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- ...help us advance health optimization on a global scale. The Risk Adjustment Validation Audit Manager oversees the end-to-end business process... ...Preferred Qualifications: Certified Risk Adjustment Coder Solid team player with 2+ years of leadership experience...RiskMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayWeekend work
UnitedHealth Group
Circle Pines, MN2 days ago $193k - $242k
...healthcare. 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...Risk- ...you are ready to make a difference, join us. Responsibilities The Impact You Will Have We are currently seeking a Director of Risk Adjustment and Quality Analytics to lead a team that delivers insights and results in support of the Risk Adjustment and Quality programs....RiskFor contractorsWork at officeRemote workFlexible hours2 days per week
$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- 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
- ...advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare...RiskRemote job
- ...experience to join our growing Quality team. What You’ll Do: Lead and oversee the complaint management process for complex, high-risk active implantable devices. Ensure compliance with FDA, ISO 13485, MDR, and global regulatory requirements. Act as a subject...RiskFlexible hours
JCW Group
Fridley, MN20 days ago $132.3k
...way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have The Director of Risk Adjustment is a key leader responsible for shaping risk adjustment strategies, delivering executional excellence, ensuring regulatory compliance...RiskFor contractorsWork at officeRemote workShift work2 days per weekBlue Cross and Blue Shield of Minnesota
Eagan, MN18 days ago- ...creation and implementation of comprehensive compliance strategy, risk assessment, and a detailed compliance workplan for Optum Health... ...compliance programs Knowledge of Medicare Advantage and risk adjustment (coding skills not required) Knowledge of home health and...RiskRemote jobMinimum wageFull timeLocal area
$40k - $250k
...in Financial Services & Insurance. Job details Specialty Loss Adjuster Job Location : USA, Mexico, Brazil and strategic locations globally... ...Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours$156.4k
...start Caring. Connecting. Growing together. This position is an impactful and strategic role for Optum compliance, providing risk adjustment coding expertise to the Optum Coding Compliance program and strategic guidance and support to all Optum risk adjustment coding...RiskMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workOptum
Eden Prairie, MN3 hours agonew- ...with colleagues to advise Howden Re clients in managing catastrophe risk. Your focus will be split between servicing clients (25-50%) and R&D endeavors (50-75%). Experience using, interpreting, adjusting, and validating outputs and underlying assumptions of catastrophe...RiskFull time
- ...and business alignment. ~ Demonstrated leadership that fosters cross-functional collaboration, champions innovation, and drives accountability. ~ A disciplined, strategic approach to risk management and regulatory compliance. ~ RAC certification preferred....Risk
Russell Solutions Group
Maple Grove, MN2 days ago - ...advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare...RiskRemote jobMinimum wageFull timeWork experience placementLocal area
- ...adherence to legal and regulatory requirements. Monitor adoption and adjust strategies to drive engagement and satisfaction. Operational... ...to forecast revenue contributions and analyze financial risks/opportunities. Identify underperforming programs and recommend...RiskContract workLocal area
RW OPCO, LLC
Minnetonka, MN3 days ago $94.4k - $293.8k
...and future-proof their enterprises. About the Role: As a Fraud Risk Manager, you will be at the forefront of helping financial services... ...that impact the industry, advising clients on necessary adjustments to their fraud risk programs. Champion Accenture’s offerings and...RiskWork at office- Consumer & Regional Bank Insurance Risk Manager Join to apply for the Consumer & Regional Bank Insurance Risk Manager role at Huntington... ...Minneapolis, MN $137,000.00-$238,000.00 1 week ago The Risk Adjustment Validation Audit Manager - Remote Eden Prairie, MN $89,900.00-$...RiskFull timeRemote workWork from homeFlexible hours
- ...aligns with business objectives, reduces legal and regulatory risks, and fosters a culture of ethical behavior. The CCO will also manage... ...potential impact of new regulations and recommend necessary adjustments to business practices. Oversee the design, development, and...RiskFull timeFor contractorsWork experience placementLocal area
- APi Garage Door is looking for a passionate Risk and Safety Director who thrives in a high energy work setting filled with a range diverse challenges and tasks. The purpose of this position is to provide strategic leadership in developing, implementing, and overseeing...RiskFull timeTemporary workRemote work
- Overview About the role As a Risk and Compliance Analyst, you will monitor regulatory adherence and operational risks by analyzing... ...regulations and their operational impact, implementing necessary adjustments. Manage and coordinate telecom compliance audits, regulatory...RiskContract workTemporary workRemote work
- ...drives every decision we make. Overview Senior Compliance Analyst (Risk Assessment and Oversight) - Remote Responsibilities Conduct... ...vision, peripheral vision, depth perception and ability to adjust focus. Every employee must understand, comply with and attest to...RiskRemote jobWork experience placementLocal areaVisa sponsorshipWork visa
- ...construction activities including, reviewing and approving change and adjustments orders and approval of all payments. Serve as a point of... ...and that required project approvals are secured. Coordinate the Risk Management activities for the project. Oversee the civil rights...RiskContract workWork at officeVisa sponsorshipWork visa
- HealthPartners is hiring a Program Manager, Clinical Risk Management. The Program Manager Clinical Risk Management is responsible for... ...plan projects and meet deadlines (e.g., set objectives and goals, adjust for necessary change, evaluate results, etc.) Preferred...RiskLocal area
$104k - $156k
...Embracing Stantec’s internal policies and practices, including risk management, project management, quality management, and modeling... ...process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a...RiskFull timeContract work- ...time strategic business decisions Manage payroll and schedule adjustments to maximize productivity Analyze merchandise reports and... ...Knowledgeable of store operations, visual merchandising, stock room, risk management & safety Knowledge and understanding of...RiskHourly payFull timeLocal areaImmediate startRelocationFlexible hoursShift workNight shiftAfternoon shift
Under Armour
Bloomington, MN21 hours ago $90k - $134k
Senior Claims Adjuster We are seeking an experienced Senior Claims Adjuster to handle complex property and casualty insurance claims. In... ...* Collaborate with underwriters regarding large losses and risk improvement recommendations * Identify suspicious claims and refer...RiskFull time- ...on time, within scope, and within budget. Identify potential risks and develop mitigation strategies to ensure smooth... ...team members regarding due deliverables, and make appropriate adjustments to ensure that all due dates are met Customer & Stakeholder...RiskTemporary workWork at officeFlexible hours
Smart Data Solutions LLC
Saint Paul, MN19 days ago - ...the course of hospitalization in partnership with the clinical team, the patient, and/or the patient's representative. Quality and Risk Management issues will also be monitored and reported as appropriate. Locations: You will be asked to support any of the following...RiskDaily paidPart timeWork at officeFlexible hoursWeekend work
Optum
Maple Grove, MN1 day ago - ...the course of hospitalization in partnership with the clinical team, the patient, and/or the patient's representative. Quality and Risk Management issues will also be monitored and reported as appropriate. Locations: You will be asked to support any of the following...RiskDaily paidPart timeWork at officeFlexible hoursWeekend work
Optum
Brooklyn Park, MN1 day ago - ...processes in the rapidly changing Generative AI landscape. Scope & Risk Management: Assess changes in scope, address issues and risks,... ...with highly technical stakeholders. Adaptable and quick to adjust in a rapidly changing technical landscape. Excellent...RiskContract workRemote work
Blue Star Partners LLC
Saint Paul, MN26 days ago
