Get new jobs by email
$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
- ...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...RiskPermanent employmentFull timeWork at officeRelocation packageFlexible hoursShift work
Rose International
Jeffersonville, OH4 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- ...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
- ...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, OH1 day ago $107.03k - $250.45k
...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to provide strategic leadership on projects while also managing multiple,...RiskWork experience placementRemote workMolina Healthcare
Dayton, OH18 hours 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
$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, OH5 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, OH4 days ago$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- ...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
$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- ...(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
$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....RiskWork at officeHome officeRelocation packageLifeStance Health
Centerville, OH3 hours agonew- ...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, OH15 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...RiskContract workTemporary workFor contractorsLocal areaRelocation packageFlexible hours
- ...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, OH25 days ago $15 per hour
...Assist Store Manager by ensuring the store meets sales plans, while monitoring customer service, inventory, expense control, and risk management Serve as a product knowledge expert with the ability to sell and market a broad range of apparel, including private...RiskHourly payMinimum wageFull timeLocal areaFlexible hoursDXL
Miamisburg, OH8 hours agonew$99k - $110k
...decisions about work task prioritization. Appropriately assesses risks before making decisions. Effectively navigates through ambiguity... ...- Uses "active listening" to understand viewpoints of others. Adjusts one's position or view to try and resolve conflict. Change Champion...RiskHourly payTemporary workWork at officeLocal areaWorldwideFlexible hoursRefresco
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- ...Relocation assistance About Facility: The regions only Level I Adult Trauma Center Level III neonatal intensive care unit (NICU) and high-risk maternity services The areas only Adult Burn Center CareFlight Air and Mobile ICU ambulance services Comprehensive stroke and...RiskPermanent employmentFull timeRelocation package
Source Medical, LLC.
Dayton, OH24 days 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, OH4 days ago - ...Practitioner integrated into office visits and consults ~25 Multi-Registered Sonographers ~ Registered nurses that specialize in high-risk obstetrics ~3 Genetic Counselors ~2 Diabetic educators ~1 Dietician ~1 Nurse Navigator for complex fetal cases ~ State of...RiskWork at office
Archway Physician Recruitment
Dayton, OH27 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...RiskContract work
$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$117.73k - $209.58k
...Experience with Member, Enrollment, and Claims applications - which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting. Azure Databricks. Python. Spark. QNXT. Preferred License,...RiskWork experience placementRemote workMolina Healthcare
Dayton, OH18 hours ago- 4 days ago Be among the first 25 applicants Description The Mortgage Segment Risk Specialist Senior works with the Segment Operational Risk Manager in the administration of the corporate risk management program and the business segment(s) to identify key risks and controls...RiskFull timeRemote workFlexible hours
