Average salary: $126,630 /yearly
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$85k - $200k
...Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice... ...gain additional opportunities for development in a variety of risk adjustment related areas. Qualifications: Certified in Risk Adjustment...RiskRemote workAnkura
Washington DC4 days ago$86.4k
...responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct... ...of complete, accurate, and fair QA standards for all medical coders. Maintain Productivity and team QA scores and report to...RiskFor contractorsWork at officeLocal areaRemote work- ...a better way to care. Position Overview The Sr. Director of Risk Adjustment is a senior leader responsible for designing, executing, and continuously... ...(preferred). Certifications: Certified Risk Adjustment Coder (CRC) or similar credential is a plus. Technical Skills:...RiskLive inWork at officeLocal areaFlexible hours
- CINQCARE is seeking a Sr. Director of Risk Adjustment in Washington, D.C. This senior role focuses on designing and executing the risk adjustment strategy using advanced analytics, machine learning, and predictive modeling. The successful candidate will manage a multidisciplinary...RiskFlexible hours
$20 per hour
...We are looking for a Risk Adjustment Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role, you will need to be an expert in healthcare...RiskHourly payFull timePart timeFor contractorsRemote workFlexible hoursDataAnnotation
Washington DC4 days ago$85k - $200k
A leading consulting firm seeks a Sr. Associate to join its Health Care team in Washington, D.C. This position involves coding, compliance analysis, and project management for investigations and disputes in the health care sector. Ideal candidates will possess strong clinical...RiskRemote job$85k - $200k
A leading consulting firm in Washington, DC seeks a Sr. Associate specialized in healthcare coding and compliance. The role involves analyzing patient records, ensuring coding guidelines adherence, and managing complex investigations. Candidates must have a CRC certification...RiskRemote job$99k - $124k
...chronic conditions by evaluating financial performance and implementing data-driven strategies. Candidates should have 4+ years in risk adjustment analytics, proven communication skills, and passed 3+ actuarial exams. The position offers a salary range of $99,000 - $124,000...RiskRemote work$99k - $124k
Strive Health in Washington D.C. is seeking a Lead Actuarial Analyst, MA Risk Adjustment to join their team. This role requires expertise in evaluating financial performance, translating complex data into strategies, and a deep understanding of risk adjustment analytics...RiskRemote work- ...Hopkins Health Plans in Washington, DC is seeking a Senior Health Data Analyst. The role focuses on creating and communicating Risk Adjustment performance targets, offering specialized analytics to various business units. The ideal candidate should have a Master’s degree...RiskFull timeDay shift
- ...Full Time Position Overview The Senior Health Data Analyst is responsible for the creation, development, and communication of Risk Adjustment targets, performance and ongoing reporting; providing specialized analytics and data‑driven insights to myriad business units throughout...RiskFull timeWork experience placementDay shift
$104k - $130k
...Bonus points if: Experience working in the healthcare industry Experience and familiarity with MA, ACA and Medicaid Risk Adjustment models. Experience with other business intelligence backend and analytics applications Familiarity with or interest in learning...RiskWork experience placementRemote workDatavant
Washington DC3 days ago$99k - $124k
...re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through... ...You’ll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will...RiskWork at officeRemote workWork from homeFlexible hours$15k
A leading risk and claims administration firm in Washington, DC seeks a Desk Adjuster to handle insurance claims valued up to $15,000. The role requires conducting detailed investigations and effectively managing a caseload. Ideal candidates should possess a Bachelor's...Risk$27.02 - $41.85 per hour
Highmark Health is seeking a qualified HCC Coder in Washington, DC. The role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical...RiskRemote jobHourly pay$86.4k - $138.6k
A leading health service provider in Washington, DC is looking for a Risk Adjustment Manager to oversee Risk Adjustment and Quality/HEDIS processes. The candidate will manage staff, ensure compliance with coding guidelines, and drive improvements in healthcare service delivery...RiskRemote job- CINQCARE is seeking a Sr. Risk Adjustment Analyst in Washington, D.C. The role involves conducting advanced data analysis, supporting risk score accuracy initiatives, and developing performance reports. Ideal candidates will have a Bachelor's degree in a quantitative field...Risk
- ...Senior Casualty/Property Liability Adjuster The Senior Casualty/Property Liability Adjuster manages all aspects of liability claims in... ...including; evaluating potential coverage issues, liability and damages, risk transfer opportunities, litigation and settlement matters within...RiskContract workFor contractorsWork at office
Engle Martin
Washington DC1 day ago $15k
...Financial Services & Insurance Experienced Surety Bond Desk Adjuster PRIMARY PURPOSE : Handles losses and claims valued up to... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskFor contractorsWork at officeLocal areaSedgwick
Washington DC5 days ago$18k
...leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness,... ...preparation, accuracy, review and signoff and facilitate adjustments as needed. Must have proficiency in the most current Microsoft...RiskContract workFor contractorsWork experience placementWork at officeImmediate startProSidian Consulting
Arlington, VA1 day ago$40k - $250k
...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 hoursSedgwick
Washington DC4 days ago- ...Agility: We welcome change; it’s the only constant. We embrace, adjust, adapt. · Passion for Positivity: We greet each day... ...FDA, USDA, and industry standards. · Lead enterprise risk management for FSQA, including strategic oversight of product withdrawals...RiskCasual workWork at officeLocal area
CAVA - Support Center
Washington DC23 days ago $140k - $165k
...Reporting to the Operations Manager - Projects, the Construction Risk Manager - Mass Timber is responsible for identifying, assessing,... ...strategic decision making. Advise project leadership on risk-adjusted contingency and schedule reserve ranges based on quantitative...RiskContract workMercer Mass Timber
Washington DC3 days ago- ...Management Meets with Project team members to compose of SAP role requirements? Creates/adjusts SAP Security roles across our SAP echo-system (ECC, BI, eWM, Fiori)? Works with Global Risk and Compliance in creating/adjusting the SOD ruleset? Works with the Project team to...Risk
Samprasoft
Washington DC2 days ago $222.9k - $256.87k
...independent assessment of strategic fit, capacity impact, and sequencing risk. Ensure that the school system's operating rhythm — how... ...adept communication skills and influence to advance work by adjusting content and style. Teamwork: Contributes to a supportive...RiskFull timeTemporary workWork at officeLocal areaFlexible hoursShift workAfternoon shiftKIPP DC Public Schools
Washington DC1 day ago$73.5k - $212.28k
...Specialty/Competency: IFS - Risk & Quality (R&Q) Industry/Sector: Not Applicable Time Type: Full time Travel Requirements... ...independence requirements Monitor changes in regulations and adjust practices accordingly Facilitate discussions to address compliance...RiskFull timeH1bPwC
Washington DC8 days ago- ...practices. ProSidian provides enterprise services/solutions for Risk Management | Compliance | Business Process | IT Effectiveness |... ...profit organizations. Personnel shall be cooperative and flexible to adjust to new Industry Sector program changes and developments as they...RiskFull timeContract workFor contractorsWork at officeLocal areaImmediate startFlexible hours
ProSidian Consulting, LLC
Washington DC29 days ago - ...position serves as a central point of coordination across IG, Legal Risk Management (LRM), Information Technology (IT), and business... ...and client requirements Measure effectiveness of training and adjust approach based on observed behaviors and risk Governance, Reporting...RiskWork at office
Mayer Brown
Washington DC3 days ago - ...to Expect Tesla is seeking a skilled and experienced Auto Damage Adjuster to join our growing Total Loss team. This role specializes in... ...with underwriting teams to identify and report fraud indicators or risk concerns Maintain compliance with Tesla's claims procedures and...RiskHourly payFull timeTemporary workFlexible hours
$62.41k - $130.22k
...Analyst supports threat analysis operations within the supply chain risk management program. This Data Analyst focuses on the offensive/... ...organizational needs. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the...RiskLocal areaImmediate startRemote workFlexible hoursGroundswell
Washington DC1 day ago
