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$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- ...Fraud Investigator The Fraud Risk Management (FRM) department independently conducts research to prevent, detect, assess, decision... .... Communicates identified fraud trends to assist management in adjusting parameters of fraud detection systems, and reports gaps in...RiskWork experience placementWork at office
$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$80k - $90k
...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- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Mid Atlantic Region PRIMARY PURPOSE : To handle losses or... ...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
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Mid Atlantic 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
- Senior Security Risk Assurance Manager - SC cleared Location: Hybrid (75% remote) with on-site presence as required Contract Type:... ...application to learn more about this exciting opportunity. Reasonable Adjustments Respect and equality are core values to us. We are proud of the...RiskPermanent employmentFull timeContract workRemote workFlexible hours
- ...and internal investigations. Work closely with internal teams to offer legal advice and propose proactive approaches to minimize risk and ensure compliance. Prepare, assess, and negotiate various contracts, including service-level agreements, client arrangements,...RiskContract workWork at office
Larson Maddox
Dayton, OH1 day ago - The Fraud Risk Management (FRM) department independently conducts research to prevent, detect, assess, decide, mitigate, investigate... .... Communicates identified fraud trends to assist management in adjusting parameters of fraud detection systems, and reports gaps in...Risk
$115k - $130k
...guidance to project managers and operations teams on contract terms, risk mitigation, and regulatory compliance. Ensure contracts align... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Dudek is committed to creating a workplace where all...RiskContract workWork at officeLocal areaRemote work- ...the team. The Financial Center Leader is also responsible for ensuring a solid operational foundation, minimizing losses, reducing risk and delivering an accurate and superior 5 Star Client experience. JOB FUNCTION / SUMMARY: The Financial Center Leader 2 has responsibility...RiskWork at officeLocal areaAfternoon shift
- ...data to identify trends, support budgeting, and monitor profitability. Support health plan contract reviews, including pricing, risk adjustment, and benefit value analysis. Collaborate with finance, clinical, and analytics teams to inform strategic initiatives. Prepare...RiskContract workTemporary workLocal area
$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 workMolina Healthcare
Dayton, OH10 hours ago$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
Dayton, OH2 days ago- ...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskDay shift
$85k - $110k
...tactically, and create buy in with our team, DO NOT apply for this position. We are looking for General Managers who can make calculated risk oriented decisions with minimal input, take responsibility for the outcome of achieving financial results, lead teams, delegate, and...RiskFull timeLive outHome Brands
Dayton, OH5 days ago- ...Working Safely: Demonstrates safe behaviors. Aware of potential risks and threats in the workplace. Delivers Results: Achievement-oriented... ...disabilities to perform the essential functions. Ability to adjust focus, especially due to concentration on a computer screen....RiskTemporary workImmediate startFlexible hoursRotating shiftDay shiftAfternoon shift
American Battery Solutions
Springboro, OH4 days ago - ...process. Maintain clear communication with policyholders, brokers, adjusters, legal counsel, and internal stakeholders regarding claim... ...Identify patterns and trends within environmental claims to inform risk management strategies and proactive measures. Oversee a...RiskFull timePart timeFor contractors
$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 placementMolina Healthcare
Dayton, OH3 days ago- ...Overview The Card Fraud Operations Manager will be a key member of our Risk & Operations team, responsible for developing, implementing, and... ...). Conduct regular analysis of fraud trends to proactively adjust risk rules and detection parameters. Manage relationships with...RiskFull timeRemote workFlexible hoursDay shift
- ...among the first 25 applicants About Our Client Unser Mandant ist eine sehr renommierte internationale Bankengruppe. Job Description Risk Management / Regulatory Compliance Responsibilities Provide German law advice in the area of Regulatory Compliance (e.g. MaRisk, German...RiskRemote work
- ...Working Safely: Demonstrates safe behaviors. Aware of potential risks and threats in the workplace. Delivers Results: Achievement-... ...sitting at a desk and working on a computer. Ability to adjust focus, especially due to concentration on a computer screen....RiskFull timeTemporary workCasual workWork at officeImmediate startFlexible hours
American Battery Solutions
Springboro, OH10 hours ago $50k - $60k
...training of all new team members Administer human resources and risk management compliance issues Supervision of side work for all... ...Closing Assisting in the execution of weekly inventory Build and adjust ordering pars for daily and weekly food, liquor and dry stock...$42.64k - $52k
...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 placementPNC
Dayton, OH10 hours ago- ...Monitors project spend to ensure actual is at or below budget. Manages the risk of the project as defined in the project document. Manages project scope change, seeking appropriate approvals and adjusting time, budget, design specifications, and risk accordingly. Primary...RiskFull timeWork experience placementWork at officeRemote work
$150k - $175k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal areaFlexible hours- ...money does what it’s supposed to do. Role Description The Model Risk Management Lead role offers you the chance to ensure oversight... ...Management); validated before use; following appropriate protocol when adjustments or other changes are made to a model, its inputs or outputs. As...RiskWork experience placementFlexible hoursShift work
- ...(JobBOSS, Epicor, or similar). Hands-on, detail-driven, team-oriented leader. Critical thinking skills; the ability to apply risk management constantly, proactively, and through robust RCCA when rework or scrap occurs. recblid eodyyew7mohb0pzeieiz0d8d93pv3i...RiskRelocation package
- About ESM ESM is a tech-enabled Risk Management firm dedicated to making a difference in the U.S. Workers’ Compensation, Safety & Compliance... ...Point, Outlook, Salesforce). The ability to be a chameleon and adjust to different industries, personalities and with all levels of...Risk
$115k - $147k
...bipolar), chronic stress, impulse-control issues, grief/loss, adjustment-related disorders as well as behavioral, social, and emotional... ...appointed offices, an EMR system, peer consultation groups, robust risk management support, APA-approved continuing education in house....RiskWork at officeHome officeRelocation packageLifeStance Health
Centerville, OH5 days ago
