US Date: Oct 3, 2025 Nearest Major Market... ..., the company offers comprehensive loss adjusting, claims, and risk management services, along with forensic technical services,...RiskLocal area
$76.43k - $129.59k
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskRemote jobWork experience placementWork at office- ...creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product... ...property and casualty claims and provide oversight to TPA adjusters with certain degree of latitude for independent judgment. As well...RiskPart timeFlexible hours
Everest
Miami, FL1 day ago $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- ...management policies and procedures are adhered to always. Monitor risk management as it pertains to the theatre (employee/guest safety,... ...vision, peripheral vision, depth perception and ability to adjust focus. The physical demands described here are representative of...RiskPart timeWork at officeLocal areaShift work
Regal Services
Miami, FL1 day ago - ...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and... .... The vision requirements include: close vision, distance vision, peripheral vision, depth perception and ability to adjust focus...RiskHourly payFull timePart timeWork at officeLocal area
Regal Entertainment
Pembroke Pines, FL1 day ago - ...seeking a detail-oriented and proactive Claims Examiner to join our risk management team. In this role, you will be responsible for... ...carriers Required Qualifications: Florida 6-20 All-Lines Adjuster License (or ability to obtain within 90 days of hire) At least...RiskPermanent employmentContract workTemporary workWork at office
- ...in-house, at facility, and telephonic visits to patients at high-risk for hospital admission and re-admission (as identified by CM... ...Ability to monitor, assess and record patients’ progress and adjust and plan accordingly Ability to plan, implement and evaluate...RiskFull timeWork experience placementWork at office
ChenMed
North Miami, FL4 days ago - ...product education and develop loyal relationships. Work with HRD Risk Management team in the monitoring Sportsbook risk and liability.... ...a team-oriented, collaborative environment is essential. Can adjust and efficiently react to shifting priorities, demands, and...RiskPart timeFlexible hoursShift workNight shift
Seminole Gaming
Pompano Beach, FL1 day ago $93.75k - $165k
...Sr. Associate, Technology Risk Management Country: United States of America Your Journey Starts Here: Santander is a global leader... ...processes. Having the ability to multi-task and adapt/adjust to multiple demands and competing priorities A team player who...RiskHourly payFull timeContract workWork experience placementWork at officeSantander Holdings USA Inc
Coconut Grove, FL3 days ago- ...Workplace Forbes Best-in-State Employer Aviation Surveyor and Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Aviation Job... ...of the position at any time. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskPermanent employmentWork at officeLocal areaFlexible hours
- ...transfer for this position. Responsibilities What is the Investment Risk Team responsible for? The Investment Risk Team's primary... ...or regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email accommodations...RiskWork experience placementWork at officeLocal areaFlexible hours3 days per week
$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...RiskHourly payContract workPart timeWork at officeLocal areaWorldwideComputer Aid
Hollywood, FL1 day ago- ...insurance. Conduct audits of underwriting files to verify accuracy, risk assessment, and compliance with company policies. Review... ...clear, actionable audit reports for leadership and recommend adjustments to guidelines or practices. Conduct periodic reviews of...RiskTemporary workRemote workFlexible hours
United Automobile Insurance Company
Miami, FL1 hour agonew - Experienced Manager, Risk Advisory Services Join to apply for the Experienced Manager, Risk Advisory Services role at BDO USA Job... ...as needed Prepares periodic and timely billings, and manages adjustments to engagement realization, as needed Manages the engagement and...RiskWork at office
- ...impacted by project activities. Monitor progress of initiatives and adjust to ensure successful completion. Consult with leadership on... ...operations. Create and monitor a control environment and risk management practices. Additional Duties Participate in evening...RiskFull timeWeekend workAfternoon shift
University of Miami
Miami, FL2 days ago
