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$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- ...Fraud Investigator The Fraud Risk Management (FRM) department independently conducts research to prevent, detect, assess, decision... .... Communicates identified fraud trends to assist management in adjusting parameters of fraud detection systems, and reports gaps in...RiskWork experience placementWork at office
$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- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster - Mid Atlantic Region PRIMARY PURPOSE : To handle 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
- ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging...RiskFull timePart timeLocal areaFlexible hours
Encompass Health
Dayton, OH2 days ago - ...Workplaces in Financial Services & Insurance Executive General Adjuster - Mid Atlantic Region PRIMARY PURPOSE : To investigate claims internationally... ...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
- The Fraud Risk Management (FRM) department independently conducts research to prevent, detect, assess, decide, mitigate, investigate... .... Communicates identified fraud trends to assist management in adjusting parameters of fraud detection systems, and reports gaps in...Risk
- ...and internal investigations. Work closely with internal teams to offer legal advice and propose proactive approaches to minimize risk and ensure compliance. Prepare, assess, and negotiate various contracts, including service-level agreements, client arrangements,...RiskContract workWork at office
Larson Maddox
Dayton, OH2 days ago $21.16 - $34.88 per hour
...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the...RiskHourly payWork experience placementMolina Healthcare
Dayton, OH3 days ago- ...Adaptability: Demonstrates a willingness to listen to other opinions and adjusts to new or changing assignments, processes, and people while... ...and uses various approaches appropriately and effectively Risk Management: Implements or manages risk management for own...RiskDay shift
$100k - $140k
...allocation. Ensure projects are executed according to plan and adjust as necessary to meet project goals. Team Leadership : Lead and... ...concerns promptly. Build and maintain strong client relationships. Risk Management : Identify potential project risks and develop...RiskFull time$214.13k - $417.56k
...support internal solution development and vendor partnerships. Partners with Legal, Compliance, and Information Security to manage risk and data privacy. Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions....RiskWork experience placementMolina Healthcare
Dayton, OH4 days ago$85k - $110k
...tactically, and create buy in with our team, DO NOT apply for this position. We are looking for General Managers who can make calculated risk oriented decisions with minimal input, take responsibility for the outcome of achieving financial results, lead teams, delegate, and...RiskFull timeLive outHome Brands
Dayton, OH16 days ago$85 per hour
...More details about the benefits we offer can be found at . Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative...RiskReliefHarmonyCares
Xenia, OH2 hours agonew$50k - $60k
...training of all new team members Administer human resources and risk management compliance issues Supervision of side work for all... ...Closing Assisting in the execution of weekly inventory Build and adjust ordering pars for daily and weekly food, liquor and dry stock...RiskHourly payTemporary workLocal areaNight shiftWeekend work$150k - $175k
...Bachelor's degree with major in Business Administration, Finance or Risk Management preferred. Licenses as required. Possession of, or... ...sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000...RiskWork at officeLocal areaFlexible hours- ...Monitors project spend to ensure actual is at or below budget. Manages the risk of the project as defined in the project document. Manages project scope change, seeking appropriate approvals and adjusting time, budget, design specifications, and risk accordingly. Primary...RiskFull timeWork experience placementWork at officeRemote work
$42.64k - $52k
...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 placementPNC
Dayton, OH1 day ago- ...(JobBOSS, Epicor, or similar). Hands-on, detail-driven, team-oriented leader. Critical thinking skills; the ability to apply risk management constantly, proactively, and through robust RCCA when rework or scrap occurs. recblid eodyyew7mohb0pzeieiz0d8d93pv3i...RiskRelocation package
- ...milestones. Produce IMS technical outputs including: GANTT charts Network logic diagrams Critical path analysis and risk-adjusted timelines Integrate Agile constructs (sprints, backlogs, epics/features) with BCAT reporting structures to ensure traceability...RiskContract workTemporary workFor contractorsLocal areaRelocation packageFlexible hours
- ...medical center with over 1,100 licensed beds. Recognized for advanced and specialized care including:oAdult Level I Trauma CenteroHigh-risk maternity and Level III NICU in one locationoAdult Burn CenteroAir and Mobile ICU transport servicesoComprehensive stroke and...RiskFull timeFlexible hours
Archway Physician Recruitment
Dayton, OH16 days ago - ...regular attendance within our onsite operations Flexibility to work adjusted shifts as necessary Ability to travel up to 10% (domestic) -... ...related to day-to-day management of associates, reducing legal risk and ensuring regulatory compliance Total Rewards Competitive base...RiskPermanent employmentFull timeWork at officeRelocation packageFlexible hoursShift work
- ...positioned to complete tasks - Identify and manage potential risks and liabilities of multiple projects - Assist in the definition... ...throughout development to maintain the standards expected - Adjusting schedules and targets on the project as needed - Motivating...RiskTemporary workWork experience placement
Ernst Metal Technologies LLC
Moraine, OH26 days ago - ...coding audits and reviews the findings to identify areas where coder accuracy falls below the established standards. This involves working... ...comply with these regulations, thereby minimizing the risk of non-compliance. The Internal Coding Auditor must have a thorough...RiskWork from homeMonday to FridayShift work
Dayton Children's Hospital
Dayton, OH3 days ago $107.03k - $250.45k
...Description Job Summary The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and... ...may be preferred for specific roles) Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested...RiskWork experience placementImmediate start- ...of activities, including financial planning, budgeting, accounting, investments, debt management, insurance, real estate management, risk management, and contract management. This role also involves overseeing the University's endowment and annual operating budget, as...RiskContract work
$2,963 per week
...results, ensuring patient comfort and safety during the procedure. Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. Verify patient identity and medical history to...RiskFor contractorsZero hours contractWork at officeImmediate startShift workMagnet Medical
Dayton, OH4 days ago- ...driving sales, meeting branch goals, and supporting community growth. • Regulatory Awareness - Knowledge of compliance standards, risk management, and internal controls. • Operational Excellence - Experienced in streamlining processes and keeping daily branch...RiskFull timeWork at officeLocal areaRemote workWeekend workAfternoon shift
Killbuck Bancshares
Sugarcreek, Greene County, OH1 day ago - ...the field (sales & recruiting) and the back office (finance & risk). Duties/Responsibilities: Answer and direct inbound calls... ...addition to field associates. Provide timecard and billing adjustment as needed to ensure proper payout and invoicing. Serve as a...RiskWork experience placementWork at officeRemote work
NSC
Jeffersonville, OH13 hours ago $128.6k - $192.9k
...communicate needs to applicable department personnel. Provide overall risk management reporting at the portfolio and project level. -... ...process is accessible to all. If you require reasonable adjustments to be made during the recruitment process then please inform a...RiskFull timeContract workWork experience placementWork at officeLocal areaFlexible hours
