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  • $19.6 per hour

     ...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...  ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Madison, WI
    3 days ago
  • Job Overview Senior Risk Adjustment Analyst - PacificSource Health Plans This role is responsible for accurate and comprehensive data submission to regulatory entities such as CMS for all risk adjustable populations. The Analyst will collaborate with internal and external... 
    Risk
    Work at office
    Night shift

    PacificSource Health Plans

    Oregon, WI
    14 hours ago
  • $91.8k - $123.1k

    Overview Actuarial Analyst, Commercial Risk Adjustment role at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Who We Are Looking For Every day, Cambia’s dedicated team of Actuaries is living our mission to make health care easier and... 
    Risk
    Work at office

    Cambia Health Solutions

    Oregon, WI
    4 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

    Madison, WI
    1 day ago
  • $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... 
    Risk
    Remote work
    Flexible hours

    Datavant

    Madison, WI
    3 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

    Madison, WI
    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

    Madison, WI
    1 day ago
  •  ...Forecast revenue, track actual vs. budgeted performance, and suggest adjustments. Ensure profitability through cost-control measures, vendor...  ...standards, local ordinances, and internal policies. Oversee risk management for large and complex events. Qualifications Bachelor... 
    Risk
    Contract work
    Work at office
    Local area
    Weekend work
    Afternoon shift

    CoralTree Hospitality Group

    Oregon, WI
    3 days ago
  • $100 per hour

     ...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation...  ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges... 
    Risk
    Full time
    Contract work
    Work experience placement

    Walbridge

    Oregon, WI
    1 day ago
  •  ...disciplines including scope, schedule, budget, quality, along with risk and critical path management experience - Experience managing...  ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support... 
    Risk

    Amazon Stores

    Madison, WI
    3 days ago
  • $75k - $165k

     ...improving the customer experience by understanding their unique risks and offering the best end-to-end solution for their Middle...  ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... 
    Risk
    Temporary work
    Apprenticeship
    Work at office
    Local area

    Zurich 56 Company Ltd

    Oregon, WI
    1 day ago
  • $98.5k - $215k

     ...objectives You will leverage your casualty underwriting acumen across risk assessment, exposure evaluation and pricing to generate and...  ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where... 
    Risk
    Full time
    Temporary work
    Apprenticeship
    Currently hiring
    Work at office
    Local area
    Remote work
    Visa sponsorship
    Flexible hours

    Zurich 56 Company Ltd

    Oregon, WI
    1 day ago
  • $113.1k - $245k

     ...focus on improving the customer experience by understanding their risk and offering the best end to end solution for their insurance...  ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... 
    Risk
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Currently hiring
    Work at office
    Local area
    Remote work
    Visa sponsorship
    2 days per week

    Zurich 56 Company Ltd

    Oregon, WI
    3 days ago
  • $98.3k - $161k

     ...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... 
    Risk
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich 56 Company Ltd

    Oregon, WI
    1 day ago
  • $98.3k - $161k

     ...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... 
    Risk
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich 56 Company Ltd

    Oregon, WI
    3 days ago
  • $71.1k - $116.5k

     ...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... 
    Risk
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich 56 Company Ltd

    Oregon, WI
    4 days ago
  • $20.8 per hour

    Join to apply for the Coder role at Gundersen Health System Love + medicine is who we are, it's what we do, it's why people want to work...  ...and fully reflects the patient's Severity of Illness and Risk of Mortality. The specialist applies knowledge of the ICD-10-CM... 
    Risk
    Full time
    Apprenticeship
    Work at office
    Remote work
    Day shift

    Gundersen Health System

    Madison, WI
    4 days ago
  • $64.6k - $105.9k

     ...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... 
    Risk
    Temporary work
    Work at office
    Local area
    Remote work

    Zurich 56 Company Ltd

    Oregon, WI
    4 days ago
  • $64.6k - $105.9k

     ...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... 
    Risk
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Immediate start
    Remote work
    Work from home

    Zurich 56 Company Ltd

    Oregon, WI
    4 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
    Live in
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Banner Health

    Madison, WI
    3 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

    Madison, WI
    4 days ago
  • $71.1k - $116.5k

     ...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... 
    Risk
    Full time
    Temporary work
    Currently hiring
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich 56 Company Ltd

    Oregon, WI
    1 day ago
  • $49.72 - $74.58 per hour

     ...CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: RN-Patient Safety & Risk Management REPORTS TO POSITION: Director of Risk Management...  ...violations. Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations. Initiates bill adjustments to mitigate... 
    Risk
    Hourly pay
    Contract work
    Immediate start
    Monday to Friday
    Shift work
    Day shift

    Direct Jobs

    Oregon, WI
    1 day ago
  • $27.2 - $40.79 per hour

     ...Title: HB Coding Specialist III - Inpatient coder Reports to: Coding Supervisor...  ...Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting...  ...through AHIMA or AAPC. Preferred: Risk Adjustment Coding (microcredential) or AAPCs Certified... 
    Risk
    Hourly pay
    Full time
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    Direct Jobs

    Oregon, WI
    4 days ago
  • $50 - $60 per hour

    We are looking for a Director of Credit Risk to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role you will need to hold an expert level of financial... 
    Risk
    Hourly pay
    Full time
    Contract work
    Part time
    Remote work

    DataAnnotation

    Oregon, WI
    4 days ago
  • $25.18 - $37.77 per hour

     ...certification or one or more of the following: RHIA, CCA, CCS, CCS‑P, CPC, COC, CPC‑H. Preferred: Risk Adjustment Coding (micro credential) or AAPC's Certified Adjustment Coder (CRC). Experience Required: Minimum of one year of hospital or professional coding experience... 
    Risk
    Hourly pay
    Immediate start
    Remote work
    Relocation
    Shift work

    Direct Jobs

    Oregon, WI
    4 days ago
  • $66.75k - $97.5k

     ...The Standard seeks a talented Student Actuary to join our rotational program. You will be joining a team in Corporate Actuarial and Risk Management which will give you exposure to a wide variety of business units and processes. As part of the rotation program, you will... 
    Risk
    Rotational program
    Local area

    Standard Insurance Company

    Oregon, WI
    2 days ago
  • $75k - $130k

    Job Summary AVP, Audit Manager - Growth & Risk Management at Synchrony reports to the VP of Growth & Risk Management Audit. The role...  ...Maintain awareness of economic, regulatory, and business risks and adjust risk assessments, audit plans, and programs accordingly.... 
    Risk
    Visa sponsorship
    Work visa
    Monday to Friday

    Synchrony

    Madison, WI
    3 days ago
  • $25.18 - $37.77 per hour

     ...the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred : Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. EXPERIENCE: Required... 
    Risk
    Hourly pay
    Immediate start
    Remote work
    Relocation
    Shift work
    Day shift

    Direct Jobs

    Oregon, WI
    4 days ago
  • $64.6k - $105.9k

     ...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... 
    Risk
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich 56 Company Ltd

    Oregon, WI
    4 days ago