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$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$77.97k - $141.37k
JOB DESCRIPTION Job Summary 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...RiskRemote jobWork experience placement$70k - $84k
...to realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees’ work, process improvements and clear communication...RiskRemote workFlexible hours$77.97k - $155.51k
JOB DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk score reporting with Databricks and Power BI, organizing and managing large and varied data sets...RiskRemote jobWork experience placement- ...experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent... ...opportunity employer. Responsibilities This Multi-Line Claims Adjuster is a key contributor to the Berkley One brand. The position requires...RiskFull timeWork at officeRemote workFlexible hours
- 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
- ...experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent... ...opportunity employer. Responsibilities As a Senior Property Claims Adjuster, you'll be a key contributor to the Berkley One brand, requires...RiskFull timeFor contractorsWork at officeRemote workFlexible hours
- ...and notify the respective agency loss prevention coordinator of risks.Monitor changes to diagnosis to verify ICD codes are current... ...Required Skills: 4+ Years of Claims Experience (Indemnity Experience) Preferred Skills: Arizona Adjustments LicenseProficient in Google Suit...RiskWork at office
$19.84 - $38.69 per hour
...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)...RiskHourly payWork experience placementWork at office- ...company by welcoming the most qualified and deserving candidates aboard. Optima is currently seeking a HCC Risk Coder Specialist to join our team. As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD...RiskRemote jobLive inWork at office
$50k
...Job Description Sr. General Liability / Property Damage Claims Adjuster · New York Adjusters License Needed Work-From-Home... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from home- ...BCforward is currently seeking highly motivated Senior Claims Adjuster in Phoenix, AZ 85007 Position Title: Claims Processor - Senior... ...notify the respective agency loss prevention coordinator of risks. Monitor changes to diagnosis to verify ICD codes are current...RiskContract workWork at officeShift work
$103.45k - $186.21k
...organizational process changes. Drives execution of operational risk management, regulatory compliance training, policies and,... ...individual(s) selected for this role will manage either a team of Core Adjusters or Express Adjusters. We offer a flexible work environment...RiskH1bWork at officeRelocation packageFlexible hours$50k
...Job Description Job Description Sr. General Liability Claims Adjuster - Property Damage Work-From-Home Comprehensive... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from home$51.37k - $86.68k
...and impactful. The Opportunity As a dedicated Auto Adjuster you will proactively handle the complete end to end claims process... ...additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week$103.45k - $186.21k
...organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures... ...skills. ~ Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role. What sets you apart...RiskH1bWork at officeRelocation packageFlexible hoursWeekend work$54.55k - $92.06k
...impactful. The Opportunity As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented... ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskContract workH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per week$85k - $95k
...Description Salary: $85,000 - $95,000 Job Title: Senior Auto Liability Adjuster (P&C) Location: Remote Employment Type: Full-Time... ...Qualifications: Bachelor's degree or equivalent experience in insurance, risk management, or a related field. Prior experience working for...RiskFull timeWork at officeRemote work$115k - $200k
...programs. Coordinate project planning, resource allocation, risk management, and stakeholder engagement to ensure program milestones... ...work experience, skill level or knowledge. Salaries are adjusted according to market in CA, NY Metro and Seattle. Eligibility...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to Friday$77.12k - $147.39k
...to identify automation opportunities and pinpoint key trends. Risk Management: Proactive approach to mitigating operational and... ...data, and analytics to measure process and project performance, adjust services and operational activities, and inform key stakeholders...RiskH1bWork at officeRelocation packageFlexible hours- ...incredible adventure. Together, we'll embrace a healthier world – one patient at a time. Let your career find its purpose here at Abrazo. Risk Manager FT Days Position Summary Under the direction of leadership, implements Risk Management Program practices to avoid or...Risk
$95k - $140k
...contracts and insurance policies to identify coverage issues and risk transfer strategies. Proactively negotiate claims to achieve... ...information. Qualifications Minimum 10 years of prior experience adjusting CGL and BOP liability claims At least 5 years of experience...RiskFull time3 days per week$80k - $115k
...Senior Commercial Property Claims Adjuster Location: Arizona, Nevada, or Utah (Hybrid/Remote based on location & experience) Compensation... ...and confidence. Handle commercial condo claims , lessor’s risk , and Homeowner/Condo Association policies . Manage vendor...RiskFor contractorsRemote work$24.33 - $36.19 per hour
...of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical... ...we are proud to be a tobacco-free campus. Responsibilities The Coder II reviews and processes complex specialty clinic professional charges...RiskWork at office$50k - $55k
Auto Claims Adjuster (Entry Level) This is an in-office role in either Scottsdale, AZ, Naperville, IL, or Indianapolis, IN. This is an entry... ...a plus. Interest in building a career in insurance, claims, or risk management. Subject matter expert of appropriate insurance...RiskWork at officeFlexible hours- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
$65k - $90k
Overview Workers’ Compensation Claims Adjuster - Mid to Senior Level (Hybrid, Phoenix AZ) Location: Phoenix, AZ (Hybrid after initial training... ..., evaluating, and resolving insurance claims. It is not an HR, risk management, or employer-side role. What You’ll Do Investigate...RiskWork at officeMonday to Friday1 day per week$55k - $95k
...stakeholders. Planning, Scheduling & Project Close-Out Develop and adjust project schedules with oversight. Create detailed work... ...with the Safety team on corrective actions. Contract, Risk & Compliance Management Draft and organize contract documents...RiskFull timeContract workTemporary workWork at officeLocal areaImmediate start$65k
...Airport area. If you have strong business acumen and management capabilities in areas such as recruiting, timekeeping, scheduling, cost & risk management, and service delivery then this may be the opportunity you've been searching for. Responsibilities: Supervising the...RiskFull timeImmediate startShift work- ...and anticoagulants, according to protocols. \n ~ Monitor and adjust invasive monitoring devices such as arterial lines, central venous... ...Provide a clean and safe environment for patients, reducing the risk of hospital-acquired infections. \n \n \n ~\n Emergency...RiskZero hours contractImmediate startShift work

