Get new jobs by email
$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- ...diligence and integration of employee benefit plans; monitor legislative and regulatory developments and proactively advise clients on risk mitigation and compliance strategies; and collaborate with attorneys in corporate, tax, and labor & employment practice groups to...RiskTemporary workWork at officeFlexible hours
- Join to apply for the Risk Adjustment Coding Coordinator I/II role at Univera Healthcare 1 day ago Be among the first 25 applicants Join to... ...through informal discussion and over read assignments. Supports coder training and orientation as requested by leadership. Maintains...RiskFull timePart timeLive inWork at officeRemote workWork from homeHome officeNight shift
$97.87k - $163.12k
...This position is responsible for the delivery of second line risk management services in line with relevant policies, industry standards... ...positive manner. Develop solutions to issues independently and adjust as new information becomes available. Promote an environment...RiskWork experience placementWork at office3 days per week$70k - $95k
...Litigation Adjuster - Construction Specialist Merchants Insurance Group, a leading Property and Casualty Insurer in the Northeast, is... ...and equitable settlements directly with attorneys. Identifying risk transfer opportunities through trade contracts and/or applicable...RiskTemporary workSummer workWork at officeImmediate startWork from homeFlexible hours$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$70k - $95k
...Provide leadership and direction to team to achieve organizational objectives Continuously monitor the risk environment, foster a risk culture, and effectively adjust tactics to ensure compliance with corporate risk appetite and risk thresholds. Stay abreast of risk trends...RiskTemporary workWork at officeRemote workWork from homeHome officeFlexible hours$66.5k - $89.9k
The opportunity Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York. As a Senior Risk Analyst... ...statutes, typical litigation procedures, casualty claims adjustment principles, medical management processes, and related medical and...RiskFull timeWork experience placementShift work$66.5k - $89.9k
...The opportunity Delaware North is hiring a full-time Senior Risk Analyst to join our team in Buffalo, New York. As a Senior Risk... ...compensation statutes, typical litigation procedures, casualty claims adjustment principles, medical management processes, and related medical...RiskFull timePart timeWork experience placementShift work- ...initiatives that align with corporate objectives. The Senior HR Business Partner will play a key role in mitigating organizational risk and ensuring compliance with company policies and procedures. This role will be an advisor to business leaders for matters regarding...Risk
$118.95k - $198.24k
...Overview: The Business Risk Manager will perform first line of defense holistic risk management responsibilities in support of two major Business Areas: Commercial Equipment Finance and Dealer Commercial Services teams. This position is responsible for overseeing the...RiskWork experience placementWork at office$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 placement- ...Summer 2026 Internship - Risk Management And Compliance Northwest Bank is seeking a detail-oriented and proactive intern to join our Risk Management and Compliance teams for Summer 2026. This internship offers hands-on experience in regulatory compliance, internal...RiskSummer workInternshipSummer internshipWork at office
$219.3k - $301.5k
...operational management, negotiation, and change management skills, with a working knowledge of finance, accounting, and enterprise risk management Deep understanding of sourcing and procurement principles, modern systems, and industry dynamics, including regulatory...RiskFull timePart time$80k - $110k
...practice, ensuring timely and accurate reimbursement while minimizing risk. Essential Functions: Ensures the physician practice’s... ...regulations. Certifications ~Certified Professional Coder, Certified in Healthcare Compliance, or Certified Revenue Cycle...RiskHourly payWork experience placementWork at officeRemote work$79k - $146k
...Location: 4910 Tiedeman Road - Brooklyn, Ohio 44144 The Operational Risk Officer position resides in the 2nd Line of Defense within KeyCorp's Operational Risk Management group and will be responsible for executing risk oversight activities for Consumer Lending activities...RiskFlexible hours$108.38k - $146.63k
...Plan, System and Information Integrity Plan, System and Communication Protection Plan, Security Assessment and Authorization Plan, Risk Assessment Plan, Program Management Plan, Security Planning, Physical and Environmental Protection Plan, Personnel Security Plan, Media...RiskMinimum wageContract workTemporary workWork experience placementWork at office$97.87k - $163.12k
...looking for a senior model developer that can serve as a lead to independently develop and maintain quantitative models used for credit risk, capital planning or underwriting. The lead may supervise the work of model development analysts and provide direction to less...RiskWork experience placementWork at officeRemote workFlexible hours3 days per week$150k - $175k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal areaFlexible hours$18.75 - $24.52 per hour
...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskHourly payTemporary workFlexible hoursDay shift$138.38k - $187.2k
...Essential Duties and Responsibilities: - Develop and implement the procurement strategy to provide resources on time, minimizing risk to customers and ensuring optimum price. - Develop and maintain category plans that identify opportunities for operational efficiencies...RiskMinimum wageContract workTemporary workWork experience placement$64k - $200k
...implementation that tie into the Bank's strategic goals. Has a solid understanding of all aspects of the underwriting process inclusive of risk management and regulatory compliance. Manages the day-to-day operations of the SBLC. Below is a list of essential functions...RiskFull timeWork experience placementWork at officeLocal areaImmediate startRetail Business Risk Analyst III - Retail Operational Risk Issues Management & Policy (Hybrid -[...]
$71.99k - $119.98k
...Tuesday, Wednesday, & Thursday) and it is based at the One M&T Plaza office in Buffalo, NY. Overview Support the first line of defense risk management function by assisting with the identification and assessment of risks, risk monitoring and testing, and issues management...RiskWork experience placementWork at officeShift work3 days per week- ...issues including but not limited to patient confidentiality and risk management; ensures compliance with JCAHO, federal, state, and local... ...patients, families, and other healthcare professionals. · Adjusts to fluctuating peaks in patient flow, acuity, and other operational...RiskLocal area
$130.8k - $217.99k
...aligning cybersecurity policies, procedures, and controls with the Banks strategic objectives, regulatory obligations, and enterprise risk management framework. This role requires a strong blend of technical acumen, regulatory expertise, and leadership capability to...RiskWork experience placement$161.91k - $315.73k
...practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. To all current Molina employees: If you are interested in...RiskWork experience placement$97.87k - $163.12k
This role can be based either from our Buffalo, NY or Bridgeport, CT locations. Overview: Guides the risk analysis process providing direction for risk mitigation as a member of the first line of defense. Collaborates with cross-functional risk, technology, cybersecurity...RiskWork experience placement$4,500 per month
...Fetal Medicine physician to come join their practice in Buffalo, New York! Position Highlights: Provide coverage for the High-Risk Obstetrics Clinic Share Call coverage on average 1:5 Cover inpatient antepartum patients Oishei Childrens Hospital is the...RiskRelocation package$85,000 - $105,000 per week
...guest rooms, public space, back of the house and exterior following the processes established by BLA. Managing loss prevention and risk management policies, safety standards and claims reporting Empathizing and engaging with associates to continually improve hotel...RiskWeekly payLocal area- ...payroll and time and attendance to benefits administration, talent acquisition, HR consulting services and more to help clients reduce risk, ensure compliance, and streamline operations. We are in the market for someone who can aggressively grow our sales regionally in...RiskWork at officeRemote work

