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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

    Datavant

    Columbus, OH
    3 days ago
  • $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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Akron, OH
    3 days ago
  • $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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Akron, OH
    5 days ago
  • $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... 
    Risk
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Columbus, OH
    1 day ago
  • $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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Dayton, OH
    5 days ago
  • 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... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Columbus, OH
    1 day ago
  • $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

    Datavant

    Columbus, OH
    1 day ago
  • $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

    Blue Cross and Blue Shield of North Carolina

    Wyoming, OH
    1 day ago
  •  ...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... 
    Risk
    Contract work
    For contractors
    Work at office
    Local area
    Night shift

    New River Electrical Corporation

    Granville, OH
    26 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... 
    Risk
    Full time
    Part time
    Work at office
    Local area
    Shift work

    Capital One

    Delaware, OH
    2 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... 
    Risk
    Work at office

    Mancan

    Massillon, OH
    22 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... 
    Risk
    Work experience placement
    Work at office
    Work from home
    Visa sponsorship
    Work visa
    Monday to Friday

    Synchrony Financial

    Cincinnati, OH
    9 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... 
    Risk
    Work at office
    Immediate start
    Remote work

    SB Financial Group Inc.

    Montpelier, OH
    2 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... 
    Risk
    Full time
    Contract work
    Temporary work
    Part time
    Work experience placement

    PNC Financial Services Group

    Cleveland, OH
    18 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,... 
    Risk
    Contract work
    For contractors

    Mechanical Contractor Oak Ridge TN

    Piketon, OH
    6 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,... 
    Risk
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office

    PNC Financial Services Group

    Dayton, OH
    8 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... 
    Risk
    Full time
    Work at office

    Tennant Solutions

    West Chester, Butler County, OH
    3 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, OH
    26 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... 
    Risk
    Contract work
    Remote work
    Visa sponsorship

    Blue Star Partners LLC

    Columbus, OH
    20 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... 
    Risk
    Zero hours contract
    Shift work

    Magnet Medical

    Columbus, OH
    11 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... 
    Risk
    Permanent employment
    Flexible hours

    Sedgwick

    Columbus, OH
    1 day ago
  •  ...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... 
    Risk
    For contractors
    Work at office
    Local area

    Loeb Electric

    Columbus, OH
    23 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... 
    Risk
    Zero hours contract
    Shift work
    Night shift

    Magnet Medical

    Columbus, OH
    19 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... 
    Risk
    For contractors
    Work at office

    Janotta & Herner / Firelands Fabrication (JHI Group)

    Monroeville, OH
    15 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... 
    Risk
    Full time
    Live in
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Banner Health

    Columbus, OH
    3 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Immediate start
    Shift work
    Night shift

    Magnet Medical

    Columbus, OH
    4 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... 
    Risk
    Zero hours contract
    Shift work

    Magnet Medical

    Parma, OH
    10 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... 
    Risk
    Work experience placement

    Molina Healthcare

    Akron, OH
    5 days ago
  •  ...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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dayton, OH
    4 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Immediate start
    Shift work

    Magnet Medical

    Columbus, OH
    18 days ago