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$23.3 - $33.25 per hour
...joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review...RiskHourly payWork at officeRemote workWork from home- ...Educate coding team on CMS coding guidelines and appropriate Risk Adjustment procedures to ensure adherence to CMS standards. Build and generate... ...and accuracy of severity of illness (SOI) and quality. Coach coders as assigned by regions, guiding daily workflow activities....RiskFull timeWork at officeFlexible hoursWeekend work
$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- Join to apply for the Medical Coder II role at Claremedica 1 day ago Be among the first 25 applicants Get AI-powered advice on this... ...and validating diagnosis codes, and ensuring adherence to risk adjustment models and compliance standards. The Medical Coder II plays a...RiskWork at officeLocal area
- ...patients. This role focuses on optimizing documentation to improve risk‑adjustment data and ensure compliance with CMS guidelines. Essential... ...skills for interacting with medical professionals, coders, and stakeholders. Education & Experience Associate’s or Bachelor...RiskFull timeWork at officeRemote workFlexible hours
- ...reflect the true clinical picture, improving the quality of risk adjustment data, and ensuring compliance with CMS (Centers for Medicare... ...communication skills for interacting with medical professionals, coders, and other stakeholders. Education & Experience Associate\'s...RiskFull timeWork at officeWork from homeFlexible hoursWeekend work
- ...seeking a detail-oriented and proactive Claims Examiner to join our risk management team. In this role, you will be responsible for... ...carriers Required Qualifications: Florida 6-20 All-Lines Adjuster License (or ability to obtain within 90 days of hire) At least...RiskPermanent employmentContract workTemporary workWork at office
- ...against the plan daily, send reminders for upcoming deliverables, and adjust timelines as needed in coordination with team leads. Cross-... ...are communicated back to the designers/architects. Issue, Risk & Action Log Management: Manage the project’s action item...RiskFull time
Royal Caribbean Group
Miami, FL6 days ago - ...coding experience. Physician Billing Credentials For Physician Billing: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified Coding Specialist -...RiskFull timeWork experience placementWork at officeLocal area
- ...Workplaces in Financial Services & Insurance Construction Defect Adjuster **PRIMARY PURPOSE** **:** To investigate and adjust property and... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
- Auditing Manager CPC Coders Hybrid work setting, Florida residency required As Mount Sinai grows, so does our legacy in high-quality health... ...the institution. Analyze audit findings and identify trends, risks, and opportunities for improvement. Team Leadership &...RiskWork at office
- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here . Iris, Powered by... ...here . What you’ll be doing. Job Summary: The Liability Claims Adjuster will be reporting to the Supervisor, Liability Claims. This position...RiskTemporary workWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
$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...RiskWork experience placementWork at office- ...widespread global presence. Specialising in complex, commercial, and niche markets, the company offers comprehensive loss adjusting, claims, and risk management services, along with forensic technical services, auditing, and pre-risk surveying. McLarens' extensive global...RiskLocal area
- ...requests, delivering efficient and personalized service to meet their financial needs. Collaborate: Partner with internal teams (Risk Officers, Treasury Management, Client Services) to deliver a seamless, full-service client experience. Manage Risk: Review and underwrite...RiskFull timeFor contractors
City National Bank of Florida
Miami, FL1 day ago - ...is an innovative and established organization looking for an IAA Adjuster (II) to join our team. Family-owned, UAIC, is one of the largest... ...requirements. EDUCATION Bachelor’s degree in insurance, risk management, or a related field (preferred). Minimum of 2 years...RiskTemporary workRemote workFlexible hours
- ...Trading Analyst Job Type: Full-Time Department: Trading & Risk Management Job Overview: We are seeking a skilled and experienced... ...effectiveness. Collaborate with the team to refine and adjust trading strategies based on performance data. Stay updated on...RiskFull timeRemote work
- ...department, overseeing at least four supervisors and their teams of adjusters. Establish clear performance expectations, conduct regular... .... Partner with internal departments (legal, underwriting, risk management) to support business objectives and mitigate risk...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, maintain and adjust reserves over the life of the claim to reflect changes in exposure...RiskWork experience placement
- ...Workplace Forbes Best-in-State Employer Aviation Surveyor and Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Aviation Job... ...of the position at any time. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskPermanent employmentWork at officeLocal areaFlexible hours
$61k - $89k
...Senior Claims Adjuster - Crop The purpose of this role is to provide efficient and precise claims services to policyholders and agents... ...business objectives through quality control tasks, audits, and risk assessments. Contribute to a positive work environment by demonstrating...RiskFull timePart timeWork experience placementWork at officeRemote workWork from homeWorldwide- ...TPA Casualty Transportation Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork experience placementWork from home
- ...Lennar Corporate Risk Management Position We are Lennar. Lennar is one of the nation's leading homebuilders, dedicated to making... ...Manage the activity of the Third Party Administrators and/or adjusters on a daily basis with respects to all claims. Possess the ability...RiskLive inWork at officeLocal area
- ...landscape. Utilize data to inform decision‑making and strategy adjustments (including promotions, advertising, deals, etc). Goal Setting... ...the Brand continues to align with our business. Compliance and Risk Management Policy Adherence Ensure compliance with Amazon’s...RiskFull timeWork at office
$160k - $200k
...guidelines. Evaluates, prioritizes, and selects submissions and prices risks that will develop an underwriting profit for the carrier, refers... ...trends, emerging risks in the sector, regulatory changes, and adjust underwriting strategies accordingly. Work Experience And...RiskFull timeWork experience placement$175.3k - $322.9k
...overall success. Whether focused on project financials, quality and risk management, methods and tools, sales excellence, talent,... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskOngoing contractContract workWork at office$90k - $120k
Overview The Senior Risk and Control Analyst supports the Consumer Direct (CD) and Third-Party Origination (TPO) channels for Lakeview... ...this job include close vision, color vision, and the ability to adjust focus. Lakeview is an Equal Employment Opportunity employer. All...RiskLocal areaRemote work- ...the relationship with the client and all stakeholders Perform risk management to minimize project risks Establish and maintain... ...completion of goals Meet budgetary objectives and make adjustments to project constraints based on financial analysis Develop comprehensive...RiskWork experience placementWork at office
$98.3k - $185.1k
...for Zurich North America Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorship
