Average salary: $39,356 /yearly
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$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$132.6k - $179.4k
Join Cambia Health Solutions as an Assistant Director Risk Adjustment Member Engagement & Planning . This role will work a hybrid schedule from Oregon, Washington, Idaho, or Utah. Job Summary: As a member of the Government Programs team, the Assistant Director of Risk Adjustment...Risk$132.6k - $179.4k
Overview Assistant Director Risk Adjustment Member Engagement & Planning Work a hybrid schedule from Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking...RiskWork at officeImmediate startRemote workWork from homeFlexible hours$77.97k - $141.37k
Overview Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks...RiskRemote jobWork experience placement$77.97k - $140k
JOB DESCRIPTION Job Summary Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate...RiskRemote jobWork experience placement$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$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$77.97k - $155.51k
...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab...RiskRemote jobWork experience placement$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape.... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the...Risk$86k - $141k
Overview Actuarial Analyst, Commercial Risk Adjustment at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Join Cambia’s Actuarial team to perform technical, analytical, reporting and support functions, collaborating with peers, management...RiskWork at officeWork from home$19.6 per hour
Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data...RiskRemote jobFull timeWork at officeFlexible hours$29 - $33 per hour
...diversity of professional, educational and life experiences to realize our bold vision for healthcare. Role As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours$45k - $70k
...Negotiates claim to a fair resolution. Responsible for conducting risk analysis for home safety standards. Prepares cost estimator... ...of recovery (subro, salvage and reinsurance) as well as loss adjustment expenses. Understanding of and compliance with Utah Unfair...RiskTemporary workWork from homeBear River Mutual Insurance Company
Murray, UT23 days ago- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeFlexible hours
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...retain effective working relationships with Bank staff. Manage Risk: Firmly stand behind and ensure compliance with all Bank... ...ACH policy Maintain up-to-date knowledge of NACHA rules and adjust Bank protocols to ensure compliance. Support internal, external...RiskDaily paidBank staffWork at officeImmediate start
Fortis Bank
Midvale, UT18 days ago $27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility-coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more . This is a facility-based coding position...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region Primary purpose Primary purpose: To... ...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
$46.99k - $122.4k
...more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...and “What if?” Passionate about cycle time and use CI/CD practices, tools to rapidly deploy changes to customers while minimizing risk using practices like A/B tests, blue-green deployments, and feature toggles Stay on top of Algorithms, Data Structures and Design...RiskHourly payLocal area
Eliassen Group
Salt Lake City, UT12 days ago - ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related... ...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
- ...the loan purpose, terms and conditions, sources of repayment, risks, credit strengths and weaknesses. Apply financial principles, theories... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskWork at officeFlexible hours
$66.28k
REMOTE: Field Adjuster (Salt Lake City, UT) Pay Competitive Location Salt Lake City/Utah Employment type Full-Time Job Description Req#:... ...salvage/subrogation potential and monitor to conclusion • Complete risk evaluations for both underwriting and claims • Maintain ongoing...RiskRemote jobFull timeFor contractorsWork experience placementCasual workWork at officeNight shift- ...administrative direction and oversight for the Human Resources and Risk Management functions and activities, including recruitment and... ...on the same; monitors expenditures; recommends and implements adjustments, as necessary. Compliance, Records, and Risk Oversight...RiskWork at officeWeekend workAfternoon shift
Oquirrh Recreation and Parks District
Salt Lake City, UT3 days ago - ...successful project execution. Evaluate program and project performance; adjust strategies as needed for optimal outcomes. Collaborate with... ...level organizational dynamics. Skilled in program integration, risk management, and stakeholder negotiation. Adept in tools like...Risk
- ...Direct all aspects of program planning, resource allocation, risk management, and systems integration. Lead, mentor, and develop... ...collaborating with stakeholders, and continuously monitoring and adjusting existing roadmap as needed. Establish a culture of...RiskRemote workShift work
IDAHO ASPHALT
Salt Lake City, UT22 days ago
