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- Overview The Clinical Risk Adjustment Coder plays a key role in ensuring accurate and compliant coding within a risk adjustment framework . This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with provider...Risk
$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
PMA Companies
Cockeysville, MD1 day ago - Overview: The Sr. Manager, Program Management - Risk Adjustment Vendor Oversight/ Retrieval reports into the VP Retrospective Chart Review Operations. This role will lead day-to-day management of KP’s risk adjustment retrieval and coding vendor partnerships. The incumbent...RiskContract work
$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
$74.4k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Owings Mills, MD9 days ago$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start- ...operational and balanced each day. ~ Comply with all federal and state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required training. Skills and Abilities Required: ~ Sales Strategy...RiskFull timeWork at officeLocal area
The Harbor Bank of Maryland
Randallstown, MD4 days ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
Sedgwick
Baltimore, MD1 day ago - ...Supply Chain Risk Management Intelligence Analyst Team Lead HII-Mission Technologies is seeking a highly skilled and experienced Supply Chain Risk Management Intelligence Analyst to be a Team Lead at our Woodlawn, MD location. As a Supply Chain Risk Management (SCRM...RiskLocal area
Maryland Staffing
Gwynn Oak, MD5 days ago - ...Field Risk Specialist Position Opportunity! W e pay for drive time so candidates must live in the immediate area of Laurel, MD. This is a Field Based Position so you will not be assigned to a local office About DataScan Headquartered in Alpharetta, Georgia,...RiskLive inWork at officeLocal areaImmediate startFlexible hoursNight shift
DataScan
Windsor Mill, MD2 days ago $175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Baltimore, MD3 days ago$69.92k - $133.62k
...Property Adjuster Specialist At USAA, our mission is to empower our members to achieve financial security through highly competitive... ...claims, attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftMaryland Staffing
Baltimore, MD1 day ago$69.92k - $133.62k
...and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payFull timeH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD18 hours ago- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, Technical CICA memorandums... ...the allocation and tracking of resources; recommend funding adjustments as appropriate (contract staffing, facilities, and budgets). *...RiskContract workFor contractors
$103.3k - $223.7k
...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...RiskFull timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...TTOs, Statements of Work (SOWs), Program Management Plans (PMPs), Risk Management Plans, program schedules, and Acquisition Strategies... ...the allocation and tracking of resources; recommend funding adjustments as appropriate. Assist program managers in developing program...RiskContract work
Synergy ECP
Columbia, MD1 day ago $43k - $93k
...client relationship by providing strategic advice on coverage, risk management and business needs, ensuring that the client's insurance... ...clients in submitting first reports of claims by obtaining adjusters and/or arranging a visit from a member of the claims team. Facilitates...RiskFull timeLive inWork at officeLocal areaRemote work$140k - $175k
...Experience with MSP and RPO customers and program teams ~ Appropriate risk management skills ~ Strong knowledge of the staffing and... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a...RiskPermanent employmentTemporary workAllegis Global Solutions
Hanover, MD3 days ago$172k - $281.7k
...leadership and various internal stakeholders to deliver comprehensive risk transfer solutions including primary & excess casualty, property... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskTemporary workWork at officeLocal areaRemote workFlexible hours$138k - $148k
...Corporate , which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs... ..., hedging, and portfolios management to increase company risk-adjusted returns. This person will leverage advanced knowledge of...RiskContract workWork at officeRemote workWorldwideAegon Asset Management
Baltimore, MD5 days ago- Senior Risk Management Analyst - Credit Strategy Schedule Work hours will depend on the business hours of the time zone serviced. To... ...abilities required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workRelocation packageFlexible hours
- ...engagement, succession planning, and org design Identify trends, risks, and opportunities within the organization and develop solutions... ...problem-solving skills and the ability to be flexible and adjust direction when needed Proven ability to lead cross-functional...RiskFull timeWork at officeRelocationFlexible hoursShift work
Northrop Grumman
Linthicum Heights, MD4 days ago $138.2k
...adherence to best practices, optimizing performance, and managing risks throughout the project. The AWS Professional Services... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskAmazon Web Services, Inc.
Gwynn Oak, MD7 days ago$50.3k - $75.5k
...Job Summary: The Third Party Risk Associate will support the Third Party Risk Management (TPRM) team in conducting third party... ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a...RiskPermanent employmentTemporary workWork experience placement$52 - $77 per hour
...data analytics support, and technology transition assistance and consists of four lines of effort: Insider Threat (InTh), Supply Chain Risk Management (SCRM), Committee on Foreign Investment in the United States (CFIUS), and Defensive Counterintelligence (DCI) technology...RiskFull timeFor contractorsInsight Global
Woodlawn, MD20 hours ago- ...defining/refining future deliverables, measuring performance and adjusting the overall roadmap of deliverables as needed. Translate... ...experience within the discipline being supported (e.g.: Claim, Risk Control, Technology, Project Management, Production, Application...RiskFull timeWork experience placementLocal area
Travelers
Baltimore, MD3 days ago
