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$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...RiskTemporary workWork experience placementRemote workCynet Systems
United States2 days ago$87.7k - $157.8k
...Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in...RiskFull timePart timeH1bWork at officeLocal areaRemote workFlexible hours$83.99k - $119.97k
...company that continues to commit to putting our employees first. 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...RiskFull timeRemote workHome office$82.72k - $108.57k
Oscar Health is seeking an Associate, Risk Adjustment Auditor to support internal and external quality audits focused on ICD-10 code abstraction, accuracy, and documentation improvement opportunities. The role reports to the Manager, Risk Adjustment and works remotely with...RiskRemote job$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$22.4 - $30.87 per hour
...RCIS Crop Claims Specialist Or Claims Crop Field Adjuster I Zurich is currently looking for a to join our Rural Community Insurance Services... ...plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America...RiskHourly payTemporary workSummer workWork at officeLocal areaRemote workFlexible hoursZurich Insurance Company Ltd
United States3 days ago$87.7k - $157.8k
...Postition 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...RiskFull timePart timeWork at officeRemote workWork from homeFlexible hours- ...Risk Adjustment Coding Specialist We are looking for a full-time risk adjustment coding specialist to join our growing Population Health team. This position is located in Boise Idaho. This is a day shift, benefited position with the ability to work from home once training...RiskFull timeLocal areaWork from homeDay shift
$100k - $104k
...Description AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected regional leaders... ...succeed. Role Summary As a Workers’ Compensation Claims Adjuster III at AvonRisk, you are a senior technical expert trusted with...RiskPermanent employmentWork at officeRemote workIntercare Holdings, Inc.
Eastern, KY3 days ago$75k - $90k
...Claims Adjuster II AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and...RiskWork experience placementWork at officeRemote workAS&G Claims Administration
United States1 day 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
Sompo International Holdings Ltd
United States4 days ago $96.13k - $140.19k
...Hi, we're Oscar. We're hiring a Manager, Risk Adjustment, Provider Partnerships to join our Strategic Planning 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...RiskFull timeContract workRemote workWork from homeHome office$170k - $180k
...stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. We empower teams to take control of their operations and improve outcomes for...RiskFull timeRemote work$99k - $124k
...re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through... ...You’ll Do We are seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing, insights-driven team. You will...RiskWork at officeRemote workWork from homeFlexible hours2 days per weekStrive Health
Denver, CO5 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 Senior Casualty Claim Adjuster role requires deep, proven casualty claim experience and is...RiskFull timeWork experience placementWork at officeRemote workFlexible hours
- ...Role Details Job Title: Property Claims Adjuster Location: Remote / Hybrid (dependent upon on proximity of office location) Reports To:... ...business needs change.) Help us insure it Tokio Marine HCC - Public Risk Group, a member of the Tokio Marine group of companies, is a...RiskFull timeWork at officeLocal areaRemote work
Tokio Marine HCC
Louisiana, MO2 days ago - ...Bargaining Unit: Local 21 - Non‑Supervisory Management Contra Costa County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is unique as it is not only self-insured, but also self‑...RiskPermanent employmentFull timeTemporary workWork at officeLocal areaImmediate startRemote work
$35 - $45 per hour
...Description Description: AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting respected... ...finalist in the same category. Role Summary: The Claims Adjuster II investigates, evaluates, and adjusts General and Automobile Liability...RiskWork experience placementWork at officeRemote workAvonRisk
Rocklin, CA13 days ago$64.38k - $96.58k
...Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.The Remote Risk Adjustment Compliance Auditor is to conduct provider and coder level reviews and audits to ensure accurate risk adjustment data is being...RiskFull timeLocal areaRemote work- ...commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. Our platform arms fleets with an... ..., and unlimited PTO. About the Role As an HDVI Physical Damage Adjuster, you will work closely with HDVI’s Claims and Fleet Services...RiskTemporary workWork at officeRemote workFlexible hoursShift work
$136k - $170k
...transformative change in healthcare. What we're looking for: The open manager role is on a team that directly influences internal risk adjustment coding operations and produces client-facing analytics. Our focus is on our retrospective risk adjustment coding product and...RiskWork experience placementSeasonal workWork at officeRemote workFlexible hoursDatavant
Dallas, TX9 days ago- ...Responsible for diagnosis coding review and vendor coding quality assurance, the full-time Certified Risk Adjustment Coder will ensure accurate representation of population care needs and risks while working remotely during business hours. Key responsibilities Perform...RiskFull timeRemote work
Virtual Vocations Inc
United States2 days ago - ...Insurance Company is seeking a Commercial Auto Claims Property Damage Adjuster for a remote role in the Southeast region. The position... ...negotiating, and resolving PD claims for fleet and commercial risks with focus on timely outcomes. Ideal candidates have 3+ years...RiskRemote work
United Auto Insurance Agency, Inc.
United States5 days ago - ...Data Integration Analyst, AI & Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating...RiskFull timeLocal areaRemote work
Reveleer
Remote18 days ago - ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding...RiskWork at officeRemote work
ClinDCast LLC
Albany, NY2 days ago - ...Risk Adjustment Coder Location: Baton Rouge, LA 70809 Contract Length: 4 Months Position Summary We are seeking an experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment and ACA Risk Adjustment coding. This position supports...RiskContract workWork at officeRemote work
Leading Utilities Organization
Baton Rouge, LA4 days ago - ...chart reviews to ensure the appropriateness and completeness of diagnostic coding with evidence based on CMS HCC standards. The Risk Adjustment Coder is responsible for: ~ Timely, accurate, and complete review of patient charts following patient encounters, utilizing...RiskLive inRemote workRelocation
eCommunity.com
Indianapolis, IN2 days ago - ...specialty insurance carrier to hire a Senior Inland Marine Claims Adjuster for a 4–6 month, fully remote contract assignment. The role will... ...a particular focus on Motor Truck Cargo, as well as Builder’s Risk and Contractor’s Equipment. Key Responsibilities Investigate...RiskContract workTemporary workFor contractorsRemote work
JCW Group
United States1 day ago - ...Liability Senior Claims Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskRemote work
Davies North America
United States5 days ago - ...Life Actuary will utilize software for pricing, valuation, and risk management, while ensuring compliance with laws and regulations... ...present detailed analyses to Actuarial Leadership, advising on model adjustments Required qualifications Bachelor's degree or equivalent...RiskFull timeRemote work
Virtual Vocations Inc
United States1 day ago
