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- ...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
Lightbeam Health Solutions
Dallas, TX9 days ago $19.6 per hour
...Responsibilities As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ...system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours- ...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
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 to identify risks...RiskRemote jobWork experience placement$50k
...Description Job Description Senior Workers’ Compensation Claims Adjuster · Texas Claims Experience A Must · Texas Adjusters License... ...and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Dallas, TX4 days ago- ...statements of individuals and/or firms to determine the degree of risk involved by performing the following duties for the preparation... ...required by this job include close vision and ability to adjust focus. Work Environment The work environment characteristics...RiskContract workWork at officeLocal areaRemote work
Origin Bank
Dallas, TX1 day ago - ...Job Description Job Description Corporate Insurance Risk Manager Pillar Income Asset Management, Inc. is seeking a Corporate... ...industry and macroeconomic trends to proactively mitigate risk and adjust insurance program structures. Educate business units on...RiskContract work
Premier Payroll Administration
Dallas, TX20 days ago - Summary The Medicare Risk Adjustment Analytical Consulting team is searching for a highly motivated and collaborative business analytics advisor to identify key analytics needs and provide insights which address business questions and influence decision-making. You will...Risk
- Overview 35548 Risk Management Auto Claims Specialist Join to apply for the 35548 Risk Management Auto Claims Specialist role at Garland... ...Bachelor’s degree in a related field Texas Claim Adjusters License A.R.M., C.S.R.M., or TASBO Certification, preferred Experience...RiskFull time
- ...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 office
- ...Best Workplaces in Financial Services & Insurance (Remote) Claims Adjuster - Workers Compensation | Midwest & Southeast Jurisdictions Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeFlexible hours
- Overview Join to apply for the Independent Insurance Claims Adjuster in Allen, Texas role at MileHigh Adjusters Houston . IS IT TIME FOR... ...Texas Independent Insurance Claims Adjuster in Frisco, Texas 35548 Risk Management Auto Claims Specialist Independent Insurance Claims...RiskFull timeRemote work
- ...to be a trusted advisor both internally and to the client. # Risk Management and new loan originations: Work closely with credit... ...whether it’s a service problem, a financial solution that needs adjusting, or an operational concern. # Compliance and Documentation :...RiskFull timeWork experience placementWork at officeMonday to Friday
THIRD COAST BANK
Dallas, TX29 days ago $60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...address business needs. In This Role, You Will: Lead and support the Risk department in developing and achieving department goals. Work... ...required by this job include close vision and the ability to adjust focus. Compensation Salary (commensurate with experience) + Bonus...RiskFull timeTemporary workPart timeRelocation packageFlexible hours
- Overview Hazmat Claims Adjuster - Remote after training. By joining Sedgwick, you\'ll be part of something truly meaningful. It’s what our... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area
$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- ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskFull timeWork at officeLocal area
$58.49k - $67.59k
...and testing new accounts. Once live, the Analyst ensures ongoing risk management, compliance, account maintenance (including data... ...necessary. Assess and resolve rejected payment items, making adjustments as needed to customer accounts. Maintain and update customer...RiskRemote work2 days per week- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Dallas, TX11 days ago - ...development. This role involves drafting and negotiating complex legal documents, conducting due diligence, and advising clients on legal risks and compliance issues associated with commercial property matters. Duties : Candidates should possess experience in...RiskWork at officeRemote work
Trigild
Dallas, TXa month ago - ...stakeholders, addressing performance metrics and strategizing adjustments to meet lender requirements if required. Resident Experience... ...fostering a culture of high performance and accountability. Risk Management & Compliance Ensure compliance with local regulations...RiskFull timeWork at officeLocal area
Mapletree
Dallas, TX3 days ago - ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Southwest Region PRIMARY PURPOSE : To handle losses or claims... ...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
$95k - $140k
Senior Liability Adjuster - NY Labor Law Join to apply for the Senior Liability Adjuster - NY Labor Law role at Berkshire Hathaway GUARD... ...contracts and insurance policies to identify coverage issues and risk transfer strategies. Proactively negotiate claims to achieve favorable...RiskFull timeWork at officeRemote work3 days per week$77.97k - $155.51k
Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity...RiskRemote jobWork experience placementWork at office- ...Risk Management Specialist Under general direction of the Sr Risk Management Services Manager or Sr Enterprise Risk Management... ...including conducting site visit and/or investigations with insurance adjusters. Supports the analytics: trending of incident and claims to...RiskContract workFor contractors
- ...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
- Senior Auto & General Liability Adjuster Amerisure creates exceptional value for its partners, policyholders, and employees. As a property... ...the house dealing with general contractors, subcontractors, and risk transfer. The ideal candidate will also possess the following...RiskFor contractorsWork at officeLocal areaFlexible hoursNight shift
- ...color vision, peripheral vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: While performing the duties of... ...exposed to fumes, airborne particles, toxic or caustic chemicals and risk of electrical shock. The employee is frequently exposed to...RiskTemporary work
Innovations in Nutrition + Wellness
Carrollton, TX1 day ago - ...Credit Risk Review Officer at Origin Bank Summary Analyzes credit data and financial statements of individuals and/or firms... ...abilities required by this job include close vision and ability to adjust focus. Work Environment The work environment...RiskFull timeContract workWork at officeLocal areaImmediate start
Origin Bank
Dallas, TX1 day ago
