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- ...Educate coding team on CMS coding guidelines and appropriate Risk Adjustment procedures to ensure adherence to CMS standards. Build and generate... ...and accuracy of severity of illness (SOI) and quality. Coach coders as assigned by regions, guiding daily workflow activities....RiskFull timeWork at officeFlexible hoursWeekend work
$77.97k - $171.06k
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- ...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
- ...coding experience. Physician Billing Credentials For Physician Billing: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified Coding Specialist -...RiskFull timeWork experience placementWork at officeLocal area
- 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
- ...departments to ensure all aspects of production are aligned. Adjust schedules as necessary to accommodate changes or delays. Safety... ...the warehouse. Conduct regular safety inspections and risk assessments. Implement and monitor safety training for all staff...RiskFor subcontractor
CaseCo
Fort Lauderdale, FL22 days ago - ...reflect the true clinical picture, improving the quality of risk adjustment data, and ensuring compliance with CMS (Centers for Medicare... ...communication skills for interacting with medical professionals, coders, and other stakeholders. Education & Experience Associate\'s...RiskFull timeWork at officeWork from homeFlexible hoursWeekend work
- ...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...RiskWork at officeLocal areaShift work
Regal Services
Miami, FL2 days ago - ...certification and training are current where applicable. Monitoring risk management as it pertains to the theatre, i.e., employee and... ...lbs. 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 LLC
Pembroke Pines, FL2 days ago - ...suppliers, services and product categories to assure supply, reduce risk and ensure compliance with Brand claims and government... ...variety of communication settings, attentively listens to others and adjusts their own style Decision Quality: Makes good and timely decisions...RiskFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shift
Independent Purchasing Cooperative
Miami, FL13 hours 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...RiskFlexible hoursShift workNight shift
Seminole Gaming
Pompano Beach, FL2 days ago - ...component manufacturing and productivity solutions; powertrain distribution and logistics services; commercial and personal insurance and risk management; and retail automotive sales as one of the largest privately owned dealership groups in the United States. Holman is...RiskFull timeTemporary workPart timeWork experience placementLocal areaFlexible hours
Holman Inc
North Miami, FL14 hours ago $102.4k - $204.1k
...the future of our industry. Job Description: Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskLocal areaRemote workWorldwideCrowe
Miami, FL15 hours ago$200k - $325k
...Chief Growth Officer Private Risk Management (Personal Lines) This is a hybrid role with the flexibility to work both virtually and... ...internal equity and alignment with market data. The salary may also be adjusted based on applicants geographic location. This position is...RiskFull timePart timeWork at officeLocal areaAon
Miami, FL2 days ago- ...distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. While performing the duties of this job, the employee is regularly exposed to risks associated with travel between buildings and back and forth to other areas as may be...RiskShift work
Gulfstream Park
Hallandale Beach, FL13 hours ago - ...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 - ...Summary: The Account Executive is the leader of multi-level risk management team responsible for translating risk and loss... ...others. Actions: Organizes communication, maintains attention, adjusts to the listener, ensures understanding, listens actively, conveys...RiskImmediate start
Lockton, Inc.
Pembroke Pines, FL2 days ago $115k - $145k
...attorneys on litigation strategy and case development Provide legal analysis and risk assessments to clients and insurers Maintain regular communication with clients, adjusters, and opposing counsel Qualifications Juris Doctor (J.D.) from an accredited...RiskWork at officeOptimum Results Staffing
Coral Gables, FL2 days ago$86.25k - $155k
...Business Control & Risk Management, VP at Santander Holdings USA Inc summary: The VP of Business Control & Risk Management leads risk management efforts within the first line of defense by embedding risk practices, monitoring key risk indicators, and ensuring compliance...RiskHourly payContract workWork experience placementWork at officeSantander Holdings USA Inc
Miami, FL19 hours ago$93.75k - $165k
...Job Description Senior Associate, Cyber and Digital Risk Management Country: United States of America Your Journey Starts... ...documentation while having the ability to multi-task and adapt/adjust to multiple demands and competing priorities A high degree of...RiskHourly payContract workWork experience placementWork at officeSantander Holdings USA Inc
Miami, FL19 days ago- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) PRIMARY PURPOSE : To investigate... ...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
- ...THE DEPARTMENT Our Enterprise Risk Management department is responsible for minimizing loss while respecting people, brand and operations. THE OPPORTUNITY With a special focus on merchandise security, our Risk Associate supports the Boutique...RiskRelocation
Aritzia
Miami, FL15 hours ago - ...Description: This job is responsible for resolving research and adjustment inquiries within the bank's practices and procedures. Key... ...and escalating matters or issues to leadership to ensure minimum risk occurs. Line of Business Job Description: Resolves Research...RiskWork at officeImmediate startShift workDay shift
Bank of America
Hialeah, FL25 days ago - ...Using stakeholders' feedback to inform necessary improvements and adjustments to the product Help develop frameworks for aggregating... ...and testing tools to do threat hunting, vulnerability detection, risk analysis, or compliance validation Bachelor's degree or higher...RiskTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours
CrowdStrike
Miami, FL13 hours ago - ...in a managed care delivery system. Knowledge of clinical outcomes and quality improvement processes. Experience of population risk management or complex chronic disease care management. History of being a natural teacher to fellow Physicians. Other skills...RiskWork at officeLocal area
ChenMed
Hallandale Beach, FL4 days ago - ...distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. While performing the duties of this job, the employee is regularly exposed to risks associated with travel between buildings and back and forth to other areas as may be...Risk
Gulfstream Park
Hallandale Beach, FL3 days ago $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$98.5k - $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 workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Fort Lauderdale, FL4 days ago$98.5k - $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 timeContract workTemporary workApprenticeshipLive inWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Fort Lauderdale, FL4 days ago
