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- Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut, USA... ...AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC Minimum...RiskFull timeWork at officeMonday to Friday
- ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- ...more personal, convenient and affordable. Position Summary The Revenue Integrity (RI) Sr. Manager, Business Consultant (Risk Adjustment) is responsible for the management and monitoring of designated market/territory specific to the performance of risk adjustment...RiskHourly payFull timeTemporary workWork experience placementWork at officeLocal area
- ...significant experience in underwriting, policy development, and risk management, while also possessing a proven leadership... ...laws. Outline operational processes for policy issuance, claims adjustment, collections, and all customer and third party interaction points...RiskFull timeLocal areaShift work
- ...planning allowing time for emergencies or unexpected visits. c) Reports any cases to Clinical Manager where goals cannot be met or at risk situations exist and responds appropriately. d) Maintains required productivity expectation as established by the Agency. e)...RiskWork at officeFlexible hours
- ...conceptual model and data flow processes Consult and perform design reviews to ensure business needs are met Identify and execute risk mitigation and compliance exercises Partner with other team members as well as cross-functional partners to support business...Risk
- ...below-investment grade portfolios Experience and knowledge in risk management and asset-liability management for insurance... ...Nassau was founded in 2015 and has grown to $1.6 billion in total adjusted capital, $24.8 billion in assets under management, and 365,000 policies...RiskFull timeLocal area
- ...architects and technical leads to identify and address potential risks and challenges in AI implementations. Maintain documentation... ...utilization. Monitor and forecast AI model capacity needs, adjusting as necessary to meet project demands. Collaborate with...RiskContract work
- ...comply with regulatory requirements and company standards. Risk Assessment and Analysis Evaluate the risks associated with... ...guidance throughout the claims process. Communicate with adjusters, underwriters, and other parties to ensure claims are handled efficiently...RiskFor contractorsWork at office
- ...maintaining and improving safety and quality. The QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance...Risk
- ...during labor, delivery, and the immediate postpartum period. The RN in this specialty is skilled in managing both routine and high-risk pregnancies, monitoring fetal and maternal well-being, and assisting with deliveries. The L&D nurse collaborates with obstetricians,...RiskZero hours contractImmediate startShift workNight shift
- ...individuals and institutions. With a strong financial foundation and risk and investment management expertise, the company delivers... ...position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to...RiskHourly payContract workWork experience placementWork at officeRelocation packageShift workMonday to Friday
- ...population, and participates in the medical management of patients, to achieve or maintain optimal health status, manage disease and reduce risk of illness. · Engages in independent decision-making regarding the health care of individuals, families and groups across the...Risk
- ...proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry... ...labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized...RiskRemote jobFor contractorsWork experience placementInternshipWork at office
- ...during labor, delivery, and the immediate postpartum period. The RN in this specialty is skilled in managing both routine and high-risk pregnancies, monitoring fetal and maternal well-being, and assisting with deliveries. The L&D nurse collaborates with obstetricians,...RiskZero hours contractImmediate startShift workNight shift
- ...and proven experience working on teams to deliver insurance and risk mitigation services to high net worth families. You will be responsible... ...approach and who can work with limited guidance. Ability to adjust to shifting priorities, be flexible, and welcome change....RiskFull timeTemporary workPart timePrivate practiceWork at officeFlexible hoursShift workAfternoon shift
- Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) Join to apply for the Managing Consultant, Ecological Risk Assessor/Project Manager (Senior Level) role at ERM . Overview ERM seeks a motivated Managing Consultant, Ecological Risk Assessor/Project...RiskWork at officeRemote work
$100k - $135k
...bipolar), chronic stress, impulse-control issues, grief/loss, adjustment-related disorders as well as behavioral, social, and emotional... ...appointed offices, an EMR system, peer consultation groups, robust risk management support, APA-approved continuing education in house....RiskFull timeWork at officeHome officeRelocation package- ...needs of the individuals we served, we were able to attract higher quality candidates and clients in need of their services. Its a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Our candidates include...RiskShift workNight shift
- ...Counsel role at Ascot Group Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent specialty risk underwriting organizations. Job Description This is an opportunity to join Ascot Group - one of the world’s preeminent...RiskFull timeTemporary workLocal areaRemote workFlexible hours
- ...contradictory, and rationalizes recommended course of action, recognizing risks and opportunities. Works with different areas to understand... ...in logic and business sense and also having the flexibility to adjust as new ideas are presented, ie. shows a great balance of...RiskHourly payFull timeTemporary workLocal areaRemote workFlexible hours
- ...performance indicators, change management processes, implementation, and adjustments as necessary to achieve defined success parameters. This VP... ...program outputs into executive level presentations, updates, risk mitigation plans and business recommendations with ability to...RiskTemporary workWork at officeImmediate start
- ...Medicare prescription drug plans. This role involves evaluating risk, ensuring regulatory compliance, and supporting strategic... ...regulatory and legislative environment, continuously developing and adjusting strategies and processes to best position the business for success...RiskHourly payFull timeTemporary workLocal areaFlexible hours
- ...flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Director of Health & Risk Solutions Actuarial Pricing will be responsible for delivering comprehensive business and financial analysis to advance profit and...RiskFull timeWork at officeLocal areaRelocationFlexible hours
- ...Payment Method (PDPM) and expense associated with a potential admissions Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement May train, mentor and/or manage MDS Coordinators, providing guidance and support...RiskTemporary workRelocation package
- ...Complete and assure the accuracy of the MDS process for all residents Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect reimbursement Ensure the highest level of revenue integrity and compliance to all state and federal...RiskTemporary workLocal area
- ...population within a unit, service or other primary area of practice; focuses on discharge planning which includes identification of risk factors and education. Applies the nursing process within the context of the organization's Framework for Professional Practice. Functions...Risk
- ...mechanic’s liens and bond claims. Drafting and negotiating construction contracts and related agreements. Advising clients on construction risk management, regulatory compliance, and insurance issues. Managing litigation caseloads, including depositions, court appearances,...RiskTemporary workRemote workFlexible hours
- ...pursuit, staffing, proactive planning and implementation, budget, and risk management. Essential Duties & Key Responsibilities: Lead... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Performing this job requires use of hands to finger,...RiskPermanent employmentContract workTemporary workFor contractorsWork at office
- ...onc procedures as well as plastic surgery and abdominal procedures. In addition, we care for stable obstetrical patients such as high risk antepartum, and postpartum women whose newborns are in the NICU. During surges in the hospital-wide census, we also admit a small...Risk