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- **JOB DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment program valuation. Maintain SQL/Databricks model, estimate valuations, and analyze results. Extract, analyze, and synthesize data from various sources...RiskWork experience placementRemote work
- ...**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...RiskWork experience placementRemote work
- Overview: BroadPath is immediately hiring Clinical Risk Adjustment Medical Coders to join our remote team. Our work at home Clinical Risk Adjustment Medical Coders will be responsible for accurately coding insurance claims into the database system, ensuring compliance...RiskImmediate startRemote workWork from home
- ...deadlines. Develop detailed project plans, including scope, timelines, budgets, resource allocation, and risk management strategies. Monitor project progress and adjust plans as needed to stay on track with deadlines and budget. Collaboration & Communication:...RiskFull timeTemporary workWork at officeLocal area
Crete Professionals Alliance
Tucson, AZ17 days ago - ...The Sr Specialist, Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality and risk adjustment outcomes through effective provider engagement activities. Ensures the core set of Tier 2 providers in the Health Plan have...RiskWork experience placementWork at officeRemote work
- ...Work® Fortune Best Workplaces in Financial Services & Insurance Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific... ...years of program and/or project management experience in risk adjustment and/or quality - 4+ years of experience supporting HEDIS engine...RiskWork experience placementWork at officeRemote work
- ...Direct all aspects of program planning, resource allocation, risk management, and systems integration. Lead, mentor, and develop... ...poised. Must have the ability to adapt to the situation, quickly adjust to shifting priorities, demands, and timelines as well as the ability...RiskWork at officeRemote workShift work
Idaho Asphalt, Peak Asphalt
Tucson, AZ9 days ago - ...Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region PRIMARY PURPOSE : To handle... ...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
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Rocky Mountain Region **PRIMARY PURPOSE** : To investigate 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
- ...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 areaRemote workWork from homeFlexible hours
- ...that may indicate a need for intervention. Identify potential risks and complications, such as arrhythmias, respiratory distress, or... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. Provide post-surgical care for patients who...RiskZero hours contractShift workNight shift
- ...or healthcare team. Provide pain management interventions and adjust care based on patient response and comfort level. Telemetry... ...necessary. Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift workNight shift
- ...strategies with limited guidance. + Possesses subject matter expertise in at least one actuarial function (pricing, reserving, risk adjustment, analytics, modeling, etc.) + Leads an analytical project from beginning to end with limited direct supervision. + Advanced technological...RiskWork experience placementRemote work
- ...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractImmediate startShift work
- ...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift workNight shift
- ...clinical management of patients thereby impacting medical and psychosocial care across the health care continuum. Core processes include risk assessment and management of clinical populations, discharge planning, and utilization management. THE RN CASE MANAGER FT DAYS...RiskHourly payWork experience placementShift workNight shiftWeekend workAfternoon shift
- ...Job Posting Pima County Department of Finance and Risk Management has an opening for two Accountant III's to join our Accounts... ...and analyzes financial data to identify discrepancies, prepare adjusting entries, and ensure compliance with County policies and procedures...RiskWork experience placement
- ...with others when conflicts arise, ensure alignment with objectives and ensure project is on schedule. Effectively execute issue and risk management , build structured cross-group schedules, meeting arrangements, track dependencies and milestones, and communicate...RiskFull timeContract workRemote work
Motion Recruitment
Tucson, AZ3 days ago
