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$193k - $242k
Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution for... ...suggestions. Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$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$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$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$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement- 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$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at...Risk- ...include advising on project constructability and construction risks; cost estimating; bid package preparation, procurement and subcontractor... ...conflicts, document errors, material shortages and manpower adjustments. # Develop project cash flows, manage project billing, and...RiskContract workFor contractorsWork at officeLocal areaNight shift
New River Electrical Corporation
Granville, OH26 days ago $205.4k - $234.4k
Director, Business Risk Guide- Enterprise Services Risk Office We are hiring! The Enterprise Services Business Risk Office provides risk management support to several lines of business including: Brand, Enterprise Supplier Management, Enterprise Products & Experience...RiskFull timePart timeWork at officeLocal areaShift workCapital One
Delaware, OH2 days ago- ...filing with appropriate state agencies and TPAs Coordinate with adjusters, healthcare providers, internal departments, and injured... ...duty placement when appropriate Support internal audits and risk management initiatives Work closely with HR and operations to...RiskWork at office
Mancan
Massillon, OH22 days ago $115k - $200k
...programs. Coordinate project planning, resource allocation, risk management, and stakeholder engagement to ensure program milestones... ...work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to FridaySynchrony Financial
Cincinnati, OH9 days ago- ...all internal policies, procedures, and practices in support of risk management and overall safety and soundness and the bank's compliance... ...about inside the office to accomplish tasks. Occasionally adjust or move objects in all directions. Frequently communicates...RiskWork at officeImmediate startRemote work
SB Financial Group Inc.
Montpelier, OH2 days ago $45k - $80.5k
...all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Vendor Relationship Risk Specialist within PNC's Supply Chain organization, you will be based in Pittsburgh, PA or Cleveland, OH. •Support execution of...RiskFull timeContract workTemporary workPart timeWork experience placementPNC Financial Services Group
Cleveland, OH18 days ago- ...change management protocols , evaluating and documenting all scope adjustments. Design and execute field strategies that drive... ...senior leadership, federal agencies, and key stakeholders. Lead risk management activities , including identification, mitigation,...RiskContract workFor contractors
Mechanical Contractor Oak Ridge TN
Piketon, OH6 days ago - ...banking easy in an omni channel environment. Leads and influences the agenda of a broad range of eco-system partners. Accountable for risk management and compliance in a complex business environment. Builds a high performing team through the attraction, on-boarding,...RiskFull timeTemporary workPart timeWork experience placementWork at office
PNC Financial Services Group
Dayton, OH8 days ago - ...client advocate within the organization. Monitor progress and adjust plans as needed using project management tools. Cross-... ...resource allocation for optimal efficiency. Quality Assurance & Risk Management Ensure all project work complies with client specifications...RiskFull timeWork at office
Tennant Solutions
West Chester, Butler County, OH3 days ago - ...program policies and procedures Monitor program performance and adjust as needed. Creates timelines, delegates task, coordinates... ...customer deliverables and program timing are met. Minimize project risk and inform Management appropriately . Conduct regular team...Risk
Gravity IT Resources
Defiance, OH26 days ago - ..., and ensure all stakeholders are informed about the progress, risks, and upcoming milestones. Role, Responsibilities & Deliverables... ...from stakeholders about communication effectiveness and make adjustments to improve clarity, engagement, and responsiveness. Provide...RiskContract workRemote workVisa sponsorship
Blue Star Partners LLC
Columbus, OH20 days ago - ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Columbus, OH11 days ago $40k - $250k
...in Financial Services & Insurance Role Details Specialty Loss Adjuster Job Location : USA, Mexico, Brazil and strategic locations globally... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...tasks, including but not limited to: Planning Forecasting Risk analysis and management Product deliveries Installation/... ...vision abilities include close vision and the ability to adjust focus, necessary for reading documents, using a computer, and reviewing...RiskFor contractorsWork at officeLocal area
Loeb Electric
Columbus, OH23 days ago - ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for...RiskZero hours contractShift workNight shift
Magnet Medical
Columbus, OH19 days ago - ...clearly defined and agreed upon with all stakeholders. Develop and maintain comprehensive project schedules, adjusting timelines as necessary and managing risks to prevent delays. Effectively manage resources, including personnel, equipment, and materials, to ensure...RiskFor contractorsWork at office
Janotta & Herner / Firelands Fabrication (JHI Group)
Monroeville, OH15 days ago $27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more. This is a facility‑based coding position...RiskFull timeLive inWork at officeRemote workMonday to FridayFlexible hoursShift work- ...and anticoagulants, according to protocols. \n ~ Monitor and adjust invasive monitoring devices such as arterial lines, central venous... ...Provide a clean and safe environment for patients, reducing the risk of hospital-acquired infections. \n \n \n ~\n Emergency...RiskZero hours contractImmediate startShift workNight shift
Magnet Medical
Columbus, OH4 days ago - ...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
Magnet Medical
Parma, OH10 days ago $77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Mid Atlantic Region PRIMARY PURPOSE : To handle 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
- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift work
Magnet Medical
Columbus, OH18 days ago
