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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...RiskWork at office
- 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...RiskRemote work
- 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...RiskFull time
$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$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...RiskFull timeWork at officeMonday to Friday$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...RiskWork at officeRemote workMonday to Friday- ...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
$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...RiskRemote jobWork experience placement$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...RiskRemote jobWork experience placement- 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...RiskFull timeWork at officeRelocationNight shift
$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...RiskFor contractorsWork at officeLocal areaRemote work- ...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...RiskFull timeWork at officeWork from homeWorldwideHome officeFlexible hoursWeekend work
$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...RiskRemote jobWork experience placement$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$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$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- 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...RiskFull timeWork experience placementWork at officeWeekend work
$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...RiskMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$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...RiskFull timeH1bWork at officeRelocation packageFlexible hoursUSAA
San Antonio, TX3 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...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
San Antonio, TX19 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...RiskRemote jobHourly payFull timeFlexible hours- ...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...RiskLocal area
Jobe Materials
El Paso, TX8 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...RiskRemote jobFull timeWork experience placement
$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...RiskWork at officeLocal areaWork from homeNorth American Risk Services, Inc. (NARS)
Austin, TX5 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...RiskWork at officeNight shift3 days per week
Texas Association of School Boards
Austin, TX26 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,...RiskContract workH1bWork at officeRelocation packageAfternoon shift3 days per week- ...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...RiskPermanent employmentFull timeWork at officeLocal areaRemote workRelocationOverseas
International SOS
Houston, TX12 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, TX6 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
$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,...RiskHourly payH1bLocal areaAfternoon shift
