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$77.97k - $171.06k
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- ...results of the assigned office and uses insights to recommend adjustments for executing the region's objectives. Handles escalated issues... ...is visible while dedicating time to securing and maintaining a risk portfolio suitable for profitable growth. Maintains quality risk...RiskWork experience placementWork at office
- ...productivity, prioritization, balancing of workloads, and sound underwriting decisions of underwriters to achieve profit through quality risk selection and exposure control. Handles underwriting referrals exceeding the authority limits of their team members. Ensures...RiskWork at officeRemote work3 days per week
ohio farmers insurance
Westfield Center, OH3 days ago $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- ...applicant meets the company's underwriting guidelines and assesses the risks associated with insuring them. Evaluates large losses and... ...to identify areas for growth or where the company may need to adjust its underwriting practices. Travels occasionally in order to...RiskWork at office3 days per week
ohio farmers insurance
Westfield Center, OH4 days ago - ...Responsibilities Develops profitable targets and business strategy, and formulates policies that manage Property Casualty rates, reserves, risk capital, and product research. Maintains, expands, and applies knowledge of the insurance industry, actuarial trends, market...RiskWork experience placementWork at officeRemote work3 days per week
- ...strong qualifications. About Us Founded in 1848, Westfield is a global leader in property and casualty insurance, delivering superior risk insights and innovative solutions to customers through a diverse portfolio of insurance products. Westfield underwrites commercial,...RiskRemote work
- ...objectives, reporting status to Identify/mitigate significant risks at the project and/or program level Develop strategies to mitigate... ..., equipment, and finances. Adaptability and Flexibility:Adjusting strategies and approaches in response to evolving project requirements...Risk
- ...methods to proactively renegotiate existing contracts to mitigate risks associated with lapses in contracts or services. Act as a... ...close vision, color vision, depth perception, and the ability to adjust focus. Local travel may be required for training/meetings....RiskWork experience placementWork at officeLocal area
$21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Akron, OH2 days ago$49.93k - $97.36k
...JOB DESCRIPTION Job Summary The Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of...RiskWork experience placementLocal areaRemote workMolina Healthcare
Akron, OH2 days ago- ...information, records, and data in accordance with audit standards. Responsible for involving other internal business partners (Claims, Risk Control, Premium Audit, Underwriting, Commercial Lines Business Leaders, Billing, etc.) in the prospecting, sales, and underwriting...RiskWork experience placementRemote work
- ...providers. Negotiate contracts, monitor service levels, and ensure compliance with organizational goals and regulatory standards. # Risk Management and Compliance: Ensure all ancillary applications adhere to internal policies, industry regulations, and data security...RiskFull timeMonday to Friday
Akron Children's Hospital
Akron, OH3 days ago - ...current medications. Assess and identify any potential anesthesia risks or complications, discuss anesthesia options with patients,... ...Monitor the patient's physiological responses to anesthesia and adjust anesthetic levels accordingly to ensure safety and comfort. Implement...RiskFull timeLocal area
Akron Children's Hospital
Akron, OH15 hours ago - ...working order. Ensures that an adequate supply of housekeeping and cleaning supplies are maintained. Quality, Compliance, and Risk Management - 10% Ensures that established quality assurance, infection control, and universal precaution practices are maintained...RiskFull timeLocal areaWeekend workAfternoon shift
Ohio Living Rockynol
Copley, OH3 days ago $102.5k - $187.9k
...keep pace with change and innovative solutions. This wave of digital transformation and constant evolution introduces a variety of risks, which organizations are not equipped to manage and mitigate on their own. As a professional in our Risk Technology practice, you will...RiskContract workWork experience placementSummer holidayFlexible hoursEY
Akron, OH4 days ago- ...color vision, peripheral vision, depth perception, and ability to adjust focus May be occasionally exposed to wet and/or humid... ..., outside weather conditions, various degrees of cold and heat, risk of electrical shock, items of bulky or varying weight, risk of explosion...RiskLocal area
Fisher Auto Parts
Akron, OH3 days ago - ...Plays an active role in jobsite safety, quality control, and risk management to support successful project execution. Works closely... ...snow-covered or icy surfaces. The position requires lifting or adjusting objects, including weights ranging from 30 to 50 pounds without...Risk16 hoursFull timeContract workTemporary workFor subcontractorCasual workWork at officeLocal areaRemote work
- ...services by partnering with other community agencies to help at risk / high risk individuals and their families navigate complex... ...Interviews clients with problems such as personal and family adjustments, health, finances, employment, food, clothing, housing, utilities...RiskLive inShift work
194660 Axess Family Services
Akron, OH22 days ago - ...timing, and quality standards. Resource Management : Plan and monitor project team resources, adjusting as needed based on scope, workload, budgets, and client needs. Risk & Communication Management : Proactively communicate project status, address risks, and develop...RiskWork at officeWorldwideWork visaFlexible hours
$186.2k - $363.09k
...LTSS business growth. Assesses, evaluates, and communicates LTSSs overall performance, drivers of performance, opportunities, and risks, and plans for ensuring program success and reaching business objectives to a variety of audiences. Ensures that current...RiskContract workTemporary workWork experience placementWork at officeLocal areaRemote workMolina Healthcare
Akron, OH18 hours ago- ...knowledge of cloud security, identity and access management (IAM), and data protection technologies . The Lead Architect assesses security risks, defines technical requirements, and develops strategies to mitigate vulnerabilities while aligning with organizational and...RiskWork at officeRemote work3 days per week
$128.6k - $192.9k
...communicate needs to applicable department personnel. Provide overall risk management reporting at the portfolio and project level.... ...process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a...RiskFull timeContract workWork experience placementWork at officeLocal areaFlexible hours- Director - Risk Assessment Location: Remote POSITION SUMMARY Signet is looking for a motivated and passionate leader for the Director Information Security. This position will be responsible for providing executive leadership of all infrastructure related security matters...RiskRemote jobFor contractors
$107.03k - $250.45k
...Description Job Summary The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and... ...may be preferred for specific roles) Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start$18 - $22 per hour
...Skills Student Coaching/Mentorship Emotional Disturbance Middle School Education Elementary Education Working With At-Risk Students Behaviors Preferred Enthusiastic: Shows intense and eager enjoyment and interest Team Player: Works well as a...RiskFull timeWork at officeFlexible hoursChanceLight Behavioral Health, Therapy, & Education
Seville, OHmore than 2 months ago$77.97k - $141.37k
...projects ~ Experience managing projects, communicating statuses and risks, and facilitating calls with cross-functional teams ~ Claims... ..., CERTIFICATION, ASSOCIATION : ~ Certified Professional Coder (CPC) To all current Molina employees: If you are interested...RiskWork experience placementMolina Healthcare
Akron, OH15 hours ago- ...Insurance Finance Specialties business insurance homeowners insurance auto insurance surety agribusiness insurance risk control and insurance About the Role The Company is seeking a Vice President, Communications to be the senior leader in...Risk
- ...driving sales, meeting branch goals, and supporting community growth. • Regulatory Awareness - Knowledge of compliance standards, risk management, and internal controls. • Operational Excellence - Experienced in streamlining processes and keeping daily branch...RiskFull timeWork at officeLocal areaRemote workWeekend workAfternoon shift
Killbuck Bancshares
Wooster, OH4 days ago - ...or healthcare team. Provide pain management interventions and adjust care based on patient response and comfort level.... ...necessary. Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired infections...RiskImmediate startShift workNight shift
Magnet Medical
Akron, OH15 hours ago
