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$77.97k - $141.37k
Overview 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 to identify risks...RiskRemote jobWork experience placement- ...Insurance is a privately-owned insurance agency that has delivered risk management solutions since 1977. With a wide variety of... ...to develop renewal strategies, encompassing in-depth analysis, adjustment considerations, and negotiation tactics with carriers. • Perform...RiskWork at office
$102.4k - $204.1k
...the future of our industry. Job Description: Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskLocal areaRemote workWorldwide- ...account types such as ED, OBS, SDS, ANC, ONC, L&D, and IP. The coder interacts with hospital staff and physicians, participates in performance... ...diagnoses, co-morbidities, complications, severity, and risk factors. Extract and enter information into coding systems, adhering...RiskWork at officeRemote workShift work
- ...care team members. Quality Assurance and Regulatory Compliance: Tracks, trends, and reports clinical quality data to identify risk. Participates actively as a member of the community Quality Assurance and Performance Improvement committee. Leads clinical quality...RiskDaily paidWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$85k
...s license (CDL-A) At least 1 year or 50,000 verifiable miles of tractor-trailer driving experience Must meet McLane's MVR and risk rating qualifications This position requires the ability to read, write, and understand English at a level sufficient to perform...RiskRelocation packageNight shift- ...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
- ...pursuing another professional insurance designation. Appropriate state adjuster license is required. Experience Five (5) years of related... ...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
$99k - $248.5k
...experienced Tax professional to join our Tax Standards, Quality, and Risk (SQR) team. SQR is responsible for educating and supporting tax... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskContract workWork at officeLocal areaRemote workWorldwide- ...Medicare Risk Adjustment Process Expert I Location: Louisville, KY Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This...RiskTemporary workWork at officeLocal area2 days per week1 day per week
$120k - $200k
...responsibility with growth initiatives and clinical quality objectives. Ensure operational excellence through process optimization, risk management, and proactive compliance oversight at each facility. Establish operational best practices, governance structures, and...Risk- ...Chief Risk Officer (CRO) About the Company Rapidly growing construction company Industry Construction Type Privately Held About the Role The Company is in need of a Chief Risk Officer (CRO) to join their team. The CRO will be instrumental in the...Risk
- ...ensuring sustainable revenue growth, margin improvement, and cash flow performance. Monitor financial results, identify risks and opportunities, and adjust strategies to achieve short- and long-term targets. Maintain strong business controls, compliance, and governance...RiskFull timeTemporary work
$53k - $79k
...Claims Adjuster - Crop In this role, you will respond to crop claims by completing field inspections, communicating with involved parties... ...objectives by participating in quality control tasks, audits, risk assessments and field reviews Contribute to a positive work...RiskFull timePart timeWork experience placementWork at officeRemote workWork from homeHome office$120 - $150 per hour
...a range of domestic and international transactional tax planning services and tax-related advisory services. Our Tax Accounting and Risk Advisory Services (TARAS) practice operates within the NTD, and assists companies with all aspects of their financial reporting for...RiskWork experience placementSeasonal workRemote workFlexible hours- ...effectively. Monitor subcontractor performance and ensure alignment with scope, schedule, and quality expectations. Financial & Risk Management Control project costs and maintain profitability through proactive forecasting and financial tracking. Produce...RiskTemporary workFor contractorsFor subcontractor
$66.8k - $91.1k
...KY office. This role would be considered hybrid based on business discretion. * The MRA Finance team supports Humana’s Medicare Risk Adjustment business area. The Finance team develops revenue and risk score projections for bids and budgets, evaluates changes in Medicare...RiskBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeWork from homeHome office$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 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 placement- ...for developing and executing the long-term operations roadmap, managing teams, and ensuring the implementation of best practices in risk management, QSE systems, and budget processes. This role requires a strong focus on health and safety, with the VP expected to build...Risk
- ..., purpose-driven organization recognized as one of the top full-risk Medicare Advantage providers in the nation. Our vision is to be... ...Oversight : Provide high-quality care for a small panel of risk-adjusted patients, ensuring effective treatment plans and positive outcomes...RiskInternship
$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- ...Job Summary We are seeking a highly skilled and motivated Cyber Risk Consultant to join our cybersecurity and risk management team. In this role, you will assess, design, and implement cybersecurity risk management strategies for clients or internal stakeholders....Risk
$166.8k - $250k
...analytics, data science, or product management, with at least 5 years in a leadership role. ~ Proven experience in fraud analytics, risk management, or identity solutions within financial services, fintech, or related industries. ~ Strong understanding of AI/ML model...RiskFull timeWork experience placementWork at officeFlexible hours2 days per week- ...considerations in all business decisions and able to leverage that information in creating customized customer solutions. + **Managing Risk** - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they...RiskFull timeTemporary workPart timeWork experience placement
- ...and trusted advisor to both clients and internal teams on digital transformation and platform strategy. Customer Success, Risk & Governance: Maintain executive oversight of customer communications, satisfaction, and retention across Digital programs....RiskLocal areaRemote work
$138.38k - $187.2k
...Essential Duties and Responsibilities: - Develop and implement the procurement strategy to provide resources on time, minimizing risk to customers and ensuring optimum price. - Develop and maintain category plans that identify opportunities for operational efficiencies...RiskMinimum wageContract workTemporary workWork experience placement- ...with relevant strategies and commitments; partner with ERO and Risk Management; guide IT disaster recovery and related teams toward... ...specific to location. The posted salary is a guideline and may be adjusted based on factors such as experience, responsibilities, and market...RiskWork at officeLocal areaRemote workVisa sponsorship
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