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- Overview The Manager, Risk Adjustment & Value Based Reimbursement has an important role in a high-profile group tasked with implementing system-wide improvements and new operational processes to ensure optimal and compliant Mid-Revenue Cycle processes, in particular the...RiskFull timeWork at officeShift work
$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$77.97k - $155.51k
**Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions... ...years of program and/or project management experience in risk adjustment and/or quality - 2+ years of experience supporting HEDIS engine...RiskWork experience placementWork at office$140.8k - $274.55k
**Job Description** **Job Summary** **Job Summary** The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Risk Adjustment...RiskWork experience placementLocal area$80.41k - $188.16k
...management includes estimating, scheduling, costing, planning and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Manage project scope, schedule, and budget, making necessary adjustments as needed + Tracks and supports planned vs actual budget including all costs...RiskWork experience placementNight shift$77.97k - $155.51k
...required data sharing processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible for knowledge...RiskContract workWork experience placementLocal areaRemote work- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability - Troy, MI - Hybrid Are you looking for an... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract work
- Job Summary As the Risk Management Analyst, you will play an instrumental role in identifying, assessing, and minimizing risks to safeguard... ...loss reserves, forecasts, and allocation. Reconcile premium adjustments for expired insurance policies. Oversee company-owned vehicle...RiskFull timeMonday to FridayAfternoon shift
- Company: AHI agilon health, inc. Job Posting Location: Bingham Farms - MI Job Title: Program Coordinator, Risk Adjustment Position Summary The Program Coordinator supports the operations team in a market in the development and operations of programs. The Program Coordinator...RiskWork experience placementWork at office
$107.03k - $250.45k
...* **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight... ...be preferred for specific roles) - Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start- Job Title : Risk Manager Department : Safety and Training Reports To : Assistant Vice President of Risk Management General Summary... ..., and claims; collaborate with legal counsel, insurers, and adjusters to ensure proper resolution and minimize financial impact. Ensure...RiskCasual workWork at officeLocal areaAfternoon shift
- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift workNight shift
Magnet Medical
Pontiac, MI12 days ago $15 per hour
...experience running a store. You’ll develop your leadership skills in real-time by driving account management, customer outreach, and risk management. It’s fast-paced, people-first, and packed with growth potential. If you’re ready to build your confidence, learn the...RiskHourly payFull timeTemporary workCasual workWork at officeLocal areaCommunity Choice Financial Family of Brands
Ferndale, MI14 days ago- Position Title Finance Risk Manager Location New York, NY 10018 Job Summary The Finance Risk Manager reports to the Director - Finance... ...create reporting and presentation to all levels of management. Adjusts positively to quickly changing priorities and shifting goals in...RiskMinimum wageLocal areaFlexible hoursShift work
- ...Job Description Job Description Sentinel Risk Management is Veteran owned and Operated. We are seeking an Armed Security Guard to become an integral part of our team. The selected individual will patrol and secure assigned premises as well as identify risks to...Risk
- ...outlined in the Facility Management Maintenance Manual. Safety and Risk Management Partner with leadership team to ensure community... ...Maintain the plumbing system which includes monitoring and adjusting the resident accessible domestic hot water system to ensure...RiskFor contractorsWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift
Sunrise Senior Living
Troy, MI12 days ago $77.97k - $106.21k
...establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. +...RiskWork experience placementInternshipRemote work$77.97k - $155.51k
...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Proven depth of understanding and demonstrable results for effective management of...RiskWork experience placementRemote work$21.16 - $21.66 per hour
...with preparation of compliance reports, presentations, and documentation for internal and external stakeholders. + Supports audits, risk assessments, and investigations as needed. + Participates in compliance training sessions and assist in developing training materials...RiskHourly payFull timePart timeWork experience placementInternshipWork at officeRemote work$107.03k - $250.45k
...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. **KNOWLEDGE/SKILLS/ABILITIES** + Ability to provide strategic leadership on projects while also managing multiple,...RiskWork experience placementRemote work- ...piece. Detect problems by listening for specific sounds. Adjust cutting speed to compensate for harmonic vibrations.... ...performing the duties of this job, the employee is regularly exposed to risk of electrical shock. The employee is frequently exposed to moving...RiskHourly payFull timeWork experience placementLocal areaShift work
Baker Industries, Inc
Macomb, MI1 day ago - ...designed to continue Transformational activities to result in World Class Performance in the areas of: Yield Management Risk Adjustment Factor Management Acceleration of Accounts Receivable Compliance Cost-to-Collect Staff Engagement Patient Engagement...RiskFor contractorsWork at officeFlexible hours
$88.45k - $206.98k
...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning and issue/risk management. **Knowledge/Skills/Abilities** - Ability to take high level, strategic direction and direct a team of direct reports...RiskWork experience placementRemote work$77.97k - $141.37k
...analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks. Estimates liabilities, establishes premium rates, and supports financial analysis and reporting. **Essential Job Duties** -...RiskWork experience placementWork at officeRemote work- Risk and Compliance Analyst Join to apply for the Risk and Compliance Analyst role at Epic Please note that this position is based on our campus in Madison, WI, and requires relocation to the area. We recruit nationally and provide financial relocation assistance. Epic...RiskWork at officeRelocationVisa sponsorshipRelocation package
$214.13k - $417.56k
...support internal solution development and vendor partnerships. Partners with Legal, Compliance, and Information Security to manage risk and data privacy. Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions....RiskWork experience placement- ...certifications. Manage both internal and external customer/process audits. Maintain Quality document records showing conformance of Risk Management and Continuous Improvement Process. Gather, document, and maintain the Customer Compliment and Complaint Process and Log....RiskFull time
- ...into our database regularly to make sure it’s readily available • Adjust to the needs of the company and help other insurance team... ...Company: Allied Insurance Managers, Inc. has provided insurance and risk management solutions to businesses and individuals since 1987. As...RiskWork experience placementStart working todayWork at office
- Senior Logistician (Supply Chain Risk Management) Location Hybrid work in Warren, MI : Amentum is currently seeking a qualified candidate... ...Program Management (PM) awareness. Able to move fast and adjust quickly. Able to multitask. Preferred Qualifications:...RiskFull timeContract workWork at officeLocal area
- ...managers and community personnel. Demonstrates flexibility in adjusting to change, resident needs and customer expectations; meets company... ..., community, families and residents. Adheres to all safety and risk management protocols and programs. Participates in direct and...RiskFull timeContract workWork at officeLocal area
