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$193k - $242k
...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...RiskFull timeDatavant
Hartford, CT3 days ago$70k - $85k
Overview Risk Adjustment Coding Specialist II (Connecticut) Department: Quality - Risk Adjustment Employment Type: Full Time Location: Connecticut... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeMonday to Friday$77.3k - $128.8k
...difference in our success. The Business Analytics Lead Analyst will be a critical member of Cigna's Individual and Family Plan Risk Adjustment - EDGE Operations Team. This role will drive improvements across Cigna's participation and compliance with the Centers for...RiskRemote jobLocal areaWork from homeIndividual & Family Plans (IFP) Risk Adjustment Program Management Advisor - Remote - Cigna Hea[...]
$93.3k - $155.5k
...operational and strategic contributor responsible for managing multiple interrelated projects for the Individual & Family Plans (IFP) Risk Adjustment (RA) team while overseeing end-to-end financial tracking and budgetary processes which ensure operational goals are met, budget...RiskRemote jobWork experience placementLocal areaWork from home- 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
$145k - $170k
...professional, educational and life experiences to realize our bold vision for healthcare. 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...Risk$50k
...Description General Liability Claims Specialist · New York Adjusters License Needed Work-From-Home Comprehensive Benefits... ...benefits package. Company Description North American Risk Services (NARS) is a premier third-party claims administrator that...RiskWork at officeWork from homeNorth American Risk Services, Inc. (NARS)
Hartford, CT4 days ago$29 - $33 per hour
...professional, educational and life experiences to realize our bold vision for healthcare. Responsibilities As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...RiskRemote jobHourly payFull timeFlexible hours- ...defining/refining future deliverables, measuring performance and adjusting the overall roadmap of deliverables as needed.* Translate... ...experience within the discipline being supported (e.g.: Claim, Risk Control, Technology, Project Management, Production, Application...RiskFull timeWork experience placementLocal area
Travelers Canada
Hartford, CT2 days ago $40k - $250k
...Best Workplaces in Financial Services & Insurance Specialty Loss Adjuster Embark on an Exciting Career Journey with Sedgwick Specialty... ...across Natural Resources, Property, Casualty, Technical and Special Risks and Marine. As we expand our operations, we are seeking...RiskPermanent employmentFlexible hours- ...States and Canada. We are currently seeking an Assistant Claims/Risk Manager to join our team in Bloomfield, CT. Position Overview... ...Minimum of five years' experience in property and casualty claims adjusting • CT Casualty Adjuster (all lines, except WC) required •...RiskFull timeHome officeMonday to Friday
Catholic Mutual Group
Bloomfield, CT25 days ago $24.9 - $34.86 per hour
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $24.90... ...Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto,...RiskHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Northeast Region PRIMARY PURPOSE : To handle losses or claims... ...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
$60k - $65k
Overview Independent Adjuster Auditor at Sedgwick: We offer a role with new challenges and the chance to help solve complex problems for... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by...RiskLocal areaWork from homeFlexible hours- ...Best Workplaces in Financial Services & Insurance National General Adjuster - Northeast Region PRIMARY PURPOSE : To handle losses or claims... ...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 Sr. Executive General Adjuster - Northeast Region PRIMARY PURPOSE : To investigate 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
$115k - $147k
...bipolar), chronic stress, impulse-control issues, grief/loss, adjustment-related disorders as well as behavioral, social, and emotional... ...appointed offices, an EMR system, peer consultation groups, robust risk management support, APA-approved continuing education in house....RiskFull timeWork at officeHome officeRelocation packageLifeStance Health
Tolland, CT4 days ago- ...Title: Senior Underwriter – Disability Income Insurance Location: Springfield, MA or Miami, FL (Hybrid) Industry: Insurance / Risk Management Employment Type: Full-Time About the Role A leading provider of specialized insurance solutions is...RiskFull time
Harrison Gray Search & Consulting
Springfield, MA25 days ago - ...as a resource for nursing staff and communicate changes in regulations Monitor Case Mix Index (CMI) scores, looking for potential risks and/or changes that may affect Medicaid reimbursement Monitor Medicare assessment schedules and nursing documentation to ensure...Risk
Windsor Health & Rehabilitation Center LLC
Windsor, CT28 days ago - ...Computer competency with basic knowledge of Microsoft Word and Microsoft Outlook is essential. Strong knowledge of psychiatric and risk assessment is essential. Knowledge of abuse and neglect reporting mandates, duty to warn mandates, knowledge of community-based...RiskTemporary workPart timeLocal areaRelocation packageFlexible hours
ECHN
East Windsor, CT3 days ago - ...Casualty/Auto Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskFull timeTemporary workWork at officeWork from homeHome officeLong distance
- ...loss control programs. Conduct job hazard analyses to identify risks and recommend corrective actions to prevent employee accidents... ...) years of experience in risk management, loss control, claims adjustment, occupational safety and health, or contract management. Special...RiskContract workMonday to FridayDay shift
- ...collaboratively with different departments to assess compliance risks, controls, and implement new regulations that affect the claims... ...claim date and proper penalties/interest. Handle claim adjustments related to regulatory requirements. Perform other duties as...RiskRemote work
The MH Group
East Longmeadow, MA14 days ago - ...significant experience in underwriting, policy development, and risk management, while also possessing a proven leadership... ...laws. Outline operational processes for policy issuance, claims adjustment, collections, and all customer and third party interaction points...RiskFull timeLocal areaShift work
- ...procedures and system of internal control. Performs test of internal controls and substantive audit procedures. Applies concepts of risk management Assists team in identifying accounting and audit issues. Assists in the preparation of financial statements in...RiskFull timeSeasonal workRemote workFlexible hours
Fiondella Milone & Lasaracina
Glastonbury, CT29 days ago $86k - $154.7k
...support bid certification efforts Conduct analysis, pricing and risk assessment to estimate financial outcomes Manage health plan specific... .... Total compensation may include incentives and will be adjusted based on skills, experience, education, and other factors. Equal...RiskWork at officeRemote workWork from homeFlexible hours- ...to confirm projects are on track with the work plan; recommends adjustments to staffing or scheduling when corrective action is needed... ...reinforces methods to enhance documentation quality and reduce risk, while mentoring junior staff and setting expectations for accountability...RiskWork at officeLocal area3 days per week
2Twelve Recruiting, LLC
Hartford, CT12 days ago - ...Salary Range $89,800.00 - $148,300.00 Target Openings 1 What Is the Opportunity? Under general direction of AVP-Assistant Risk Manager of Corporate Insurance and Risk Management, takes a lead or assisting role in certain aspects of risk avoidance, reduction,...RiskContract workFor contractorsLocal area
Travelers Insurance
Hartford, CT3 days ago $147.35k - $163.72k
...required and makes final determinations as to acceptability of audit adjustments. Financial and regulatory accounting for transaction taxes:... ...strategies, documenting alternatives and presenting options/risk factors to management; and consulting with internal and...RiskContract workTemporary workFor contractorsLocal area- ...ensuring that projects are delivered on time and within scope Risk Management: Identifying potential risks and implementing mitigation... ...: Tracking project progress through metrics and reporting, adjusting plans as necessary to meet changing requirements or challenges...RiskFull timeContract workWork experience placement
