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  •  ...Job Description Job Description SUMMARY:Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient...  ...proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. EDUCATION:· High School Diploma or GED... 
    Risk
    Work at office

    Apex Health Solutions

    Houston, TX
    8 days ago
  • Overview Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product Operations Reports to: VP of Product...  ...risk arrangements. Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk... 
    Risk
    Remote work

    CareSignal® – Lightbeam's Deviceless Remote Patient Monitori...

    Dallas, TX
    5 days ago
  • Overview We are seeking a Certified Risk Adjustment Coding Analyst to support accurate medical coding and ensure compliance with risk adjustment...  ...& Team Support: Collaborate with physicians, billers, coders, and clinician teams to enhance documentation and educate on... 
    Risk
    Full time

    ASAS Health

    Laredo, TX
    4 days ago
  • $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

    Datavant

    San Juan, TX
    2 days ago
  • $70k - $85k

    Risk Adjustment Coding Specialist II (Beaumont, TX) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249...  ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist... 
    Risk
    Full time
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Houston, TX
    4 days ago
  • $70k - $85k

    Join to apply for the Risk Adjustment Coding Specialist II (Beaumont, TX) role at Astrana Health Base pay range $70,000.00/yr - $85,000.00...  ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or... 
    Risk
    Work at office
    Remote work
    Monday to Friday

    Astrana Health

    Houston, TX
    4 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... 
    Risk
    Full time
    Shift work

    Harris-jones-staffing-recruiting-llc

    Dallas, TX
    1 hour ago
  • $77.97k - $141.37k

    Overview JOB DESCRIPTION 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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Austin, TX
    5 days ago
  • $77.97k - $140k

    Overview Job Description : Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Houston, TX
    5 days ago
  • Overview GENERAL DESCRIPTION The State Office of Risk Management (SORM) is currently seeking an experienced Claims Adjuster or Insurance Adjuster who specializes in adjusting Workers’ Compensation claims. The ideal candidate will have high-level knowledge and experience... 
    Risk
    Full time
    Work at office
    Relocation
    Night shift

    Texas

    Austin, TX
    1 day ago
  • $50.2k

     ...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk... 
    Risk
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Austin, TX
    1 day ago
  •  ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly...  ...Position Summary This job is primarily responsible for adjusting both Multi-Peril Crop Insurance (MPCI), Private Products, and Named... 
    Risk
    Full time
    Work at office
    Work from home
    Worldwide
    Home office
    Flexible hours
    Weekend work

    Sompo International

    Harlingen, TX
    5 days ago
  • $77.97k - $155.51k

     ...DESCRIPTION Job Summary This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Austin, TX
    5 days ago
  • $117.2k - $222.5k

     ...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This...  ...experience Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at... 
    Risk

    Blue Cross and Blue Shield of North Carolina

    El Paso, TX
    4 days ago
  • $145k - $170k

     ...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products... 
    Risk

    Datavant

    San Juan, TX
    12 hours ago
  • $145k - $170k

     ...professional, educational and life experiences to realize our bold vision for healthcare. Role Overview As a Product Manager, Risk Adjustment Coding Data Integration, you will own the data strategy and execution for Datavant’s Retrospective Risk Adjustment Coding products... 
    Risk

    Datavant

    Austin, TX
    1 day ago
  • Senior Casualty Claims Adjuster page is loaded Senior Casualty Claims Adjuster Apply locations Dallas, TX time type Full time posted on Posted...  ...Ago job requisition id JR100960 Department: Safety Training & Risk Management Job Description: JOB SUMMARY: The Senior Casualty... 
    Risk
    Full time
    Work experience placement
    Work at office
    Weekend work

    Stevens Transport, Inc.

    Dallas, TX
    3 days ago
  • $42.9k - $64.16k

    CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded...  ...may impact the salary range and these adjustments would be clarified during the offer process...  ...: CorVel Careers | Opportunities in Risk Management In general, our opportunities... 
    Risk
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel

    Fort Worth, TX
    4 days ago
  • $103.45k - $186.21k

     ...organizational process changes. Drives execution of operational risk management, regulatory compliance training, policies and, procedures...  ...skills. ~ Acquisition and maintenance of applicable insurance adjuster license within 6 months time in role. What sets you apart... 
    Risk
    Full time
    H1b
    Work at office
    Relocation package
    Flexible hours

    USAA

    San Antonio, TX
    3 days ago
  • $50k

     ...Job Description Job Description Sr. General Liability Claims Adjuster · New York Adjusters License A Must   Work-From-Home...  ...and benefits package.   Company Description North American Risk Services (NARS) is a premier third-party claims administrator that... 
    Risk
    Work at office
    Work from home

    North American Risk Services, Inc. (NARS)

    San Antonio, TX
    19 days ago
  • $29 - $33 per hour

     ...diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation... 
    Risk
    Remote job
    Hourly pay
    Full time
    Flexible hours

    Datavant

    Austin, TX
    5 days ago
  •  ...Job Description Director of Risk Management Jobe Materials, L.P. (“Jobe Materials”) is seeking a Director of Risk Management...  ...claims. Build, maintain, and manage relationships with claims adjusters, insurers, and other claims related parties. · Collaborating... 
    Risk
    Local area

    Jobe Materials

    El Paso, TX
    8 days ago
  •  ...matter expert, performing complex and high risk-based and baseline compliance reviews, and...  ...PREFERRED CPC - Certified Professional Coder (AAPC) OR RHIA - Registered Health...  ...to a rapidly changing environments and to adjust to new requirements ~ Demonstrated sound... 
    Risk
    Remote job
    Full time
    Work experience placement

    Houston Methodist

    Texas
    7 days ago
  • $68k - $90k

     ...Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... · Litigation Experience · Severe Injury Experience...  ...and benefits package.   Company Description North American Risk Services (NARS) is a premier third-party claims administrator that... 
    Risk
    Work at office
    Local area
    Work from home

    North American Risk Services, Inc. (NARS)

    Austin, TX
    5 days ago
  •  ...school districts across Texas. These roles include work in TASB’s Risk Management Services division, which provides administrative...  ...! About You As the Auto Bodily Injury & Litigation Claims Adjuster , you bring deep experience investigating, evaluating, and resolving... 
    Risk
    Work at office
    Night shift
    3 days per week

    Texas Association of School Boards

    Austin, TX
    26 days ago
  • $63.59k - $121.53k

     ...impactful. The Opportunity As a dedicated Sr. Injury Adjuster- UM , you will work within defined guidelines and framework,...  ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,... 
    Risk
    Contract work
    H1b
    Work at office
    Relocation package
    Afternoon shift
    3 days per week

    USAA

    San Antonio, TX
    1 day ago
  •  ...We Are At International SOS, we provide medical and security risk management solutions across 92 countries , operating over 800...  ..., regional, and local anesthesia Monitoring vital signs and adjusting anesthetic levels during procedures Managing pain control before... 
    Risk
    Permanent employment
    Full time
    Work at office
    Local area
    Remote work
    Relocation
    Overseas

    International SOS

    Houston, TX
    12 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•... 
    Risk
    Full time
    For contractors
    For subcontractor

    Epoch Construction

    Houston, TX
    6 days ago
  • Corporate Compliance and Risk Management Essentials Corporate compliance refers to the processes and policies that organizations implement...  ...procedures. Step 3: Monitor and audit compliance regularly, adjusting practices as necessary. Effective Strategies for Corporate... 
    Risk

    Jp3law

    Houston, TX
    3 days ago
  • $69.92k - $125.85k

     ...and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work within defined guidelines and...  ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,... 
    Risk
    Hourly pay
    H1b
    Local area
    Afternoon shift

    USAA

    San Antonio, TX
    3 days ago