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$77.97k - $171.06k
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$60.32k - $79.04k
...Establish initial reserves based on gathered information and adjust as appropriate through completion of assigned claim. Negotiate... ...proper and accurate payments as needed. Identify questionable risks, red flags, fraud indicators and alert the special investigation...RiskWork at officeLocal areaRemote workWork visaMonday to Friday1 day per weekNJ CURE
Detroit, MI3 days ago- ...and team events to bring everyone together. As a successful Risk Manager, you will: Review all assigned incoming Incident Reports... ...of incidents that meet specific criteria. Work with adjusters on all assigned open claims Coordinate receipt of insurance...RiskTemporary workWork at officeFlexible hours
RHP Properties
Farmington Hills, MI3 days ago $60k - $87k
...open to candidates who want to work remote. Job Description Risk Analyst Aon Global Risk Consulting is hiring a Risk... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeLocal areaRemote workWork from homeAon
Detroit, MI1 day ago- ...temperature extremes and under conditions with some exposure to risk of injury and/or illness. The employee is regularly required to... ...distance vision, peripheral vision, depth perception and ability to adjust focus. Must be able to lift up-to 15 pounds at a time....RiskLocal areaEarly shift
AUXILIO INC
Romulus, MI7 days ago - ...Communicate the company’s vision, mission, and values internally and externally, ensuring alignment and buy-in from all stakeholders. Risk Management & Compliance: Ensure that the company operates in full compliance with applicable regulations, including environmental...RiskFull time
SAI SYSTEMS
Farmington Hills, MI6 days ago - ...to help our customers identify, assess, and reduce work-related risks to quality, productivity, and employee health. In your day to... ...broader business objectives (business Acumen) The capacity to adjust strategies in dynamic project environments. (adaptable & flexible...RiskFull timeTemporary workFlexible hours
Sandalwood Engineering & Ergonomics
Livonia, MI28 days ago $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- Senior Commercial Auto & General Liability Claims Adjuster - Hybrid Amerisure creates exceptional value for its partners, policyholders,... ...the house dealing with general contractors, subcontractors, and risk transfer. The ideal candidate will also possess the following skill...RiskFor contractorsWork at officeLocal areaNight shift
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Midwest Region PRIMARY PURPOSE : To handle losses or claims... ...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
- ...regardless of size, including the ability to address any complex adjustment issue and any medium sized and relatively complex National... ...responsibilities and qualifications.) Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal areaFlexible hours
- ...Datawarehouse & Business Intelligence Infrastructure & Network Services Risk Management & Compliance Business Continuity & Disaster Recovery... ...technical and architecture plan to achieve the stated goal and adjust the plans according to progress and interdependencies Experience...RiskPermanent employmentContract workFor contractorsImmediate start
$20 - $22.5 per hour
...Our integrated solutions allow us to be prepared for supply chain risks, so we can plan distribution to better achieve lead time and... ...anticipated starting salary range for the position. The Company may adjust this range in light of prevailing market conditions and other...RiskFlexible hoursShift workPerformance Team
Garden City, MI2 days ago- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Midwest Region PRIMARY PURPOSE : To investigate claims... ...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 workNight shift
Magnet Medical
Ypsilanti, MI9 days ago - ...implementation. Other duties include: Internal Control Audit Planning: Understand and collect business requirements, analyze the risks of each business, and assist in the construction of the internal control system and the implementation of the internal control plan;...RiskWork at office
Minth North America
Wixom, MI29 days ago - ...strategies, diversifying the sources of new client acquisition as a risk mitigant and for executing the tactical sales activities.... ...to identify trends, opportunities, and competitive threats, and adjust sales strategies accordingly. Lead initiatives for both hunting...Risk
$76.21k - $117.66k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $7... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for...RiskMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shift- ...Datawarehouse & Business Intelligence • Infrastructure & Network Services • Risk Management & Compliance • Business Continuity & Disaster... ...technical and architecture plan to achieve the stated goal and adjust the plans according to progress and interdependencies Experience...RiskPermanent employmentContract workFor contractorsImmediate start
- ...evaluate the effectiveness of programs and operations, making adjustments as necessary to meet goals. Lead and manage department heads across... ...on operational strategies, organizational development, and risk management. Build and maintain strong relationships with internal...Risk
- ...038790 Job Description: Implement/Support SAP GRC (Governance Risk & Compliance) Access Controls 12.x including ARA, ARM, EAM and... ...notifications. Build ruleset, creating custom functions and risks and adjusting the existing rulesets according to the business needs. Plan...Risk
SAP Security GRC (Governance Risk & Compliance) Consultant. (No C2C accepted - Only W2 role) 10[...]
SAP Security GRC (Governance Risk & Compliance) Consultant Position: SAP Security GRC (Governance Risk & Compliance) Consultant. No C... ...notifications Build ruleset, create custom functions and risks and adjust existing rulesets according to business needs Plan and execute...RiskPermanent employment- ...corporate and internal project controls and operating policies that standardize analysis, reporting, and mitigation strategies for risk factors that could impact project successes. Manages/assists and oversees project controls for engineering, construction, and other...RiskTemporary workWork experience placementWork at officeRemote workWork from homeFlexible hours3 days per week
Wade Trim
Detroit, MI16 days ago - ...diagnostics and repairs/replace to all components, spring cleaning, adjusting and repairing systems and fall shutdowns. You will be... ...conditioning systems and equipment. Identifying maintenance risks on equipment. Diagnosing electrical and mechanical faults for...RiskWeekend work
Apex Mechanical Solutions
Farmington Hills, MI22 days ago $21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Detroit, MI2 days ago$22.82 - $38.04 per hour
...client accounts by collecting necessary documentation, assessing risk profiles, and ensuring compliance with regulatory standards.... ...about changes in compliance regulations and implement necessary adjustments to processes. May partner with the financial advisors to develop...RiskWork at office- ...the client, third parties/vendors and all stakeholders • Perform risk management to minimize project risks • Meet with clients to... ...short and long- term goals • Meet budgetary objectives and make adjustments to project constraints based on financial analysis • Develop comprehensive...RiskTemporary workWork at office
- ..., and ensure compliance with applicable laws, regulations, and internal policies. You will play a critical role in minimizing legal risk, maximizing recovery efforts, and safeguarding the organization’s interests while fostering strong client relationships. Key Responsibilities...Risk
Stillman Law Office
Farmington, MI27 days ago - ...data in a clear format for presentations and reviews. Identify risks and create risk mitigation plans to ensure timely completion of... ...potential cross‑product or platform impacts, proposing strategic adjustments. Stakeholder Communication: Serve as the primary liaison for...RiskTemporary work
$3 - $6 per hour
...leadership potential and team-first mentality. Familiarity with institutional credit standards , investor reporting requirements, and conservative risk management practices. Ability to thrive in a fast-paced, highly collaborative startup environment....RiskFull time
