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$21.3 - $29.33 per hour
...looking for a RCIS Crop Claims Specialist or Claims Crop Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. RCIS... ...plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America...RiskHourly payFull timeTemporary workSummer workWork at officeLocal areaRemote workFlexible hours$130k - $150k
Role Description Job Description: Director of Risk Adjustment ~Strategic Client Management: ~Serve as the primary operational partner for multiple external clients across medical groups, health systems, and risk-bearing entities. ~Serve as the trusted advisor and...RiskFull timeWork experience placementIKS Health
Remote19 days ago- ...Leading product strategy for a vital technology platform, the full-time salaried Director of Risk Adjustment will define and execute the product roadmap, enhance clinician experience, and ensure compliance with CMS regulations while working remotely. Key responsibilities...RiskFull timeRemote work
Virtual Vocations Inc
United States2 days ago - Role Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time, Salaried ~Compensation: $152,000-$183,000, 20% bonus ~Location: Fully Remote (must be located in the United States) ~Hours: Full-Time, Days What to...RiskFull timeTemporary workRemote workFlexible hours
Matrix Medical Network
Remote7 days ago $170k - $225k
Role Description The Director, Risk Adjustment Products will lead the strategy, roadmap, and execution for the product portfolio focused on retrospective risk adjustment solutions. This is a leadership role where you will pair your product development and people management...RiskFull timeRemote workHealthEdge
Remote2 days ago$100k - $231.54k
Role Description Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and financial valuations. This role is responsible for driving risk score accuracy...RiskHourly payFull timeTemporary workWork experience placementCVS Health
Remote17 hours ago- ...To support the Burden of Illness department, the full-time Risk Adjustment Coding Specialist will perform medical record reviews, validate ICD-10-CM codes, and collaborate with healthcare providers to ensure accurate documentation and coding in a remote setting. Key responsibilities...RiskFull timeRemote work
Virtual Vocations Inc
United States2 days ago $28.86 per hour
...DATE: July 20, 2026 POSITION: Risk Adjustment Compliance Coder DEPARTMENT: Finance-Risk Adjustment RATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: The Risk Adjustment Compliance Coder...RiskHourly payWork at officeRemote workHome office3 days per weekUpper Peninsula Health Plan
Marquette, MI4 days ago- ...Remote - Must Reside in the State of Florida) Status: Full Time, Salaried Shift Hours: M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare...RiskFull timeRemote workShift work
BayCare Health System
Tampa, FL5 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 States1 day ago- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree...RiskRemote job
$102k - $184.3k
Role Description The Principal Risk Adjustment Consultant drives analytical strategies and solutions to optimize Medicare Risk Adjustment (RA) performance. Leveraging deep healthcare expertise and advanced coding proficiency, this role delivers actionable insights, builds...RiskFull timeHealth Care Service Corporation
Remote1 hour agonew- ...Sharp HealthCare is seeking a Risk Adjustment Reporting Specialist to support the SCMG Finance team in preserving accurate reporting across EHR, claims, and external vendor files. The role centers on validation, distribution, and analysis to enable timely performance tracking...RiskRemote work
Sharp Corporation
San Diego, CA3 days ago $70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Chanell Graves Compensation: $70,000 - $85,000 / year Description...RiskFull timeWork at officeRemote workHome officeAstrana Health, Inc.
United States1 day ago- Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding...RiskRemote job
$198.22k - $297.33k
Role Description The Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk Adjustment (MRA) data and analytics programs within the...RiskFull timeWork experience placementRemote workAlignment Health
Remote7 days ago$92.99k - $113.02k
...Permanent Full-Time Job Number: AJVF-2024A Department: Risk Management Opening Date: 04/10/2024 Closing Date: Continuous... ...Costa County is seeking one (1) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers' Compensation...RiskPermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workContra Costa County, CA
Martinez, CA3 days ago- Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the...RiskRemote job
- ...communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Risk Adjustment Director leading the Risk Adjustment Department. This position can be located in one of our service counties (Mariposa,...RiskFull timeContract workTemporary workPart timeLive inWork at officeLocal areaRemote work
Central California Alliance for Health
Santa Cruz, CA2 days ago $64.38k - $96.58k
...work that really matters, not only changing lives but saving them. Together. Job Summary Alignment Health is seeking a remote Risk Adjustment Compliance Auditor to support auditing and compliance activities related to risk adjustment data submitted to CMS. In this role...RiskFull timeLocal areaRemote workMonday to FridayFlexible hoursE2E Alignment Healthcare USA, LLC
California, MO17 hours ago$22.4 - $30.87 per hour
...insurance plans through the United States Department of Agriculture’s Risk Management Agency. Together with RCIS agents, we protect America... .... Zurich is currently looking for a RCIS Crop Claims Field Adjuster I or RCIS Crop Claims Field Adjuster II or RCIS Crop Claims...RiskHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd
Lawrence, KS1 day ago$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...RiskLocal areaRemote workBlue Cross and Blue Shield of North Carolina
United States1 day ago- ...commercial trucking insurance, taking transportation insurance and fleet risk management to the next level. Our platform arms fleets with an... ...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
HDVI
Columbia, SC4 days ago - ...Customer Success Manager - Healthcare Risk Adjustment Remote Opportunity About Reveleer Reveleer delivers a unified platform spanningrisk adjustment,quality improvement,clinical intelligence, andmember managementfor health plans and provider organizations navigating the...RiskWork experience placementLocal areaRemote workFlexible hours
Reveleer
New York, NY1 day ago $143.62k - $229.79k
...Job Description 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 initiatives for business...RiskLocal areaRemote workFlexible hoursBlueCross BlueShield of North Carolina
United States1 day ago$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 hoursStrive Health
Washington DC3 days ago- ...industry standard for global medical cost containment and medical risk management solutions. Learn more here. Iris, Powered by... ...here. What you'll be doing. Job Summary: The Liability Claims Adjuster Specialist will be reporting to the Vice President, Claims. This...RiskTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hours2 days per week3 days per week
Itlearn360
Indiana, PA1 day ago $27.02 - $41.85 per hour
Highmark Health is seeking a skilled HCC Coder to support Medicare Advantage programs. This remote position requires proficiency in HCC coding, in-depth knowledge of CMS guidelines, and 3 years of coding experience. Responsibilities include performing HCC coding, assisting...RiskHourly payRemote workHighmark Health
New York, NY4 days ago- Gallagher Bassett, a national risk management services firm, is seeking a licensed claims professional with 5+ years of workers' compensation experience. This remote role supports clients from Wisconsin and surrounding areas, handling complex claims with empathy and accuracy...RiskRemote work
Gallagher Bassett
Waukesha, WI2 days ago $27.02 - $41.85 per hour
...Highmark Health, located in Trenton, NJ, is seeking an HCC Coding Specialist who will deliver value through coding processes for Risk Adjusted government programs. This role requires at least 3 years of experience in HCC coding and requires a CPC, CRC, CCS, or RHIT...RiskHourly payRemote workHighmark Health
Ewing, NJ4 days ago
