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$70k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments. Support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$70k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Maryland,... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager May assist or...RiskFull timeWork at officeMonday to Friday$105.04k - $194.98k
Resp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets...RiskWork experience placementImmediate start$80.14k - $165.28k
Risk Adjustment Supervisor - Coding Operations (Hybrid) Join to apply for the Risk Adjustment Supervisor - Coding Operations (Hybrid) role at CareFirst BlueCross BlueShield PURPOSE: The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate...RiskWork experience placement- ...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 placement
$64.08k - $127.27k
Resp & Qualifications PURPOSE: The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation and interpretation...RiskWork experience placementImmediate start$60k - $80k
...systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding...RiskContract workFor contractorsLive inWork at office$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services Risk... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Baltimore, MD2 days ago- ...the accuracy of the loan system records (including interest rate adjustments on adjustable-rate loans) and ensure related general ledger... ...state regulations and rules impacting this position, meet all risk and compliance obligations, including the completion of required...RiskFull timePart timeWork experience placement
Harbor Bank of MD
Baltimore, MD23 days ago - ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency - risk management & compliance Your Impact: Own and operate full-cycle Accounts Payable Contribute to an efficient and accurate...RiskFull timeTemporary work
- ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department....RiskContract work
Charter Global
Baltimore, MD16 days ago - Join to apply for the Risk Management Analyst role at Mariner Finance . Overview Risk Management Analyst - Credit Strategy | FLSA Status... ...required by this job include close vision and the ability to adjust focus. Disclaimer This job description is not designed to cover...RiskFull timeTemporary workRelocation packageFlexible hours
- ...Facilitate discharge planning and care transitions Track service authorizations and manage approval/denial processes Perform medical risk assessments for Stop Loss carriers Manage assigned caseloads, providing insight into financial exposure for each case...RiskFull timeLocal area
MJ Morgan Group
Timonium, MD18 days ago $69k - $90k
...Description Job Description Are you a Senior Level Bodily Injury Claims Adjuster with... New York Adjusters License Commercial Auto /... ...compensation and benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator...RiskWork at officeLocal areaWork from home$50.3k - $75.5k
...Job Summary: The Third Party Risk Associate will support the Third Party Risk Management (TPRM) team in conducting third party... ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a...RiskPermanent employmentTemporary workWork experience placement- ...techniques, and self-management strategies to clients Monitor and adjust treatment plans as necessary to ensure progress and achievement... ...that take into account the facts, goals, constraints, and risks Problem Solving-Resolves complicated challenges Accountability...RiskFull timeWork at office
True Sports Physical Therapy LLC
Lutherville Timonium, MD26 days ago - ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift work
Magnet Medical
Baltimore, MD10 days ago - Responsibilities Under the general guidance of General Counsel, the Director of Insurance and Risk plays a key role in planning and executing Sheppard Pratt’s insurance and risk management strategy. The Director of Insurance and Risk utilizes in-depth knowledge of insurance...Risk
$85k - $100k
Join to apply for the Personal Risk Advisor role at USI Insurance Services 2 weeks ago Be among the first 25 applicants Join to apply... ...Producer Process Improvement Senior Manager, Medicare Risk Adjustment Senior Manager, Risk Adjustment Coding Management (Medicare) Sr...RiskFull timeWork at officeLocal area$140k - $170k
...feeds, and analytics that support investment decision-making, risk management, trading, compliance, and client reporting. Role focus... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please email...RiskContract workLocal areaWorldwideFlexible hours- ...clinical experience may be acceptable such as chronic or rehab care based on assigned areas or responsibility * Previous experience in risk management, patient safety or quality assurance preferred * Paralegal knowledge also an asset Total Rewards The referenced...RiskWork experience placement
University of MD Faculty Physicians Inc.
Baltimore, MD27 days ago - ...resumes highlighting their relevant experience. Position Title: Risk Management Specialist Location: Hanover, MD Clearance... ...2 weeks ago Process Improvement Senior Manager, Medicare Risk Adjustment Credit Product Specialist, Global Wealth & Investment Management...RiskFull timeLocal areaImmediate startDay shift
- ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency – Risk Management & Compliance Your Impact: Drive revenue by converting prequalified inbound leads into closed loan applications....RiskTemporary work
Dominion Financial Services
Baltimore, MD17 days ago $145k - $165k
Investment Risk Manager At Franklin Templeton, we're advancing our industry forward by developing new and innovative ways to help our... ...regulation. If you believe that you need an accommodation or adjustment to search for or apply for one of our positions, please send an...RiskWork experience placementWork at officeLocal areaFlexible hours3 days per week$150k - $250k
...clients in connection with industrial park developments, acquisitions, and operations. Provide clear, practical legal advice and risk assessments to help clients achieve business goals. Maintain organized files, track key deal milestones, and ensure deadlines are...RiskLocal areaRemote workFlexible hoursJobot
Timonium, MD23 days ago- ...Values: Integrity Accountable & Dependable Team Centric System & Process Oriented Service Ethic Organized Efficiency - Risk Management & Compliance Your Impact: ~ Monitor and manage assigned mortgage loan portfolios to minimize risk and maximize...RiskTemporary work
Dominion Financial Services
Baltimore, MD7 days ago - ..., improving their financial acumen and reporting accuracy. ~ Work closely with leadership to improve financial sustainability and risk management. ~ Oversee and implement all procedures for spending, revenue accounting and support documentation for proper accountability...RiskFull timePart timeReliefLocal areaHome office
World Relief
Towson, MD14 days ago $69.92k - $133.62k
...Property Adjuster Specialist - Field at USAA summary: The Property Adjuster Specialist - Field investigates, evaluates, and settles... ...attend training, and conduct in-person inspections. Ensures risks associated with business activities are effectively identified,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Baltimore, MD1 day ago- ...Understanding and actively dealing with potential obstacles and risks. ~ Recording each project step using a variety of project... ...elements of the order are complete and implement any necessary adjustments to the order by working with design and/or sales for a successful...RiskFull timeFor contractorsWork at officeWeekend workEarly shift
American Design Associates, Inc.
Towson, MD28 days ago - ...thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department. MUST HAVE...RiskContract workWork at officeImmediate start
Vega Consulting Solutions, Inc
Baltimore, MD6 days ago
