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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 DC3 days ago- 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
$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$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$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 DC4 days ago- Back Senior Claims Adjuster - Workers Compensation #4682 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description: Job... .... In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...RiskWork experience placement
PMA Companies
Baltimore, MD1 day 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, MD26 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, MD3 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
$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$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$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$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
- ...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
$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$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$86.84k - $139.36k
...more specific details for this role. Line of Business: Risk Management Job Description: Department Overview:... ...while managing multiple priorities, combined with the ability to adjust to evolving needs. · Ability to learn quickly, promote a positive...RiskLocal areaWork from homeFlexible hoursTD Bank
Laurel, MD1 day ago$7.5k
...ensuring seamless execution across cost management, scheduling, risk mitigation, and quality assurance, while directing highly skilled... .... * Full-time, Monday through Friday, with flexibility to adjust hours within the pay cycle to maintain work-life balance while supporting...RiskFull timeContract workWork experience placementWork at officeLocal areaImmediate startMonday to FridayFlexible hours$50k - $290k
...The Mission, and remaining trusted leaders and advisers in national security and technology solutions. OPS Consulting is seeking a Risk Manager to work in Laurel, MD. Required Skills: Minimum (10) years of experience as a SE in programs and contracts of similar scope...RiskContract workWork experience placement- ...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 $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 DC3 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
$10k
...security, project management, systems/network engineering, security risk management, vulnerability assessments, and mobile security... ...position within a salary range. Location : Salary ranges may be adjusted based on geographic cost of living, in accordance with local and...RiskTemporary workFor contractorsLocal areaMonday to FridayDay shiftColumbia Technology Partners
Annapolis Junction, MD27 days ago- Cyntel Technologies is seeking Risk Management SMEs to join our team supporting our customer operations in the Annapolis Junction, MD area. Clearance – TS/SCI w/ Full Scope Poly Job Description: This position is for a Risk Management SME supporting a complex program...Risk
$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 payH1bLocal areaRelocationAfternoon shiftUSAA Careers
Baltimore, MD1 day ago$5,000 per month
...means a career packed with opportunities to grow and the ability to have an impact on every client you work with. ARSIEM seeks a Risk Management Framework Coordinator 2 . This position will support one of our government clients in Annapolis Junction, MD. Responsibilities...RiskWork at officeARSIEM Corporation
Annapolis Junction, MD4 days ago- ...issues in simple terms Bar membership in CA, DC, or NY — or eligibility to waive in Bonus if you bring: Experience with privacy risk assessments and compliance audits Insight into consumer tech, healthcare products, or life sciences Familiarity with the...RiskContract workFixed term contractImmediate start
Kaizen Stackup
Washington DC14 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
Laurel, MD1 day ago
