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  •  ...Specialist, HCC is responsible for completing quality assurance reviews on internal or external coders/providers/accounts following the official ICD-10-CM and appropriate Risk Adjustment guidelines. This role will be responsible for reviewing a patient’s medical record and... 
    Risk
    Work at office

    e4health

    Pittsburgh, PA
    9 days ago
  •  ...journey. We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician-facing position and must...  .... RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding,... 
    Risk
    Work experience placement
    Work at office

    Holy Redeemer

    Huntingdon Valley, PA
    3 days ago
  • The Director of Risk Adjustment Analytics reports to the Vice President, Government Markets Performance and is responsible for analytics and reporting related to both Medicare and ACA risk adjustment. The Director will interact collaboratively with the Medicare Stars team... 
    Risk
    Temporary work
    Work experience placement

    Independence

    Philadelphia, PA
    a month ago
  • Senior Bilingual Workers Compensation Claims Adjuster Job ID: 4672 Locations: Multiple Locations Job Description As a member of our claims...  .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... 
    Risk
    Work experience placement
    Remote work

    PMA Companies

    Pennsylvania
    1 day ago
  • $31.89 - $53.71 per hour

     ...UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/Analyst position in the Medicare department.  This is a full time position working Monday through Friday daylight hours and will be fully remote..  The Clinical Auditor/Analyst is an... 
    Risk
    Full time
    Remote work
    Monday to Friday

    UPMC Health Plan

    Pittsburgh, PA
    a month ago
  • $50k

     ...Description Job Description Complex General Liability Claims Adjuster - New York Labor Law Claims · New York Adjusters License...  ...and benefits package.   Company Description North American Risk Services (NARS) is a premier third-party claims administrator that... 
    Risk
    Work at office
    Work from home

    North American Risk Services, Inc. (NARS)

    Pittsburgh, PA
    1 day ago
  •  ...successfully perform the job. This posting reflects an opening for Coder I and we are seeking candidates for that position. Geisinger...  ...CPC / Certified Professional Coder - AAPC CRC / Certified Risk Adjustment Coder - AAPC RHIT / Registered Health Information Technician... 
    Risk
    Work experience placement
    Work at office
    Work from home

    Geisinger

    Pennsylvania
    4 days ago
  • $50k

     ...Job Description Job Description Sr. General Liability Claims Adjuster – Bodily Injury · New York Adjuster License Needed   Work...  ...and benefits package.   Company Description North American Risk Services (NARS) is a premier third-party claims administrator... 
    Risk
    Work at office
    Work from home

    North American Risk Services, Inc. (NARS)

    Philadelphia, PA
    1 day ago
  • $59.68k - $96.12k

     ...Description Job Description The Large Loss Workers’ Compensation Adjuster is responsible for managing a caseload of complex and high-...  ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up... 
    Risk
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Enterprise Claims, Inc.

    Norristown, PA
    22 days ago
  •  ...results The Position We are looking for an experienced Risk & Claims Manager to oversee all insurance claim activity and support...  ..., and resolution.  Collaborate with insurers, brokers, loss adjusters, and legal partners to manage active claims and ensure fair... 
    Risk
    Local area

    Culligan Quench

    King of Prussia, PA
    1 day ago
  • $175.5k - $200.3k

     ...Senior Manager, Risk Guide- Enterprise Services Risk at Capital One summary: The Senior Manager, Risk Guide in Enterprise Services...  ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to... 
    Risk
    Full time
    Part time
    Local area

    Capital One

    York, PA
    2 days ago
  •  ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging... 
    Risk
    Full time
    Part time
    Local area
    Flexible hours

    Encompass Health

    Gibsonia, PA
    14 hours ago
  • $225.4k - $257.2k

     ...Senior Manager, Technology Change Risk Oversight at Capital One summary: The Senior Manager, Technology Change Risk Oversight leads...  ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies... 
    Risk
    Full time
    Part time
    Work at office
    Local area
    Immediate start
    3 days per week

    Capital One

    York, PA
    2 days ago
  •  ...available data sources, and making decisions based on this data. - Adjusts in daily schedules according to changes in staffing needs, due...  ...of clinical issues, triage problems, staffing issues, and risk management concerns. - Acts on behalf of Clinical Manager / Director... 
    Risk
    Flexible hours

    Guthrie

    Towanda, PA
    14 days ago
  •  ...KPIs. DemandSupply Balancing Match demand and supply signals, adjusting production and resource plans to ensure optimal utilization of...  .... Drive profitability by optimizing capacity utilization. Risk & Contingency Planning Maintain risk registers, mitigation strategies... 
    Risk
    Part time
    Work experience placement

    Piramal Pharma Solutions

    Sellersville, PA
    16 hours ago
  • $70k - $72k

     ...codes and regulations. Partner with internal teams (Retail, IT, Risk Management, People Services, etc.) to ensure operational...  ...locations. Track progress of project milestones and deliverables, adjusting timelines and budgets as needed. Ensure work aligns with... 
    Risk
    For contractors
    Shift work

    Goodwill of SWPA EE

    Pittsburgh, PA
    15 days ago
  •  ...Expertise in safety standards, environmental regulations, and risk management. Ability to work independently and make sound decisions...  ...vision, peripheral vision, depth perception, and the ability to adjust focus in dimly lit areas. Reasonable accommodation may be... 
    Risk
    Flexible hours
    Weekend work
    Afternoon shift

    The Hill School

    Pottstown, PA
    13 days ago
  •  ...alignment of projects within the broader enterprise roadmap. Adjust project scope, timelines, and budgets based on evolving business...  ...skills. • Preferred Skills Expertise in program governance, risk management, and stakeholder engagement. Experience working in... 
    Risk
    Temporary work
    For contractors
    Work experience placement

    Robert Half

    Philadelphia, PA
    7 days ago
  •  ...liability claims? Join our Major Case Unit as a Senior Liability Adjuster, where you'll play a pivotal role in managing high-stakes...  ...contracts and insurance policiesto identify coverage issues and risk transfer strategies. Proactively negotiate claimsto achieve favorable... 
    Risk
    Work at office

    Berkshire Hathaway GUARD Insurance Companies

    Wilkes Barre, PA
    1 day ago
  •  ...over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen... 
    Risk
    Hourly pay
    Work experience placement
    Local area

    Eliassen Group

    Pittsburgh, PA
    13 days ago
  •  ...regarding general documentation and coding best practices and risk adjustment Deliver internal and external-facing education and training...  ...required ~ Current certification as a Certified Professional Coder (CPC), or equivalent ~ Certified Documentation Expert... 
    Risk
    Work experience placement
    Work at office
    Remote work

    Aledade

    Franklin, Chester County, PA
    13 days ago
  • $120k - $125k

    Professional Liability Adjuster page is loaded## Professional Liability Adjusterremote type: Remotelocations: Horsham, PA, USAtime type:...  ...are committed to doing what is best for our customers.**Summit Risk Services** is seeking a **Professional Liability Adjuster, Attorney... 
    Risk
    Hourly pay
    Work at office
    Local area

    Brown & Brown, Inc.

    Horsham, PA
    1 day ago
  •  ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-...  ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history... 
    Risk
    Zero hours contract
    Work at office
    Immediate start
    Shift work

    Magnet Medical

    Hershey, PA
    29 days ago
  •  ...considerations in all business decisions and able to leverage that information in creating customized customer solutions. Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they... 
    Risk
    Full time
    Temporary work
    Part time
    Work experience placement

    PNC Financial Services Group

    Pittsburgh, PA
    28 days ago
  •  ...construction progress and ensure deliverables meet specifications. Risk Management: Identify potential risks associated with...  ...mitigate them. Proactively address project challenges, making adjustments as necessary to keep projects on track. Documentation and... 
    Risk
    Contract work
    For contractors
    Work at office

    Dominion Siding Inc

    Philadelphia, PA
    14 days ago
  •  ...Job Description Job Description Title: Enterprise Risk Management Analyst Location: Audubon, PA Job type: 12+ months Contract Client: Direct Client Responsibilities:  Assist ERM Team with deployment of standardized Enterprise Risk Management program... 
    Risk
    Contract work

    Synkriom

    Audubon, PA
    3 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

    Philadelphia, PA
    12 days ago
  • $15.75 - $19.75 per hour

     ...for dining room cleanliness and readiness and makes necessary adjustments as appropriate to maintain quality standards. Maintains side...  ...proper directional flow, organization and supplies placement. Risk Management and General Safety Partners with community team... 
    Risk
    Work at office
    Local area
    Shift work

    Sunrise Senior Living

    Haverford, PA
    1 day ago
  • $100k - $180k

     ...challenging jurisdictions in the country. We started as a boutique toxic tort practice and have evolved into a leader in litigation risk management, defending clients in the energy, manufacturing, construction, insurance, technology, and transportation industries. We take... 
    Risk
    Local area
    Remote work

    Jobot

    Philadelphia, PA
    1 day ago
  •  ...participation in quality monitoring and improvement by monitoring quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters... 
    Risk
    Full time
    Temporary work
    Part time
    Local area
    Monday to Friday
    Flexible hours

    Geisinger

    Scranton, PA
    9 days ago