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$132.6k - $179.4k
Join Cambia Health Solutions as an Assistant Director Risk Adjustment Member Engagement & Planning . This role will work a hybrid schedule from Oregon, Washington, Idaho, or Utah. Job Summary: As a member of the Government Programs team, the Assistant Director of Risk Adjustment...Risk$77.97k - $141.37k
Overview 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$145k - $170k
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, driving client data standardization, data integrations, database management, and optimization...Risk$77.97k - $140k
JOB DESCRIPTION Job Summary 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$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape.... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the...Risk$86k - $141k
Overview Actuarial Analyst, Commercial Risk Adjustment at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Join Cambia’s Actuarial team to perform technical, analytical, reporting and support functions, collaborating with peers, management...RiskWork at officeWork from home$70k - $95k
...Negotiates claim to a fair resolution. 6. Responsible for conducting risk analysis for home safety standards in a report form. 7.... ...(subrogation, salvage and reinsurance), as well as loss adjustment expenses. Qualifications: Education/Certification: College...RiskFull timeTemporary workWork from home$29 - $33 per hour
...diversity of professional, educational and life experiences to realize our bold vision for healthcare. Role As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours$19.6 per hour
Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data...RiskRemote jobFull timeWork at officeFlexible hours$45k - $70k
...Negotiates claim to a fair resolution. Responsible for conducting risk analysis for home safety standards. Prepares cost estimator... ...of recovery (subro, salvage and reinsurance) as well as loss adjustment expenses. Understanding of and compliance with Utah Unfair...RiskTemporary workWork from home- ...retain effective working relationships with Bank staff. Manage Risk: Firmly stand behind and ensure compliance with all Bank... ...ACH policy Maintain up-to-date knowledge of NACHA rules and adjust Bank protocols to ensure compliance. Support internal, external...RiskDaily paidBank staffWork at officeImmediate start
$25 - $35 per hour
...applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience Four (4)... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobContract workLocal areaFlexible hours
- ...and “What if?” Passionate about cycle time and use CI/CD practices, tools to rapidly deploy changes to customers while minimizing risk using practices like A/B tests, blue-green deployments, and feature toggles Stay on top of Algorithms, Data Structures and Design...RiskHourly payLocal area
- ...Direct all aspects of program planning, resource allocation, risk management, and systems integration. Lead, mentor, and develop... ...collaborating with stakeholders, and continuously monitoring and adjusting existing roadmap as needed. Establish a culture of...RiskRemote workShift work
$27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility-coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more . This is a facility-based coding position...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Rocky Mountain Region Primary purpose Primary purpose: To... ...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
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift workNight shift
- ...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
$46.99k - $122.4k
...more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a Senior Litigation Adjuster in Risk Management, you will be responsible for managing litigation against CVS and overseeing outside counsel and national...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...Employee Discounts Wellness Program TCA - Director of Pricing & Risk Total Care Auto, Powered by Landcar (“TCA”) is a captive provider... ...vision, distance vision, peripheral vision, and the ability to adjust focus. Required to lift up to 10 lbs. Note: The need may arise to...RiskFlexible hoursShift work
- ...the loan purpose, terms and conditions, sources of repayment, risks, credit strengths and weaknesses. Apply financial principles, theories... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskWork at officeFlexible hours
$66.28k
REMOTE: Field Adjuster (Salt Lake City, UT) Pay Competitive Location Salt Lake City/Utah Employment type Full-Time Job Description Req#:... ...salvage/subrogation potential and monitor to conclusion • Complete risk evaluations for both underwriting and claims • Maintain ongoing...RiskRemote jobFull timeFor contractorsWork experience placementCasual workWork at officeNight shift- ...administrative direction and oversight for the Human Resources and Risk Management functions and activities, including recruitment and... ...on the same; monitors expenditures; recommends and implements adjustments, as necessary. Compliance, Records, and Risk Oversight...RiskWork at officeWeekend workAfternoon shift
- ...and productive feedback to employees as needed. Compliance and Risk Management: Ensure compliance with all federal, state, and local... ...strong organizational culture. Summer and winter office hours may adjust . During the summer, our offices are open Mon day - Fri day and...RiskFull timeTemporary workPart timeSummer workSeasonal workWork at officeLocal areaNight shift
- ...join us!****Job Description**We are seeking a Lead Credit and Risk Analyst to strengthen our risk management and decision-making capabilities... ...early and delivering actionable insights for credit policy adjustments.* Conduct advanced financial and variance analysis to evaluate...RiskTemporary workFlexible hours
- ...successful project execution. Evaluate program and project performance; adjust strategies as needed for optimal outcomes. Collaborate with... ...level organizational dynamics. Skilled in program integration, risk management, and stakeholder negotiation. Adept in tools like...Risk
- ...affecting Investor returns and product performance. Knowledge of Risk Management frameworks and controls to assess risk of financial products and recommend actions (e.g., modifying risk reserve, adjusting risk profile & projection, raising red flags). Knowledge of Data...Risk
