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$28 - $30 per hour
REMOTE HCC RISK ADJUSTMENT CODER Location: Remote (Must be based in Houston, TX - Onsite meetings in The Woodlands twice per year) Schedule: Monday - Friday | 8:00 AM - 5:00 PM CT Pay Rate: $28.00 - $30.00/hr Start Date: ASAP Training: 1-week training provided Job Overview...RiskRemote jobImmediate startMonday to Friday- ...Job Description Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product... ...risk arrangements. - Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and...Risk
- ...for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating...RiskRemote jobFull timeWork at officeFlexible hours
$193k - $242k
...Role Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep engagement...Risk$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeHome officeMonday to Friday$103.45k - $186.21k
...Manager, Claims Operations you will lead a team of property desk adjusters that handle moderate to complex property claims. This role... ...process changes. Drives execution of operational risk management, regulatory compliance training, policies and, procedures...RiskFull timeH1bWork at officeRelocation packageFlexible hoursUSAA
San Antonio, TX4 days ago$63.59k - $114.45k
...impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework,... ...assigned additional work outside normal duties as needed. Ensure risks associated with business activities are effectively identified,...RiskHourly payFull timeH1bWork at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per weekUSAA
San Antonio, TX10 days ago- ...Description Full Time - Sr. Insurance and Risk Manager BayMark Health Services is looking for an individual to handle the... ...well as experience working with insurance brokers, carriers, and adjusters. Experience with legal reporting, legislative rulings and case...RiskFull timeLocal area
BayMark Health Services
Lewisville, TX13 hours ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Southwest Region PRIMARY PURPOSE : To investigate... ...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
Sedgwick
San Antonio, TX3 days ago - ...Analysis, Focused Reviews, and Intense Analysis; ensures compliance with audits and monitoring as defined in action plans; notifies Risk Management of potential risk issues; revises and develops policies and procedures involving patient safety; oversees the creation, review...RiskHourly payFull timeShift work
The Hospitals of Providence
El Paso, TX4 days ago - ...This role is key to ensuring projects are properly estimated, risk-managed, and set up for success.Key Responsibilities:Bidding Process... ...analysis to identify and mitigate project risks• Formulate and adjust detailed project budgets based on client and architect feedback•...RiskFull timeFor contractorsFor subcontractor
Epoch Construction
Houston, TX14 days ago - ...We are actively seeking a Product Manager – Risk Adjustment to lead the design, delivery, and ongoing enhancement of our Risk Adjustment Analytics platform. This role is ideal for a proactive, data-driven leader with a strong grasp of Medicare Advantage and risk adjustment...RiskFull timeShift work
$110k - $150k
...Job Description Job Description Salary: $110,000-$150,000/year Title:Product Manager Risk Adjustment Location:Remote Type:Temp to Hire Salary Conversion:$110,000-$150,000/year Description: We are seeking a strategic and detail-oriented Product Manager...RiskTemporary workRemote work- ...candidate will build and maintain confidence with customer, identify risk and mitigate it accordingly. Outcomes: ~95%+ achievement of... ...budgets and forecasts, with the ability to track, manage, and adjust spend as programs progress. Communication Skills - Capable of...Risk
IEC Holden
Fort Worth, TX13 days ago - ...claims status and prompts various parties, broker, staff, client and adjuster to take next step; including prepayment, partial payment, gather... ...of all commonly encountered P&C insurance coverage and Risk Management concepts and techniques SKILLS Excellent verbal...RiskWork experience placementWork at office
Alliant Insurance Services
Houston, TX2 days ago - ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placementRemote work
PMA Companies
Plano, TX1 day ago - ...to executive leadership, contract negotiation, NDAs, compliance risk mitigation with Intellectual Property (IP), trademark and copyright... ...interpersonal communication skills. ~ Ability to pivot and adjust evolving workload. ~ Work independently and be a self-starter...RiskContract workWork at officeRemote work
Petmate
Arlington, TX21 days ago - ...Management\tCreate and maintain detailed project schedules \tTrack progress against deadlines and adjust plans as necessary \tIdentify and mitigate schedule risks or delays Risk Management \tIdentify potential project risks and develop mitigation strategies...RiskWork experience placement
Forefront Living
Dallas, TX2 days ago - ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
PMA Companies
Plano, TX3 days ago - ...on time, within scope, and within budget. Identify potential risks and develop mitigation strategies to ensure smooth... ...team members regarding due deliverables, and make appropriate adjustments to ensure that all due dates are met Customer & Stakeholder Management...Risk
HumCap, Inc.
Plano, TX23 days ago $117.6k - $206k
...secure operational frameworks while fostering a culture of proactive risk management and continuous improvement. Responsibilities:... ...organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range....RiskVizient
Irving, TX3 days ago- ...inspections, and jobsite visits to ensure compliance and identify risk mitigation opportunities. Investigate incidents, accidents,... ...effectiveness through feedback, testing, and performance observation; adjust programs as needed. Coordinate external training partners,...Risk
Marek Sawing & Drilling, LLC
Spring, Montgomery County, TX14 days ago - ...resource allocation. Track project progress, identify potential risks and issues, and implement mitigation strategies. Facilitate... ...evaluate the effectiveness of change management initiatives, adjusting as needed. Risk Management: Identify and analyze...Risk
The Goldman Sachs Group
Dallas, TX4 days ago - ...including schedules, cost estimates, resource allocation, and risk management for gas utility construction projects. Ensure all... ...pipeline installation. Monitor construction progress and make adjustments to schedules and resources as needed to keep projects on track....RiskFull timeFor subcontractorLocal area
Housley Communications
Austin, TX23 days ago - ...Conduct routine customer project reviews for cost, schedule, risk management, and deliverable adherence Maintain active risk management... ...is critical. Ability to work outside normal schedule and adjust schedule to meet peak periods and surge requirements. Other Essential...RiskPermanent employmentContract workFor subcontractorWork at officeLocal area
Amentum
Houston, TX3 days ago $10k
...Notices: Address change orders and delays proactively, mitigating risks and maintaining client satisfaction. Risk Management:... ...not limited to those listed and may be expanded, modified, or adjusted as business needs require, at the discretion of the company....RiskFor subcontractorWork at officeWork from homeFlexible hoursAnchorCM
Missouri City, TX19 days ago- ...seminars, to enhance skills and performance. Compliance and Risk Management: Ensure properties comply with local, state, and... ...with ease. Our dedication to flexibility is not just about adjusting to change—it's about being prepared to bend and evolve in ways...RiskLocal area
Reap Management
Dallas, TX14 days ago $225k
...to lead the execution of Principles-Based Reserves, engage with auditors & regulators, and shape the future of annuity valuation & risk management. The ideal candidate will have their FSA designation, 10+ years of actuarial experience, a collaborative mindset, and previous...RiskDW Simpson
League City, TX2 days ago- ...ability to respond back to the facility within one hour. - Must be able to complete statistical reports, data analysis, and risk adjustment analysis. - Must have advanced pc skills in MSWord, Excel, and other programs to assist with reports. - Must be able to motivate...RiskFull timeTemporary workShift work
Parkland Health and Hospital System
Fort Worth, TX28 days ago $175.5k - $200.3k
Senior Manager, Software Risk Guide - Enterprise Services Risk The Enterprise Services Risk organization is expanding with a focus on attracting innovative, pioneering, collaborative, and highly skilled professionals. We operate at the forefront of risk management,...RiskFull timePart timeLocal areaShift workCapital One Bank
Waco, TX1 day ago
