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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... 
    Risk
    Remote job
    Work experience placement

    Molina Healthcare

    Dayton, OH
    6 days ago
  •  ...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... 
    Risk
    Work experience placement
    Work at office

    Ohio Staffing

    Dayton, OH
    6 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

    Dayton, OH
    4 days ago
  •  ...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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dayton, OH
    6 days ago
  •  ...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... 
    Risk
    Full time
    Part time
    Local area
    Flexible hours

    Encompass Health

    Dayton, OH
    2 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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dayton, OH
    5 days ago
  • 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

    Wright-Patt Credit Union Inc.

    Beavercreek, OH
    6 days ago
  •  ...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,... 
    Risk
    Contract work
    Work at office

    Larson Maddox

    Dayton, OH
    2 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... 
    Risk
    Hourly pay
    Work experience placement

    Molina Healthcare

    Dayton, OH
    3 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... 
    Risk
    Day shift

    KeyCorp

    Dayton, OH
    6 days ago
  • $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... 
    Risk
    Full time

    Gpac

    Dayton, OH
    more than 2 months ago
  • $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.... 
    Risk
    Work experience placement

    Molina Healthcare

    Dayton, OH
    4 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... 
    Risk
    Full time
    Live out

    Home Brands

    Dayton, OH
    16 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... 
    Risk
    Relief

    HarmonyCares

    Xenia, OH
    2 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... 
    Risk
    Hourly pay
    Temporary work
    Local area
    Night shift
    Weekend work

    Condado Tacos

    Beavercreek, OH
    6 days ago
  • $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... 
    Risk
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Dayton, OH
    4 days ago
  •  ...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... 
    Risk
    Full time
    Work experience placement
    Work at office
    Remote work

    Kadant Black Clawson LLC

    Lebanon, OH
    6 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    Part time
    Work experience placement

    PNC

    Dayton, OH
    1 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... 
    Risk
    Relocation package

    ETI/STARWIN

    Dayton, OH
    6 days ago
  •  ...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... 
    Risk
    Contract work
    Temporary work
    For contractors
    Local area
    Relocation package
    Flexible hours

    Clearance Jobs

    Dayton, OH
    6 days ago
  •  ...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... 
    Risk
    Full time
    Flexible hours

    Archway Physician Recruitment

    Dayton, OH
    16 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... 
    Risk
    Permanent employment
    Full time
    Work at office
    Relocation package
    Flexible hours
    Shift work

    Rose International

    Jeffersonville, OH
    2 days ago
  •  ...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... 
    Risk
    Temporary work
    Work experience placement

    Ernst Metal Technologies LLC

    Moraine, OH
    26 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... 
    Risk
    Work from home
    Monday to Friday
    Shift work

    Dayton Children's Hospital

    Dayton, OH
    3 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... 
    Risk
    Work experience placement
    Immediate start

    Molina Healthcare

    Dayton, OH
    3 days ago
  •  ...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... 
    Risk
    Contract work

    Confidential

    Springfield, OH
    3 days ago
  • $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... 
    Risk
    For contractors
    Zero hours contract
    Work at office
    Immediate start
    Shift work

    Magnet Medical

    Dayton, OH
    4 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... 
    Risk
    Full time
    Work at office
    Local area
    Remote work
    Weekend work
    Afternoon shift

    Killbuck Bancshares

    Sugarcreek, Greene County, OH
    1 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... 
    Risk
    Work experience placement
    Work at office
    Remote work

    NSC

    Jeffersonville, OH
    13 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... 
    Risk
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Stantec Consulting International Ltd.

    Dayton, OH
    2 days ago