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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... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...RiskFull timeDatavant
Atlanta, GA6 days ago$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...RiskRemote jobFull timeWork at officeFlexible hours$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Atlanta, GA3 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...RiskWork experience placementImmediate start
Baylor Scott & White Health
Atlanta, GA4 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...RiskFor contractorsWork at officeLocal areaRemote workHighmark Health
Atlanta, GA4 days ago$26 - $35 per hour
Overview The State Office of Risk Management (SORM) is seeking an experienced Claims Adjuster or Insurance Adjuster who specializes in adjusting Workers' Compensation claims. The ideal candidate will have knowledge and experience in investigating, analyzing, filing disputes...RiskFull timeWork at office$77.97k - $141.37k
Overview 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 to identify risks...RiskRemote jobWork experience placement$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...RiskRemote workFlexible hours$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$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- ...ongoing growth and success. WHAT WE'RE LOOKING FOR The Risk Advisor is responsible for new insurance account production and... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskWork at officeLocal area
Relation Insurance Inc
Peachtree Corners, GA7 hours ago - ...Kaiser Permanente/ The Southeast Permanente Medical Group (TSPMG) Execution & Risk Adjustment Coordinator The Project Coordinator provides administrative and project support to the Director, Sr. Manager(s), and business consultants in the Strategic Management and...RiskWork experience placementWork at office
The Southeast Permanente Medical Group
Atlanta, GA7 hours ago - Job Description - Pro Fee Coder - Hospitalist The Pro Fee Coder - Hospitalist will review... ...acuity and severity of illness (SOI) and risk of mortality (ROM). Maintain knowledge... ...improvement. Understanding of HCC and risk adjustment capture for inpatient coding. #J-18808-...Risk
- Complex Claims Director, General and Auto Liability Adjuster Join to apply for the Complex Claims Director, General and Auto Liability... ...that help businesses and individuals protect their assets, manage risks and provide for retirement security. Get to know the business...Suggested
- ...personnel management, strategic planning, financial management, risk management, and outstanding customer service and resident... ...programs; identify trends and recommend appropriate strategies and adjustments Develop yearly operating budgets/forecasts. Accurately prepare...Risk16 hoursFull timeTemporary workWork at officeLocal areaMonday to FridayShift workNight shiftWeekend work
Student Quarters
Atlanta, GA29 days ago $34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours- ...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 work
Magnet Medical
Duluth, GA5 days ago $40k - $250k
...unexpected. We have multiple opportunities for Specialty Loss Adjusters across the US, Mexico, Brazil, and strategic locations globally... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. Job location: USA, Mexico, Brazil and strategic...RiskPermanent employmentFlexible hoursSedgwick
Atlanta, GA5 days ago$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours- ...Overview At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TPA Oversight to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team. Make your mark...RiskWork at office
AIG
Atlanta, GA5 days ago - ...resupply performance. Provide monthly resupply reviews using risk management analysis for complex Resupply business concerns,... ...optimization project/training plans for client end?users while adjusting for existing workflow processes. Develop and maintain loyal...RiskWork at officeRemote work
ResMed
Peachtree Corners, GA4 days ago - ...Workplaces in Financial Services & Insurance Regional General Adjuster - Southeast Region PRIMARY PURPOSE : To handle losses or... ...candidate for this or other roles. Sedgwick is the worlds leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Atlanta, GA5 days ago - ...Marine Claims Major Loss Adjuster At AIG, we are reimagining the way we help customers to manage risk. Join us as a Marine Claims Major Loss Adjuster to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member...RiskWork at office
AIG
Atlanta, GA5 days ago - ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for...RiskFlexible hours
Charles Schwab
Peachtree Corners, GA26 days ago - ...Position Description We are seeking an experienced Security Risk & Compliance Manager to join our Enterprise Information Security team and reporting to the Director, Information Security. In this role, the Security Risk and Compliance Manager will be responsible...RiskFixed term contractLocal area
APCO Holdings LLC
Norcross, GA9 hours ago $144.2k - $265.6k
...through proactive management of the associated business and cyber risks. As a manager, you'll provide consulting and implementation... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorshipGeorgia Staffing
Atlanta, GA5 days ago- ...of Claims Enduris (WA/Hybrid) Enduris is Washingtons premier risk?sharing pool for special?purpose districts. With a membership... ...of member claims. The Director will supervise internal claims adjusters, collaborate with legal counsel and members on coverage determinations...Risk
AGRiP (Association of Governmental Risk Pools)
Atlanta, GA4 days ago - ...We are seeking an IT SOX Risk Advisory Manager who thrives at the intersection of risk management, audit execution, and technology.... ...skills. Superior ability to clearly articulate a point of view and adjust communication style and content to suit audience needs. ~...Risk
Intuit
Atlanta, GA7 hours ago $145k
...for our team, you can truly make a difference. The Corporate Risk Manager will direct and coordinate the company’s global... ...TPAs, actuaries, risk engineers, forensic accountants, claims adjusters, appraisers) and broker relationships including RFP, evaluation...RiskContract workFor contractorsFor subcontractorLocal areaMCC
Atlanta, GA4 days ago- ...Senior Catastrophe Risk Analyst Location: Duluth, GA (Onsite/ Hybrid Schedule) Position Type: Full-time We are looking for a Senior Catastrophe Risk Analyst who will leverage expertise of catastrophe risk assessment and modeling best practices to propose...RiskFull time
Tokio Marine HCC
Duluth, GA10 hours ago
