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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... 
    Risk
    Remote job
    Full time
    Work at office
    Flexible hours

    Datavant

    Madison, WI
    3 days ago
  • $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... 
    Risk
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Madison, WI
    1 day ago
  • $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... 
    Risk
    Remote work
    Flexible hours

    Datavant

    Madison, WI
    3 days ago
  • 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... 
    Risk
    Work at office
    Night shift

    PacificSource Health Plans

    Oregon, WI
    14 hours ago
  • 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... 
    Risk
    Work experience placement
    Immediate start

    Baylor Scott & White Health

    Madison, WI
    1 day ago
  • $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

    Blue Cross and Blue Shield of North Carolina

    Madison, WI
    1 day ago
  •  ...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)... 
    Risk
    Local area
    Remote work
    Work from home

    Network Health

    Menasha, WI
    4 days ago
  • $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... 
    Risk
    Work at office

    Cambia Health Solutions

    Oregon, WI
    4 days ago
  • 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).... 
    Risk
    Full time
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday

    Network Health WI

    Menasha, WI
    4 days ago
  • $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... 
    Risk
    Hourly pay
    Full time
    Part time
    Work experience placement
    Local area
    Remote work
    Relocation package
    Flexible hours

    Northwestern Medicine Corporate

    Wisconsin
    7 days ago
  •  ...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

    Blue Cross and Blue Shield of North Carolina

    Milwaukee, WI
    3 days ago
  • $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... 
    Risk
    For contractors
    Work experience placement

    Rural Mutual Insurance

    Rhinelander, WI
    2 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... 
    Risk
    Full time
    For contractors
    Flexible hours

    Central Garden & Pet

    Chilton, WI
    5 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, WI
    3 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... 
    Risk
    Contract work
    For contractors
    Work at office

    ABR Employment Services

    Stevens Point, WI
    2 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

    Landmark Credit Union

    Wisconsin
    1 day ago
  •  ...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, WI
    15 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... 
    Risk
    Temporary work
    Work experience placement
    Work at office
    Monday to Friday
    Flexible hours

    Progressive Insurance

    Wisconsin
    3 days ago
  • $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... 
    Risk
    Full time
    Apprenticeship
    Work at office
    Remote work
    Day shift

    Gundersen Health System

    Madison, WI
    4 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Shift work
    Rotating shift

    Magnet Medical

    Elkhorn, WI
    20 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... 
    Risk
    Contract work
    For contractors
    Apprenticeship
    Internship
    Work at office
    Weekend work

    The Boldt Company

    Waukesha, WI
    29 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... 
    Risk
    Live in
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Banner Health

    Madison, WI
    3 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Work at office
    Immediate start
    Shift work

    Magnet Medical

    Grafton, WI
    12 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... 
    Risk
    Work experience placement

    Molina Healthcare

    Madison, WI
    4 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    Work experience placement
    Work at office
    Monday to Friday
    Flexible hours

    Progressive Insurance

    Wisconsin
    4 days ago
  • $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... 
    Risk
    Relocation package

    Allstate Benefits

    Milwaukee, WI
    1 day ago
  •  ...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... 
    Risk
    Zero hours contract
    Immediate start
    Shift work

    Magnet Medical

    Kenosha, WI
    19 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.... 
    Risk
    Visa sponsorship
    Work visa
    Monday to Friday

    Synchrony

    Madison, WI
    3 days ago
  •  ...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... 
    Risk
    Full time
    Casual work
    Remote work

    Old Republic Risk Management

    Brookfield, WI
    1 day ago
  •  ...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... 
    Risk
    Full time
    Temporary work
    Part time
    Work experience placement

    PNC Financial Services Group

    Lake Geneva, WI
    9 days ago