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$85k - $200k
.../dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide... ...coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work...RiskFull timeWork at officeAnkura
Washington DC2 days ago$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskRemote jobFull timeWork at officeFlexible hours$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome officeHumana
Washington DC3 days ago- ...Remote from CA, OR, WA, CO, GA, MD, VA, D.C. NY, CT, ILL Overview: The Program Manager III for Risk Adjustment and Chart Review is responsible for overseeing the accuracy and efficiency of risk adjustment processes and retrospective chart reviews. They will support...RiskContract workRemote work
National Association of Latino Healthcare Executives
Rockville, MD25 days ago $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- ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork 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$89.7k - $162.15k
...expertise, strong communication skills, and a proactive approach to risk management and continuous improvement. Primary... ...Evaluate program performance against objectives and recommend adjustments for continuous improvement. Collaborate cross-functionally with...RiskFor subcontractorLocal areaImmediate startLeidos
Merrifield, VA7 days ago- JOB SUMMARY The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide insight...RiskWork experience placementImmediate start
- ...assurance procedures • Manages and minimizes AICI-SP’s exposure and risk on the project • Ensures project documents are complete, current... ...vision, peripheral vision, depth perception and ability to adjust focus. Mental Demands: The position requires a high degree of concentration...RiskContract workTemporary workFor contractorsWork at officeLocal areaHome officeOverseas
$91.2k - $136.8k
...re making history. Northrop Grumman is looking for a motivated Risk Management Analyst to join our Corporate Risk Management team.... ...Manage insurance claims, monitor progress, and assist with claim adjustments. Develop and coordinate risk control programs to prevent...RiskContract workWork at officeRelocationShift work$235k - $365k
...government antitrust investigations and merger enforcement actions, including Second Requests. Counsel clients on transactional antitrust risk, strategy, and compliance. Appear before enforcement authorities such as the U.S. Department of Justice, the Federal Trade...RiskDirect Counsel
Washington DC29 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$234k - $267.1k
...regulatory environment. Analyze data to proactively identify risks and trends and provide insights that support well managed efficient... ...ideas concisely and convincingly both written and verbal. You adjust your communication to your audience and are comfortable with...RiskFull timePart timeLocal areaShift workCapital One
McLean, VA2 days ago- ...supervisory support, creating and maintaining a strong culture of risk management and compliance, delivering our Purpose-Driven Wealth... ...Drive training, education, performance evaluations, salary adjustments, promotions, transfers, hiring, branch reassignments, disciplinary...RiskFull timePart timeWork at officeShift workNight shiftDay shift
- ...role Prior experience within a high-growth SaaS / supply chain risk management organization strongly preferred Experience with LinkedIn... ...law. Exiger's hybrid work policy is periodically reviewed and adjusted to align with evolving business needs. #J-18808-Ljbffr ExigerRiskWork at officeWork from homeFlexible hours
- Experienced Manager, Risk Advisory Services The Assurance Experienced Manager, Risk Advisory Services is responsible for managing and... ..., as needed Prepares periodic and timely billings, and manages adjustments to engagement realization, as needed. Manages the engagement...RiskWork at office
$144.2k - $265.6k
...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorshipVirginia Staffing
Falls Church, VA14 hours ago- Senior Manager, Technology Change Risk Oversight Capital One is one of the fastest growing organizations in the world today, powered... ...Consult with risk owners on the design and implementation or adjustment of mitigating controls associated with emerging technologies Draft...RiskLocal areaImmediate start
$81.65k
...program provides the tools and instruction to help you evaluate risks for large and multinational companies. You’ll learn to... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workTraineeshipSummer workInternshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
Washington DC8 days ago- ...us. Partnering with our customers, we help save lives; reduce risks to society; and maintain the global infrastructure on which we... ...Track effectiveness of risk mitigation strategies and recommend adjustments to risk management approaches Develop comprehensive risk mitigation...RiskContract workFor contractorsFor subcontractor
- Award Winning Northern Virginia Insurance Agency looking for CLAIMS ADJUSTER AS COMMERCIAL SALES ADVISOR PRIMARY ROLE: An award-winning... ...gain the trust of our clients by educating and advising them on risk and claims management issues important to them. They place...RiskFull time
$167.4k - $314.5k
...is looking for an amazingly talented Senior Program Director- Risk, Issue, and Opportunity Manager to join our team! In this role... ...technical, and business financials. Adaptable and capable of adjusting strategies to address evolving challenges. Excellent communication...RiskFull timeFor subcontractorFlexible hoursParsons Oman
Washington DC2 days ago- ...skills to lead a diverse, multi-disciplinary team. Ability to adjust rapidly to evolving mission requirements, high-priority tasking,... .... Proficiency in program management best practices including risk management, resource planning, and schedule coordination....RiskContract workFor contractorsWork at officeLocal areaRemote workMonday to Friday
$175.5k - $200.3k
...Senior Manager, Risk Guide- Enterprise Services Risk Senior Manager, Risk Guide- Enterprise Services Risk The Enterprise Services... ...deadlines Communicate complex ideas concisely and convincingly, adjust communication to the audience and comfortable with presenting to...RiskFull timePart timeLocal areaCapital One
Washington DC1 day ago$140k - $160k
...revenues, expenses, and net interest margins, and make strategic adjustments to achieve business targets. Develop long-term product... ...Data-Driven Insights, Strategic Direction, Regulatory Compliance, Risk Management, Leadership Skills, Digital Transformation #J-18808...Risk$195k - $280k
...Job Description Job Description Description Director, Risk & Strategic Analysis Nodal Exchange is a derivatives exchange providing price, credit and liquidity risk management to participants in the North American commodity markets. Nodal Exchange is a leader...RiskFull timeWork at officeLocal area3 days per weekNodal Exchange
Tysons Corner, VA13 days ago- ...Learning & Development About Us Exiger is a cutting-edge supply chain risk management (SCRM) software-as-a-service (SaaS) company with... ...law. Exiger’s hybrid work policy is periodically reviewed and adjusted to align with evolving business needs. #J-18808-Ljbffr ExigerRiskFlexible hours
- ...Agility: We welcome change; it's the only constant. We embrace, adjust, adapt. Passion for Positivity: We greet each day with warmth... ...wellbeing resources and benefits offerings. Compliance & Risk Management: Stay up-to-date with industry best practices, regulatory...RiskCasual workWork at officeLocal area
CAVA
Washington DC14 hours ago - ...Description: The IT Risk and Compliance Analyst will carry out IT security assessment activities including IT risk assessments and security reviews for university departments, as well as evaluations of third-party technology solutions, to ensure alignment with university...Risk
Shuvel Digital
Vienna, VA3 days ago
