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$19.6 per hour
...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...RiskRemote jobFull timeWork at officeFlexible hours$50.2k
...recommends process improvements for efficiencies. May provide guidance to Associate level employees. This role sits within our Risk Adjustment team - it is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk...RiskFor contractorsWork at officeLocal areaRemote work$70k - $84k
...to realize our bold vision for healthcare. Auditing 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- Job Overview Senior Risk Adjustment Analyst - PacificSource Health Plans This role is responsible for accurate and comprehensive data submission to regulatory entities such as CMS for all risk adjustable populations. The Analyst will collaborate with internal and external...RiskWork at officeNight shift
- 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
$117.2k - $222.5k
...ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This... ...experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You\'ll Get The opportunity to work at...Risk- ...Responsibilities) Coordinate and perform internal and external risk adjustment audits, including mandated CMS and HHS annual audits Develop,... ...with risk adjustment IVA and/or RADV audits required Certified Coder credentials required (CPC, COC, CIC, or AHIMA certification)...RiskLocal areaRemote workWork from home
$91.8k - $123.1k
Overview Actuarial Analyst, Commercial Risk Adjustment role at Cambia Health Solutions. Hybrid schedule within Oregon, Washington, Idaho or Utah. Who We Are Looking For Every day, Cambia’s dedicated team of Actuaries is living our mission to make health care easier and...RiskWork at office- Overview Network Health is seeking a Risk Adjustment Auditor to join our team. This individual, in collaboration with the director, will be... ...adjustment IVA and/or RADV audit experience required. Certified Coder credentials required (CPC, COC, CIC, or AHIMA certification)....RiskFull timeWork at officeLocal areaWork from homeHome officeMonday to Friday
$28.14 - $40.8 per hour
...Indiana, Missouri, Iowa, or Ohio Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to... ...Utilizes knowledge of MS-DRG’s, APR-DRG’s, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24...RiskHourly payFull timePart timeWork experience placementLocal areaRemote workRelocation packageFlexible hours- ...and actionable analysis that informs executive decision-making. You\'ll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This role is ideal for a forward-thinking actuary who thrives in a dynamic...Risk
$65k - $80k
...working independently in the field? As a Property Field Claims Adjuster , you’ll take the lead in inspecting damage to residential, commercial... .... Bachelor's degree in a relevant field, such as insurance, risk management, or construction, or equivalent work experience, may...RiskFor contractorsWork experience placementRural Mutual Insurance
Rhinelander, WI2 days ago- ...and expectations Set milestones and track project progress, adjusting plans as necessary to meet deadlines Cross-Functional Collaboration... ...team members are aligned with project goals and timelines Risk Management Identify potential risks and roadblocks in...RiskFull timeFor contractorsFlexible hours
Central Garden & Pet
Chilton, WI5 days ago - ...disciplines including scope, schedule, budget, quality, along with risk and critical path management experience - Experience managing... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...Risk
Amazon Stores
Madison, WI3 days ago - ...key metrics for board review. Recommend policy and program adjustments based on operational data. Define KPIs for financial performance... ...payments and filings for client accounts. Compliance and Risk Management Ensure the association and its business services...RiskContract workFor contractorsWork at office
ABR Employment Services
Stevens Point, WI2 days ago - This position reports to the Sr Manager, Enterprise Risk and operates out of our Headquarters. The Enterprise Risk Management Analyst... ...effectiveness of risk mitigation strategies, working with business lines to adjust as needed. Reporting and Communications: Preparing regular risk...Risk
- ...all claims, set up claim files, and enter information into the Risk Management Information System (RMIS) upon receipt. Oversee reporting... ...claims are being managed aggressively. Collaborate with the adjusters on insured claims during investigation, reserving and...Risk
Miller Pipeline
New Berlin, WI15 days ago $70k - $93.5k
Join to apply for the Claims Adjuster Senior - Litigation role at Progressive Insurance . Progressive is dedicated to helping employees... ...efficiently resolving injury claims. Investigating complex and high‑risk claims— which may be attorney‑represented or have additional...RiskTemporary workWork experience placementWork at officeMonday to FridayFlexible hours$20.8 per hour
Join to apply for the Coder role at Gundersen Health System Love + medicine is who we are, it's what we do, it's why people want to work... ...and fully reflects the patient's Severity of Illness and Risk of Mortality. The specialist applies knowledge of the ICD-10-CM...RiskFull timeApprenticeshipWork at officeRemote workDay shift- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift workRotating shift
Magnet Medical
Elkhorn, WI20 days ago $104.7k - $138.37k
...Provide technical support for cost control (specifically with the risk and opportunity log). Lead specific sections of the overall... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Waukesha, WI29 days ago$27.72 - $46.2 per hour
...experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate... ...limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position...RiskLive inWork at officeRemote workMonday to FridayFlexible hoursShift work- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Grafton, WI12 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$70k - $93.5k
Claims Adjuster Senior - Litigation at Progressive Insurance Progressive is dedicated to helping employees move forward and live fully in... ...resolve injury claims. You’ll investigate complex and high-risk claims — which may be attorney represented or have additional litigation...RiskFull timeTemporary workWork experience placementWork at officeMonday to FridayFlexible hours$54k - $89.6k
...exciting time to join our team. You’ll have opportunities to take risks, challenge the status quo and shape the future for the greater... ...set them. Summary A day in the life of the Field Auto Damage Adjuster, and what it takes to do the job! As a Field Auto Adjuster, you...RiskRelocation package- ...Conducting MRI Scans : \n \n ~ Operate the MRI machine , adjusting settings (e.g., magnetic field, radiofrequency pulse) to obtain... ...for handling contrast agents and any equipment that could pose a risk to patients. \n ~ Adhere to radiation safety standards for...RiskZero hours contractImmediate startShift work
Magnet Medical
Kenosha, WI19 days ago $75k - $130k
Job Summary AVP, Audit Manager - Growth & Risk Management at Synchrony reports to the VP of Growth & Risk Management Audit. The role... ...Maintain awareness of economic, regulatory, and business risks and adjust risk assessments, audit plans, and programs accordingly....RiskVisa sponsorshipWork visaMonday to Friday- ...teamwork, trust, and flexibility fuel success? At Old Republic Risk Management, we’re looking for a Claims Specialist - Workers Compensation... ...Compensation claims handling. While this isn’t a front-line adjusting role, that background will allow you to manage claims processes...RiskFull timeCasual workRemote work
- ...considerations in all business decisions and able to leverage that information in creating customized customer solutions. Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they...RiskFull timeTemporary workPart timeWork experience placement
PNC Financial Services Group
Lake Geneva, WI9 days ago
