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- ...differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description The Risk Adjustment Coder I provides support and coding expertise to all programs supporting risk adjustment and data validation efforts for Medicare...RiskWork at office
- ...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...RiskFull timeRemote workFlexible hours
- Program Manager III - Risk Adjustment/Chart Review 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 the management and...RiskContract workLocal area
- ...do it all with heart, each and every day. CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours
- ...Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government...RiskFor contractorsWork at officeLocal area
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours
- ...professional, educational and life experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager, Risk Adjustment Analytics Products, you will contribute to the strategy and execution of analytics capabilities that power Datavant's risk...Risk
- **Become a part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning support for business segments and the company at large. The Director, Risk Adjustment Strategy...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...reports, meetings, and status updates, etc.). + Identify project risks that impact the quality of our product and services delivery to... ...on continuous improvement. + Familiarity with CMS HCC risk adjustment processes preferred \#LI-BC1 We are committed to building a diverse...Risk
- ...required degree or diploma._ + HS Diploma or equivalent education/experience **CERTIFICATION & LICENSURE** + CRC-Certified Risk Adjustment Coder OR CPC-Certified Professional Coder OR AHMA OR AAPC Coding Certification (CCS-P, CPC, COC or CPC-P) **PREFERRED EXPERIENCE AS...RiskFull timeWork at officeShift workWeekend work
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, with a focus on risk adjustment operations. The role involves varied...RiskFull timeTemporary workApprenticeshipRemote work
- ...MRA programs and related STP operations + Identify process gaps, risks, and opportunities for efficiency or quality improvement +... ...healthcare operations, preferably with exposure to MRA or risk adjustment + Strong understanding of financial concepts (budgeting, ROI, cost...RiskFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome office
- ...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area
- ...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal areaFlexible hours
- ...Workplaces in Financial Services & Insurance General Executive Adjuster (Remote in California with travel) **PRIMARY PURPOSE** : To investigate... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...Most Loved Workplace® Forbes Best-in-State Employer Property Desk Adjuster - California License Required! **PRIMARY PURPOSE** : To handle... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal area
- ...Project Controls. This position is responsible for overseeing the risk management processes across the project. This includes... ...measures are integrated into project plans, milestones, and budgets, adjusting plans as necessary to maintain program progress - Monitor the effectiveness...Risk
- ...strategic priorities and mitigation of confidentiality and privacy risks across the Deloitte US Firms. This role will primarily support... ...needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship
- ...Most Loved Workplace® Forbes Best-in-State Employer Auto Claims Adjuster (Per Diem/Remote) This is a remote per-diem role. **PRIMARY PURPOSE... ...** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskDaily paidContract workWork at officeLocal areaRemote work
- ...Best Workplaces in Financial Services & Insurance Insurance and Risk Management Analyst (Intern) This is a part-time role 10 hours... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskHourly payPart timeWork experience placementInternshipSummer internshipWork at officeLocal area10 hours per week
- ...experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join... ...to: **Trauma, ICU, Cardiac, Transplant, Orthopedics, High-Risk OB, NICU, and more** . **Must have ICD-10-PCS coding experience,...RiskWork at officeRemote workLive inFlexible hoursShift work
- ...Workplaces in Financial Services & Insurance Regional General Adjuster - Pacific Region PRIMARY PURPOSE : To handle losses or... ...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
- ...Workplaces in Financial Services & Insurance Executive General Adjuster - Pacific 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
- ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash... ...employee handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Take necessary action to minimize...RiskLocal areaShift work
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster, Field - Large Loss Property (Sacramento, CA) As an adjuster at... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork from homeFlexible hours
- ...Show interest" to be redirected. (Closed) Weaver Governance, Risk, and Compliance Associate - Asset Management Consulting The Weaver... ...regulatory compliance. Monitor regulatory updates and help adjust internal procedures as needed. The Weaver Experience...RiskWork at officeFlexible hoursShift work
- The Risk & Brand Protection (R&BP) teams are strategic enablers of growth by proactively identifying and managing quality, risk, professional... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskRemote workVisa sponsorship
- ...Best Workplaces in Financial Services & Insurance Property Field Adjuster (Remote in Central California) As an adjuster at Sedgwick, you'... ...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 areaRemote workFlexible hours