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$85k - $200k
.../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide... ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work...RiskFull timeWork at officeAnkura
Washington DC2 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
Washington DC3 days ago- ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD25 days ago - ...support early intervention when appropriate. Successful candidate will provide reporting and analytics to support KP's best-in-class Risk Adjustment vendor programs. Job Summary: This individual contributor is primarily responsible for driving strategic data-informed...RiskWork experience placementLocal areaRemote work
Kaiser Permanente
Fulton, MD2 days 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
$145k - $170k
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, driving client data standardization, data integrations, database management, and optimization...Risk- ...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
$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- 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...RiskWork experience placementImmediate start
$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours$235k - $365k
...government antitrust investigations and merger enforcement actions, including Second Requests. Counsel clients on transactional antitrust risk, strategy, and compliance. Appear before enforcement authorities such as the U.S. Department of Justice, the Federal Trade...RiskDirect Counsel
Washington DC29 days ago$35 - $50 per hour
...situations which require referral to other members of the health care team such as infection control, risk management, or quality management. Assures plan of care is adjusted as appropriate and that follow-up occurs. Keep leadership abreast of potential issues. 9....RiskFull timeReliefLuminis Health
Lanham, MD12 hours ago- ...educational needs of Thrive by Three/Title X clients who are at risk of poor pregnancy outcomes and/or family planning. Develop a... ...emergency. Performs with frequent interruption or distractions. Adjust priorities quickly as circumstances dictate. Cognitive...RiskInterim roleWork at officeLocal area
Greater Baden Medical Services, Inc.
Capitol Heights, MD12 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... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorshipVirginia Staffing
Falls Church, VA12 hours ago$81.65k
...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.
Washington DC8 days ago$68.1k
...scope and specifications from sales team to identify potential risks, changes, or additional costs. Define project scope with sales... ...and identify any areas that may require additional resources or adjustments. Vendor and Subcontractor Evaluation: Utilize manufacture standard...RiskFull timeFor subcontractorWork at officeLocal areaRemote workNight shift$167.4k - $314.5k
...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role... ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication...RiskFull timeFor subcontractorFlexible hoursParsons Oman
Washington DC2 days ago- ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,... .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination....RiskContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$89.7k - $162.15k
...expertise, strong communication skills, and a proactive approach to risk management and continuous improvement. Primary... ...Evaluate program performance against objectives and recommend adjustments for continuous improvement. Collaborate cross-functionally with...RiskFor subcontractorLocal areaImmediate startLeidos
Springfield, VA7 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
Washington DC1 day ago£55k per year
...teach you how to express your thoughts well, listen actively, and adjust your communication style depending on the audience. Leadership... ...efficiently, thus maximising workflow efficiency and minimising risks. Critical thinking: This ability is crucial for any project manager...RiskFull timePart timeLocal areaImmediate startWorldwide- ...preferred. - Advanced experience relating to IdDM acquisition processes. - Advanced experience relating to travel support and/or travel risk management. - Exceptional oral and written communication skills - Valid US Passport - 15 years total professional experience desired...Risk
$56.57k - $90.5k
...Purpose of inspiring and building better lives and communities. Ensuring compliance with internal controls, operational procedures and risk management policies. Management of human capital including interviewing, selection, hiring, conducting performance reviews,...RiskFull timePart timeShift workDay shiftTruist Inc
Takoma Park, MD2 days 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
- ...Agility: We welcome change; it's the only constant. We embrace, adjust, adapt. Passion for Positivity: We greet each day with warmth... ...wellbeing resources and benefits offerings. Compliance & Risk Management: Stay up-to-date with industry best practices, regulatory...RiskCasual workWork at officeLocal area
CAVA
Washington DC12 hours ago $164.5k
...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.
Brentwood, MD8 days ago- ...facilities and offices. Reporting to the Vice President, Enterprise Risk Management and Government Affairs, this individual will be a... ...team, ensuring organization awareness of key issues and adjusting advocacy strategy as necessary.* Develop and implement robust processes...RiskFull timeSummer workLocal areaRemote workFlexible hours3 days per week
The Clorox Company
Washington DC2 days ago $80k
...including personnel, leasing, maintenance, financial, administration & risk management. As an on-site leader, you will supervise all... ...improvement; identify trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts Monitor the timely receipt...RiskPermanent employmentFull timeFor contractorsWork at officeNight shiftWeekend work$89.7k - $162.15k
...large-scale government or defense programs. Experience leading Configuration Control Boards (CCBs). Demonstrated experience in risk management and process improvement. At Leidos, we don’t want someone who "fits the mold"—we want someone who melts it down and...RiskContract workLocal areaImmediate startLeidos
Springfield, VA8 days ago
