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$193k - $242k
...healthcare. Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... .... Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$132.6k - $179.4k
Join Cambia Health Solutions as an Assistant Director of Risk Adjustment Member Engagement and Planning. This role is responsible for planning, executing, and overseeing performance in collaboration with other areas on various member engagement programs. The goal is to...Risk$132.6k - $179.4k
Overview Assistant Director Risk Adjustment Member Engagement & Planning Work a hybrid schedule from Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking...RiskWork at officeImmediate startRemote workWork from homeFlexible hours$77.97k - $141.37k
Job Description Job Summary 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...RiskRemote jobWork experience placement$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. 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...Risk$24.18 - $33.27 per hour
Overview Zurich is currently looking for a Part-Time Crop Adjuster to join our Rural Community Insurance Services (RCIS) team. RCIS is one... ...plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America...RiskHourly payTemporary workPart timeWork at officeRemote workWork from home$109k
...customers. We achieve this by using advanced analytics, ML Modeling, risk mining and working with partner teams, brands and retailers. We... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskWork at officeAmazon Stores
Seattle, WA3 days ago$29 - $33 per hour
...a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation...RiskRemote jobHourly payFull timeFlexible hours- ...to ensure service quality and cost efficiency. Compliance and Risk Management Ensure properties comply with local, state, and... ...conditions. The position requires flexibility to travel, work in a fast-paced setting, and adjust priorities to meet organizational needs....RiskLocal areaRelocationNight shift
MJW Investments
Kent, WA21 days ago - ...matter expert, performing complex and high risk-based and baseline compliance reviews, and... ...PREFERRED CPC - Certified Professional Coder (AAPC) OR RHIA - Registered Health... ...to a rapidly changing environments and to adjust to new requirements ~ Demonstrated sound...RiskRemote jobFull timeWork experience placement
$23.81 - $27.6 per hour
...theater, and special interest activities. Assignment The school adjustment program is for students that demonstrate serious emotional-... ...language. Demonstrated ability to work with students who are in an at-risk situation. Ability to communicate in another language. Ability...RiskFull time- ...legal operations with a strong focus on contracts management, risk mitigation, and policy compliance. This role serves as a strategic... ...to assess coverage, limits, and terms, identifying necessary adjustments to align with changing business needs. Prepares thorough documentation...RiskContract workWork experience placement
- ...operational budgets that support return on investment. Allocates or adjusts resources in accordance with priorities, volumes and demands,... ...hospital committees and leads groups as appropriate. Assists Risk and Patient Safety Officers in managing the performance...RiskFull timeTemporary workLocal area
Emerus Holdings, Inc.
Seattle, WA23 days ago - ...leads the definition, development and execution of the business risk management model which will identify the level of assurance necessary... ...with key stakeholders on proposals that affect business case. Adjusts product capabilities and strategy to maintain financial...RiskContract work
$91.8k - $123.1k
...00 actuaries, consultants, data analysts and statisticians who provide pricing, financial and statistical projections and analysis, risk evaluation, research and custom reporting for Cambia’s health plans and customers in Idaho, Oregon, Utah, and Washington. We ensure...RiskWork at officeImmediate startWork from homeFlexible hours$133.9k
...disciplines including scope, schedule, budget, quality, along with risk and critical path management experience. ~ Experience... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskFull timeAmazon
Seattle, WA23 days ago$209.07k - $253.34k
...Summary The Director, Cell Therapy Drug Product Operations Risk Management is responsible for delivering improvements in commercial... ...recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable...RiskFull timeSummer workBristol-Myers Squibb
Bothell, WA11 days ago- ...Related Groups (APR-DRG) assignment, utilizing applicable coding conventions. Demonstrates knowledge and understand of CMS HCC Risk Adjustment coding. Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate or inconsistent...RiskFull timeWork experience placementWork at office
$125k - $145k
...budgets, change orders, proactively identifying and mitigating risks, and ensuring alignment with client expectations. This role emphasizes... ...project financials closely, preparing accurate forecasts and adjusting them as required to ensure the project stays within budget....RiskTemporary workFor contractorsLocal areaShift workNight shiftWeekend workAlbireo Energy
Redmond, WA20 days ago- ...is responsible for timely, accurate, and comprehensive review of services. The coder is responsible for identifying and reporting compliance concerns that would place the organization at risk for fraudulent billing and works with the coder supervisor to identify billing...RiskApprenticeshipWork experience placementWork at office
$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- Independent Insurance Claims Adjuster in Silverdale, Washington Join to apply for the Independent Insurance Claims Adjuster in Silverdale... ...ago Bellevue, WA $70,200.00-$99,800.00 3 days ago Sr. Claims & Risk Manager, Amazon Shipping Bellevue, WA $109,000.00-$185,000.00 1...RiskFull timeFor contractorsRemote workRelocation package
$190k - $215k
...and institutional effectiveness. This executive leader provides legal counsel and regulatory oversight, anticipates organizational risk, ensures compliance with federal and state requirements, and represents NWCCU with regulators, policymakers, and national higher education...RiskFull timeContract workWork at officeRemote workFlexible hoursAfternoon shiftOregon State Bar Pro Liability
Seattle, WA1 day ago$26.91 - $43.05 per hour
..., payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor. 7. Identifies and communicates... ...coding credential:u00A0 AAPC (Certified Professional Coder [CPC], Certified Coding Associate [CCA], Certified Outpatient Coder...RiskHourly payRemote workFlexible hoursShift work$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement$77.97k - $155.51k
Job Description Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskRemote jobWork experience placementWork at office- ...Job Description Job Description HETI is a national and international risk management consulting firm. We primarily service the insurance industry with field risk assessments and industrial hygiene services. We provide these services through our network of highly qualified...Risk
HYDRO-ENVIRONMENTAL TECHNOLOGIES INC
Seattle, WA8 days ago - ...value to clients through tailored solutions based on industry leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness, Energy & Sustainability, and Talent Management. We help forward thinking...RiskFull timeContract workTemporary workFor contractorsWork at officeRemote workFlexible hours
ProSidian Consulting, LLC
Richland, WA19 days ago - ...leading practices. ProSidian services focus on the broad spectrum of Risk Management, Compliance, Business Process, IT Effectiveness,... ...or project/taskforce initiatives and beyond. Ongoing Course Adjustments consultative facilitation while working in close partnership...RiskLocal areaShift work
