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- 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
$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$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- 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
- 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 $145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. 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...Risk$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours$105.04k - $194.98k
Overview Risk Adjustment Manager- Encounters (Hybrid) at CareFirst BlueCross BlueShield Responsibilities Proactively create, manage and communicate Risk Adjustment related encounter or submission KPIs, OKRs, ROI, action plans, progress and risks within organizational teams...RiskWork experience placement$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$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$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$158.4k - $180.8k
...Manager, Business & Technology Process Management - Enterprise Services Risk at Capital One summary: This role manages risk mitigation and process optimization within an enterprise services risk team, focusing on identifying, assessing, and controlling risks across...RiskFull timePart timeLocal areaShift workCapital One
Annapolis, MD2 days ago$144k - $164.4k
...The Audit Manager for the Global Payment Network at Capital One leads comprehensive audit projects focusing on payment processing, risk management, and regulatory compliance within a large financial institution. This role involves planning and executing audits, assessing...RiskFull timePart timeLocal area3 days per weekCapital One
Annapolis, MD1 day ago$69.92k - $133.62k
...Property Adjuster Specialist - Field at USAA summary: The Property Adjuster Specialist - Field investigates, evaluates, and settles... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD1 day ago$27.72 - $46.2 per hour
Facility Inpatient Complex Senior Coder Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, and experience. Department... ..., including Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more. 5 years recent experience in Inpatient...RiskRemote workMonday to FridayFlexible hoursShift work- Overview Specialty Loss Adjuster opportunities across the US, Mexico, Brazil and strategic locations globally with Sedgwick Specialty. Sedgwick... ...of skills and experience. Sedgwick is the world’s leading risk and claims administration partner, with 33,000 colleagues and 10...RiskFlexible hours
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...candidate 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
$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$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$263.9k - $301.2k
...Distinguished Engineer at Capital One summary: The Distinguished Engineer at Capital One leads the design and implementation of advanced risk management technologies, including continuous monitoring systems and Generative AI applications. This senior technical role involves...RiskFull timePart timeLocal areaCapital One
Annapolis, MD1 day ago$207.49k - $244.1k
...challenging problems in crypto custody and security: secrets management, risk management, insider threat, account take over, regulatory... ...with counterparts in [EMEA]. Candidates should be prepared to adjust their working hours as necessary to accommodate global meetings,...RiskFull timeLocal areaCoinbase
Annapolis, MD3 days ago$175.5k - $200.3k
Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal area$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- ...to $10M, including having the ability to address most complex adjustment issues pertaining to damages and coverage; to assist on even larger... ...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
$225.4k - $257.2k
Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies...RiskFull timePart timeWork at officeLocal areaImmediate start3 days per week- ...regardless of size, including having the ability to address any complex adjustment issue and any medium sized and relatively complex National... ...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
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate claims internationally... ...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
$263.9k - $301.2k
..., GCP, Azure) ~5+ years of experience in ServiceNow Platform ~5+ years of experience in IT Asset Management, Service Management, Risk Management domains ~2+ years of experience in Domain Driven Design and Event Driven Architecture ~ Experience in defining and deploying...RiskFull timePart timeLocal areaCapital One
Annapolis, MD9 hours agonew$110k - $140k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. ~ P&C Professional Designation a plus,... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskFull timeWork at officeLocal areaFlexible hoursSedgwick
Annapolis, MD3 days ago$94k - $160k
...subject matter experts to identify compliance requirements, assess risks, and recommend compliant solutions that support enterprise goals... ...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
