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$83.99k - $119.97k
...committed to bringing passion and customer focus to the business. Job Description: OVERVIEW OF POSITION: The Program Manager, Risk Adjustment & Stars, serves as the connective link between Alpine's technical teams (coding, data, analytics, IT) and its operational and...RiskRemote workHome office$100k - $231.54k
...is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions. This role transforms complex clinical, operational, and risk adjustment data into...RiskHourly payFull timeTemporary workWork experience placementLocal area$147.55k - $215.18k
...Hi, we're Oscar. We're hiring a Senior Manager, Actuarial - Risk Adjustment to join our Actuarial team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to...RiskFull timeRemote workWork from homeHome office$196.73k - $286.9k
...Hi, we're Oscar. We're hiring a Senior Director, Actuarial - Risk Adjustment to join our Actuarial team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to...RiskFull timeRemote workWork from homeHome office$150k - $206.3k
...Become a part of our caring community The Director, Risk Management identifies and analyzes potential sources of loss to minimize... ...segment. This is a remote position. The Director of Risk Adjustment Regulatory Audits will be responsible for developing strategy and...RiskFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$80k - $110k
...Background A.G. Risk Management, Inc. is a growing and dynamic business operating in the global insurance and reinsurance market, focusing... ...: We are currently seeking a highly motivated Claims Adjuster to join our dynamic team. This individual will play a critical role...RiskFull timeWork at officeRemote workFlexible hours$157.3k - $262.7k
## Director, Risk AdjustmentApply: California-Remote: Full time: Posted 2 Days Ago: JR100164Come Grow With Us At Gold Coast Health... ...*Job Function & Responsibilities**• Develop and execute a risk adjustment strategy aligned to organization goals, regulatory requirements...RiskFull timeRemote workGold Coast Health Plan
California3 days ago$31.03 - $36.03 per hour
...degree, an additional 2 years of relevant work experience is required in addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge of diagnosis code validation, coding guidelines,...RiskTemporary workWork experience placementRemote workCynet Systems
United States5 days ago- ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...? Sompo has a unique opportunity for a Crop Insurance Adjuster to support our Multi-Peril Crop Insurance (MPCI), Private Products...RiskFull timeWork at officeRemote workWorldwideHome officeFlexible hoursWeekend work
$118.6k - $157.14k
...and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Reporting to the Director of Risk Adjustment Prospective Programs, the Manager of Risk Adjustment Encounter Data Reconciliation is a highly technical, data-driven day-to-day...RiskTemporary workWork experience placementLocal areaRemote workMonday to FridayInland Empire Health Plan
Rancho Cucamonga, CA1 day ago- ...are passionate about improving health outcomes and supporting those in need. POSITION PURPOSE The Manager of Coding and Risk Adjustment is responsible for leading coding operations, risk adjustment initiatives, quality assurance activities, and provider documentation...RiskFull timeRemote work
$71.88k - $129.38k
...Job Description: Summary The Supervisor, Risk Adjustment Quality Assurance and Auditing, is responsible for oversight of the daily operations of the Risk Adjustment Quality Assurance Auditor team. This role ensures the accuracy, compliance, and quality of the risk...RiskFull timeContract workRemote workWork from homeHome office- ...experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent... ...opportunity employer. Responsibilities This Senior Casualty Claim Adjuster role requires deep, proven casualty claim experience and is...RiskFull timeWork experience placementWork at officeRemote workFlexible hours
W. R. Berkley
Scottsdale, AZ1 day ago $87.36k - $106.08k
...Temporary Risk Adjustment Campaign Associate Work from home within Oregon, Washington, Idaho or Utah. This is a temporary non-benefited assignment with a duration of approximately 5 months. Build a career with purpose. Join our Cause to create a person-focused...RiskHourly payTemporary workWork at officeWork from homeFlexible hours$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial...RiskRemote workBlue Cross and Blue Shield of North Carolina
United States4 days ago- Humana is seeking a Remote Risk Adjustment Coding Analyst to provide analytical and operational support across programs. You will analyze data, prepare executive-ready summaries, and develop dashboards to monitor performance and compliance. This role emphasizes turning...RiskRemote job
- ...week of employment and ongoing remote duties thereafter. The position requires certification in coding (CPC/CCS/COC, RHIT/RHIA or equivalent) plus risk adjustment experience. Expect collaboration with providers and strict HIPAA adherence. #J-18808-Ljbffr Trinity HealthRiskRemote job
- ...ABOUT ADVANTMED Advantmed is a leading provider of risk adjustment, quality improvement, and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that improve the risk adjustment...RiskFull timeTemporary workWork from home
- Horizon Blue Cross Blue Shield of New Jersey is seeking a Manager of Risk Adjustment Vendor & Performance Management to lead vendor strategy and performance analytics for Enterprise Risk Adjustment in Newark, with remote work options. The role drives KPI design, contract...RiskContract workRemote work
- Centene Corporation is seeking a Risk Adjustment Audit Manager to oversee external audits and lead delivery of audit deliverables. The role focuses on ensuring accuracy, regulatory alignment, and timely communication with auditors across the risk adjustment function. You...RiskRemote job
- A.G. Risk Management, Inc. is seeking an experienced Claims Adjuster to join our team. This role involves investigating insurance claims, evaluating coverage, and negotiating fair settlements while coordinating with policyholders and external experts. The ideal candidate...RiskRemote job
$87.7k - $157.8k
Position Purpose Manages a team responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables and associated risk related for each audit. Collaborates with business areas to ensure...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours$143.62k - $229.79k
...Remote Flex - Missouri Remote Flex - Alabama Full time RQ0018005 Job Description As a Consulting Actuary - ACA Risk Adjustment, you will serve as a strategic partner in shaping the financial performance and success of our ACA business. In this highly visible...RiskFull timeWork at officeLocal areaRemote workFlexible hours2 days per weekBlueCross BlueShield of North Carolina
United States4 days ago$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: Nallammai Vijayakumar Compensation: $160,000 - $195,000 / year Description We are seeking a strategic...RiskFull timeContract workRemote work- ...Certified Risk Adjustment Coding Specialist Location: Trinity Health PACE Corp Michigan Status: Full time Remote Position Purpose: The primary purpose of this position is to assign ICD/CPT codes to participant health information for data retrieval, analysis...RiskDaily paidFull timeLocal areaRemote workHome office
$137.81k - $206.71k
Job Description Summary Responsible for applying advanced analytics, machine learning, and statistical modeling to solve complex business problems. Designs experiments, builds predictive models, and works with large datasets to uncover patterns and drive innovation...RiskFull time$70k - $85k
...Risk Adjustment Coding Specialist II - Orange County We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required...RiskWork at officeRemote workWork from homeHome office- ...our team. Every employee plays a vital role in living out our promise: We care. You belong. Job Summary We are seeking a Risk Adjustment & Quality Coder to join our Springdale Admin team! The Risk Adjustment & Quality Coding Specialist is a highly specialized,...RiskFull timeLive outRemote workMonday to FridayFlexible hours
Community Clinic
Springdale, AR5 days ago - ...experience to match. Our mission is to deliver highly personalized risk and claims management through a blend of expert independent... ...opportunity employer Responsibilities This role, Auto Damage Desk Adjuster is a key contributor to the Berkley One brand, requires a...RiskFull timeWork experience placementWork at officeRemote workFlexible hours
- ...Risk Adjustment & Quality Coder Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded...RiskFull timeLive outRemote workMonday to FridayFlexible hours
