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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- ...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...RiskPermanent employmentContract workFor contractorsImmediate start
Procom Consultants Group
Dearborn, MI19 hours ago - ...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 visa1 day per week
NJ CURE
Detroit, MI15 days ago - ...health field Three years of supervisory experience in a SUD setting Experience with personnel and facility management, data, risk-management, program development, quality improvement initiatives, and evidenced-based practices RESPONSIBILITIES (summary):...RiskTemporary work
Hegira Health, Inc.
Canton, MI4 days ago $90k - $110k
Senior Claims Adjuster We are seeking an experienced Senior Claims Adjuster to handle complex property and casualty insurance claims. In... ...* Collaborate with underwriters regarding large losses and risk improvement recommendations * Identify suspicious claims and refer...RiskFull time- ...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, MI6 days ago - ...aspects include project scope, deliverables, timing, and costs, as well as successfully managing and mitigating project issues and risks. In addition, this role provides coaching and mentoring to less experienced IT project managers, ensuring best practices are adopted...Risk
Northstar Staffing Solutions
Livonia, MI3 days ago $59.29k - $75k
...Location US-MI-Southfield Job Category Legal, Compliance, and Risk Management Position Type Regular Full Time Req ID 42219 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who...RiskFull timeWork at officeImmediate startMonday to FridayState Farm Mutual Automobile Insurance Company
Southfield, MI4 days ago$65k - $80k
...Clinician will work closely with patients who have, or are at high risk of developing, cardiometabolic conditions such as diabetes,... ...Monitor patient progress with evidence-based tools (e.g., PHQ-9) and adjust treatment as needed. Participate in community outreach,...RiskFull timeTemporary workRCM Healthcare Services
Canton, MI4 days ago- ...communications systems by offering support and advice. Keep track of risk parameters, identifying any deviations and reporting them to... ...current situation and/or environment and making appropriate adjustments to thinking and work habits to thrive in any scenario....RiskTemporary workWork experience placementWork at officeLocal areaShift work
Raymond James
Southfield, MI2 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$15 per hour
...experience running a store. You’ll develop your leadership skills in real-time by driving account management, customer outreach, and risk management. It’s performance-driven, people-first, and packed with growth potential. If you’re ready to build your confidence, learn...RiskHourly payFull timeTemporary workWork at officeLocal areaCommunity Choice Financial Family of Brands
Canton, MI25 days ago- 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 contractorsFor subcontractorWork at officeLocal areaNight shift
$52k
...brand consistency. Monitor weekly COGS, and labor and make adjustments as necessary, with particular attention to BOH operations costs... ...company’s inventory and assets, as well as all activities related to risk management and safety. Collaborate with General Manager and...RiskLocal areaFlexible hoursShift workRed Rock Barbecue
Ypsilanti, MI2 days ago$45k
...to and from the United States. Utilizing intelligence techniques and behavior analysis to identify potential threats and perform risk assessments for violations of laws and threats to national security. Conducting interviews in a law enforcement capacity for the...RiskWork at officeLocal areaU.S. Customs and Border Protection
Livonia, 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
- ...distances and spatial relationships.) X Focusing (Able to adjust the eye to bring an object into sharp focus.) Specific job duties... ...) - X - - Extreme heat (non-weather) - X - - Risk of electrical shock - X - - Work with explosives X...RiskHourly payWork at officeLocal areaLong distance
Acadian Ambulance
Livonia, MI3 days ago - ...Claims team is currently seeking a Sr. Commercial General Liability Adjuster. The Hanover Insurance Group has adopted a Hybrid work model.... ...telephone contacts with the commercial line policyholders, risk managers, and agents. Fully responsible for the analysis, investigation...RiskFull timeTemporary workWork from homeFlexible hours
- ...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
- ...prevention by "the world's most wanted hacker" simulated phishing security awareness training cybersecurity governance risk & compliance world's largest security awareness training library free it security tools inoculating employees against...Risk
- ...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
- ...Practitioner to join a leading multi-specialty medical group in Michigan. The NNP will provide comprehensive neonatal care in the NICU, attend high-risk deliveries, and support newborn stabilization and transport under the supervision of attending pediatricians....RiskPermanent employment
LanceSoft
Livonia, MI4 days ago - ...include monitoring regulatory updates, developing training programs, reviewing and supporting documentation practices, and implementing risk-based controls to enhance compliance and audit readiness, and remediation. The role requires close coordination with internal...RiskFull timeLocal areaRemote work
Zoetis
Detroit, MI3 days ago - ...Chief Risk Officer About the Company Diverse technology-focused company providing education-related services Industry Information Technology & Services Type Public Company Founded 1996 Employees 5001-10,000 Specialties student loan products...Risk
$50k - $65k
...Wells ( a division of ManpowerGroup, is a professional services firm delivering solutions in Finance & Accounting, Internal Audit, Risk & Compliance and Tax. We put people to work in contract/consulting projects, as well as temp-to-perm jobs and permanent direct-hire...RiskWeekly payPermanent employmentFull timeContract workTemporary workLocal areaJefferson Wells
Detroit, MI20 hours ago- ...Managing Director, Construction XS Risk About the Company Leading provider of casualty & property insurance services Industry Financial Services Type Public Company Founded 1810 Employees 10,001+ Categories Financial Services Carriers...RiskWork experience placement
- ...Chief Risk Officer (CRO) About the Company Mission-driven investment firm with a focus on economic expansion of communities Industry Investment Management Type Privately Held Founded 2017 Employees 51-200 Specialties lending advisory...Risk
- ...~ E-Commerce About the Role The Company is seeking a VP of IT Compliance to lead its global cybersecurity compliance and risk management strategy. This key leadership role involves overseeing the design, implementation, and evolution of a comprehensive compliance...Risk
- ...Director of Cybersecurity and Privacy Risk Advisor About the Company Prestigious international law firm Industry Law Practice Type Privately Held About the Role The Company is in search of a Director, Cybersecurity and Privacy Risk Advisor to spearhead...RiskWork experience placement
