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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...RiskWork at office
- ...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,...RiskWork experience placementWork at office
- 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...RiskTemporary workWork experience placement
- 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...RiskWork experience placementRemote work
$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...RiskFull timeRemote workMonday to Friday$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...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Pittsburgh, PA1 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...RiskWork experience placementWork at officeWork from home
$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...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Philadelphia, PA1 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...RiskMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Enterprise Claims, Inc.
Norristown, PA22 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...RiskLocal area
Culligan Quench
King of Prussia, PA1 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...RiskFull timePart timeLocal areaCapital One
York, PA2 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...RiskFull timePart timeLocal areaFlexible hours
Encompass Health
Gibsonia, PA14 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...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per weekCapital One
York, PA2 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...RiskFlexible hours
Guthrie
Towanda, PA14 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...RiskPart timeWork experience placement
Piramal Pharma Solutions
Sellersville, PA16 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...RiskFor contractorsShift workGoodwill of SWPA EE
Pittsburgh, PA15 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...RiskFlexible hoursWeekend workAfternoon shift
The Hill School
Pottstown, PA13 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...RiskTemporary workFor contractorsWork experience placement
Robert Half
Philadelphia, PA7 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...RiskWork at office
- ...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...RiskHourly payWork experience placementLocal area
Eliassen Group
Pittsburgh, PA13 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...RiskWork experience placementWork at officeRemote work
Aledade
Franklin, Chester County, PA13 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...RiskHourly payWork at officeLocal area- ...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...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Hershey, PA29 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...RiskFull timeTemporary workPart timeWork experience placement
PNC Financial Services Group
Pittsburgh, PA28 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...RiskContract workFor contractorsWork at office
Dominion Siding Inc
Philadelphia, PA14 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...RiskContract work
Synkriom
Audubon, PA3 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
Philadelphia, PA12 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...RiskWork at officeLocal areaShift workSunrise Senior Living
Haverford, PA1 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...RiskLocal areaRemote workJobot
Philadelphia, PA1 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...RiskFull timeTemporary workPart timeLocal areaMonday to FridayFlexible hours
Geisinger
Scranton, PA9 days ago
