Get new jobs by email
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
- ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the... ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
- ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)....RiskWork at office
$91.2k - $170.3k
...stakeholder relationships and internal reviews. # Lead and direct project teams to meet cost, schedule, and technical goals. # Support risk, issue, and opportunity development. Qualifications Basic Qualifications Bachelor's Degree + 5 years related experience,...RiskFull timeWork at office- ...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is... ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. Ability to anticipate and articulate...RiskContract workSeasonal work
- ...142,400.00 Job Purpose American Honda Finance Corporation is currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the Manager of Risk and Analysis. The Assistant Manager-Residual Risk manages...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
- ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation...RiskFull time
$73.3k - $110k
Join to apply for the Pricing Risk Analyst role at American Honda Motor Company, Inc. Join to apply for the Pricing Risk Analyst role... ..., CA $195,995.00-$364,003.00 3 weeks ago Manager of Risk Adjustment & Documentation Los Angeles, CA $110,000.00-$130,000.00 2 weeks...RiskFull timeTemporary workWork experience placementRelocation package$91.2k - $136.8k
...Demonstrate leadership, collaboration, business analysis, communication, project management, stakeholder management, change management, risk management, capture, and proposal-based capabilities. Establish and maintain proposal metrics, derive insights for leadership,...RiskFull timeWork at officeRelocation packageFlexible hoursShift work- ...accidents to Assistant Sales Director or Retail District Manager and Risk Management Specialist IMMEDIATELY. Accountable for oversight... ...: Mission-Driven Leadership - Analyzes sales trends and adjusts strategy to exceed weekly and monthly revenue goals. Executes markdown...RiskLocal areaImmediate startFlexible hoursAfternoon shift
- ...management of client. Proactive development and execution of client risk management strategy. Knowledge of full portfolio of P&C... ...Specific vision abilities required by this job include ability to adjust focus when using computers tablets or other electronic devices....RiskWork experience placement
- Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality...RiskContract workLocal areaImmediate start
- ...engagement, succession planning, and org design Identify trends, risks, and opportunities within the organization and develop solutions... ...problem-solving skills and the ability to be flexible and adjust direction when needed Proven ability to lead cross-functional projects...RiskFull timeWork at officeRelocationFlexible hoursShift work
- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and... ...posted salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time
- ...Counsels center personnel and makes recommendations for salary adjustments, promotions, and/or terminations. Evaluates suggestions, grievances... ...Submits information to licensed (as state required) healthcare risk manager, for preparation of risk management reports. Ensures...RiskTemporary workFlexible hoursAfternoon shift
$17.87 per hour
...flexibility you need. What We Offer: ~ NO EXPENSES. NO RISK. Drive a company-owned luxury SUV with all costs, including... ...set your availability, and we create a schedule that suits you. Adjust your hours easily through our driver portal. ~ A SUPPORTIVE...RiskHourly payFull timePart timeFlexible hoursShift work- ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and... ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director....RiskContract workTemporary workMonday to FridayShift workWeekend work
$130k - $150k
...Stakeholder Engagement • Act as the primary point of contact for federal clients, providing regular updates on project progress, risks, and adjustments. • Collaborate with Government officials, contractors, shipyard staff, and Navy personnel to resolve on-site challenges and...RiskOdd jobFull timeFor contractorsWork at officeLocal areaRemote workOverseas- ...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...Risk
$75k - $85k
...material (BOMs) for structure, accuracy, and planning parameters; recommend adjustments as needed. Track shortages and excess materials, partnering with Purchasing to expedite orders or mitigate risks. Monitor supplier delivery dates and work with the procurement team...RiskPermanent employmentFull timeLocal area- Overview The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position collaborates... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskWork at office
$24 - $31.51 per hour
...administration. Demonstrates that all patients are considered to be at risk for falls and will have the following fall precautions: bed or... ...is clean. Prepares the body to be viewed, e.g., open shroud, adjust lighting. Provides break coverage for unit secretaries or...RiskHourly payImmediate startShift workNight shift$138.81k - $190.87k
...processes, policies, and controls to ensure consistency, scalability, and compliance. Risk Management & Continuous Improvement: Monitor regulatory changes (e.g., CAS/FAS updates) and adjust processes as needed. Develop and maintain financial reports, dashboards, and KPIs...RiskTemporary workWork at office$140k - $220k
...Conduct depositions and appear at mandatory settlement conferences, hearings and trials Strategize with claims adjusters, in-house counsel and risk managers to advance favorable outcomes Negotiate resolutions and draft settlement agreements that protect client...RiskLocal area- ...Responsibilities Assist in monitoring and interpreting regulatory requirements (e.g., SOX, HIPAA, CCPA). Support internal audits and risk assessments to identify compliance gaps. Help develop and maintain policies and procedures to ensure regulatory adherence. Track and...RiskContract work
- ...Work with the teams to identify and mitigate impediments and risks to the program Delivery of Enterprise-wide digital transformation... ...Responsible for tracking key project milestones and adjusting project plans and/or resources Coordinates communication with...Risk
$127.1k
...what we do, have big ideas, and tackle complex problems by taking risks that drive global growth. In every work stream, we immerse... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskFor contractorsSeasonal workLocal area$75k - $90k
...experience in environmental consulting or environmental due diligence or risk management-related services. ESSENTIAL DUTIES & TASKS Manage... .... Please note, the disclosed pay scale estimate has not been adjusted for the applicable geographic location where the position may be...RiskFull timeLocal area





