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$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$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- ...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, UT20 days ago $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- ...a dedicated, professional home office setup and reliable internet connection. Company Description BLISCare (offered by Leavitt Risk Partners) is a risk management methodology focused on quantifying the episodic risk around healthcare outcomes. BLISCare educates organizations...RiskRemote workHome office
Leavitt Risk Partners LLC
Sandy, UT1 day ago $65k - $70k
...tools for execution. Allocate resources, identify potential risks, & develop risk management strategies. Provide leadership and... ...in alignment with budgets. Report on financial status and adjustment as needed Identify, monitor, assess potential risks and develop...RiskFull timeTemporary workWork at officeRemote workMonday to Friday- ...Job Description Job Description OOCL has established a new Risk & Compliance department. Leading this department will be the Director, Legal also referred to as In-House Counsel. What is OOCL? With our core values – People People People, Community Responsibility...RiskFull timeCasual workWork at office
OOCL USA Inc
South Jordan, UT9 days ago - ...strategy and analytics teams to identify emerging fraud trends and adjust response strategies accordingly. Manage and mentor managers and... ...fraud prevention and response strategies. Works closely with risk partners to align fraud mitigation with enterprise risk appetite...RiskFull timeWork experience placementWork at officeRemote workWork from home
- ...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, UT24 days ago - ...repair costs. Communication : Liaise with clients, insurance adjusters, subcontractors, and internal teams. Provide regular updates on... ...work meets industry standards and client expectations. Risk Mitigation : Identify potential risks and implement mitigation...RiskLocal area
National Flood and Fire Network
Sandy, UT26 days ago $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- ...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
$80k - $165k
...hub for all first-line control management teams throughout the enterprise and be a key connection point with the second-line Global Risk & Compliance (GRC) teams. How will you make an impact in this role? The Senior Manager of Product & Systems Management will support...RiskWork at officeLocal areaFlexible hours- ...financial services sector, is required. The ideal candidate will have a proven track record of executive leadership, strategic vision, and risk management, as well as strong analytical, communication, and interpersonal skills. Technical proficiency in financial and audit...Risk
$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$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- Breeze is hiring- join us! The Breeze Safety Risk Analyst is the focal point for risk management activities in the operation and across the organization. This role assists Divisional leaders in the administration of safety and risk management principles that assess potential...RiskWork experience placementWork at officeLocal areaImmediate startFlexible hoursNight shift
- ...identify white space and areas for differentiation. Quality & Risk Management Partner with quality engineering and compliance... ...t wait for perfect clarity to take action—you start, learn, and adjust. You believe that speed matters, especially when paired with thoughtfulness...RiskWork at officeRemote workRelocationRelocation package3 days per week
Cricut
South Jordan, UT16 days ago - ...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- ...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
- ...laws. This is a key leadership role with broad responsibility across Erisa Law, labor law compliance, client contract negotiation, risk management, and corporate governance. Key Responsibilities: Serve as primary legal advisor to the CEO and executive team Lead and manage...RiskContract workLocal area
- ...Employee Discounts Wellness Program TCA - Director of Pricing & Risk Total Care Auto, Powered by Landcar (“TCA”) is a captive provider... ...vision, distance vision, peripheral vision, and the ability to adjust focus. Required to lift up to 10 lbs. Note: The need may arise to...RiskFlexible hoursShift work
- ...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
- ...onboarding and account opening within the Global Banking & Markets division. The FNBG team collaborates closely with Sales, Legal, Credit Risk, Operations, Compliance, and external clients to ensure a seamless onboarding process. This team supports institutional clients...RiskImmediate start
Russell Tobin
Salt Lake City, UT2 days ago
