Full-Time Risk Adjustment Specialist jobs

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RISK ADJUSTMENT SPECIALIST - REMOTE IN SOUTHERN CA

Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...

CompanyOptum
AddressSanta Ana, CA
CategoryResearch & Science
Salary$70,200 - $137,800 a year
Job typeFull-time
Date Posted 2 months ago See detail

Risk Adjustment Specialist - Remote in Southern CA

Optum

Santa Ana, CA

$70,200 - $137,800 a year

Serve as the Relationship Owner and Strategic Partner for key markets/provider groups in collaboration with Market Leadership. Provide guidance and consultative feedback to groups, MSOs and IPAs to drive provider engagement and ad...

Risk Adjustment Coding & Documentation Specialist

Sentara Healthcare

Virginia Beach, VA

Coding - 2 years Experience required. Medical Records Data - 1 year experience required. Associates preferred but not required. Microsoft Office, including PowerPoint & Excel experience required. Should be able to analyze perform...

Fraud Risk Specialist

Poppy Bank

Roseville, CA

Minimum 2 years of risk experience with a financial institution Minimum 2 years central operations experience with a financial institution Requires proficiency with Microsoft Office Suite including Word, Excel, and Outlook Ability...

Credit Risk Specialist

Keyence Corporation Of America

Itasca, IL

$60,000 - $63,000 a year

In this role, you will be responsible for conducting risk analysis to ensure our company is making sound credit decisions. Monitor Credit Risk exposure and identify potential areas of risk. Analyze credit reports and financial sta...

Information Security Risk Specialist, Senior

Bank Of America

Lexington Park, MD

5+ years of experience in cybersecurity. 3+ years of experience with RMF supporting the DoD. Experience as an Operating System Administrator, Systems Engineer, Requirements Analyst, Information Systems Security Manager, Informatio...

Financial Crimes Risk Specialist (Financial Services Specialist 4 (Financial Crime Risk))

Financial Services, Department Of

New York, NY

$100,721 - $124,107 a year

Evaluating financial institution Financial Crime Risk (BSA/AML, CIP, OFAC/Sanctions, CTF) in a management, compliance or audit environment. Developing and implementing Financial Crime Risk management or compliance policies, progra...

Reputational & Strategic Risk Specialist

Northern Trust

Chicago, IL

Unspecified

Crafting and maintaining policies on reputational and Strategic Risk, and responding to inquiries from examiners and auditors on practices in each area. Organizing discussions of reputational risk at the designated first-line gove...

Principal Associate Risk Specialist - Monitoring, Process and Governance | Retail Bank

Capital One

Richmond, VA

Specializes in workplace learning and demonstrates expertise in designing and implementing effective learning programs tailored to meet the needs of the Retail Bank Risk Office and various audience levels Is naturally curious and...

Principal Risk Specialist, Change Management | Retail Risk

Capital One

Virginia, United States

Engage with partners in both 1st and 2nd line to drive successful implementation of regulatory changes. Influence and create partnerships with our vertical risk managers to ensure implementation requirements are prioritized and ap...

Information Security Risk Specialist

Sabre Corporation

Lexington Park, MD

Experience assessing, auditing, configuring, and authorizing information systems. Knowledge of cybersecurity, system administration, compliance, and vulnerability assessments. Secret clearance. HS diploma or GED. Experience develo...

Specialist, Risk

Northern Trust

Chicago, IL

Unspecified

Risk advisor to the Business on material change activity (e.g. new product, new business, new vendor etc.), including initial high-level views and channeling to appropriate risk evaluation and governance processes. Engagement with...

Liquidity Risk Specialist

Northern Trust

Chicago, IL

Unspecified

Independent review and challenge of stress testing assumptions and performing independent complex analysis of key product drivers to support assumption calibration. Drive complex sensitivity analysis and scenario analysis across a...

Risk Adjustment Coder

Apex Health Solutions

Houston, TX

$47.6K - $60.3K a year

High School Diploma or GED Required. Certified Risk Adjustment Coder (CRC). Certified Professional Coder (CPC). Certified Coding Specialist (CCS). Minimum of three (3) years HCC experience performing retrospective Risk Adjustment...

Field Public Adjuster / Documentation Specialist

Ally Public Adjusting, Inc.

Marietta, GA

$66.2K - $83.9K a year

Conduct thorough inspections of property damage, including residential, commercial, and industrial properties. Document and compile detailed reports of damages, including photographs, measurements, and notes. Collaborate with inte...

Financial Analyst / Investment Risk Management Specialist / Education Consultant

Immi Consulting

Jersey City, NJ

$15 - $40 an hour

Conduct Market Research: Perform in-depth market research to identify trends, economic conditions, and influencing factors in the stock market. Analyze Stock Trends: Use quantitative and qualitative analysis to evaluate stock perf...

Lead Risk Specialist

Discover Financial Services

New Albany, OH

Conducts and directs investigation of compliance issues. Reports violations of standards as needed. Maintains documentation of compliance activities, including complaints received and investigation outcomes. Identifies compliance...

Bank examiner/Risk Specialist - DCPC

Federal Reserve Bank

San Antonio, TX

Lead supervisory assessments of your assigned risk area in accordance with the FRS SIO Framework. Conduct continuous risk-focused monitoring activities in your specialty area to observe risk trends, monitor for new issues, and as...

Physician Educator - Medicare Risk Adjustment Opening - NV

Hybridge Staffing

Nevada, United States

Physician Educator, Medicare Risk Adjustment (Openings in AZ, NV, and OR)*Employed structure*Can live in market or commute once per month*Expanding organization*Salary of $250K+ plus $62K incentive*Sign-on and relo *Full benefits*...

Physician Educator - Medicare Risk Adjustment Opening - AZ

Hybridge Staffing

Arizona, United States

Physician Educator, Medicare Risk Adjustment (Openings in AZ, NV, and OR)*Employed structure*Can live in market or commute once per month*Expanding organization*Salary of $250K+ plus $62K incentive*Sign-on and relo *Full benefits*...

Capital Markets Risk Specialist

Federal Reserve Bank

Kansas City, MO

Using an inquisitive and analytical mindset to independently assess asset and liability management at banking organizations. Your focus will primarily include liquidity, interest rate, and investment securities risks, with input i...

Risk Adjustment Manager

Mid-Atlantic Permanente Medical Group

Rockville, MD

dental insurance, life insurance, parental leave, paid time off, sick time, tuition reimbursement, 401(k), retirement plan

Oversee the outcomes and operations of Risk Adjustment across the organization within all the assigned products and identifies areas of improvements and implements processes as needed. Interpret statistical analyses and helps stak...

Administrative Assistant-Risk Adjustment

Presbyterian Healthcare Services

Albuquerque, NM

Why Join Us:. Full Time - Exempt: No. Job is based Rev Hugh Cooper Admin Center. Work hours: Days. Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more...

Regulatory Risk Specialist

Northern Trust

Chicago, IL

Unspecified

Responsible for supporting the definition and leading the execution against the identified pillars of the Program as a named Program Lead. Collaborating with stakeholders across all lines of defense, multiple business units and se...

Retrospective Program Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

3+ years of project management experience. . 2+ years in Medicaid or Risk Adjustment health care industry experience. . Certified Risk Adjusted Coder (CRC) or Certified Professional Coder (CPC).....

Risk Adjustment Coding Analyst

Centene Corporation

Las Vegas, NV

Validate provider, vendor, and internal diagnosis coding for accuracy by reviewing and analyzing samples of coding and claims extract compared to actual medical records. Review and identify trends in coding discrepancies and notif...

Supervisor Risk Adjustment and Coding *Remote*

Providence

Beaverton, OR

Directly supervise the coding staff who review, interpret, code, and abstract medical record information according to coding policies and practices. Serve as the first-level supervisory position. Be responsible for assigning, dire...

Climate Risk Specialist

York State Department Of Labor

New York, NY

Lead and work closely with cross-functional teams in collecting, analyzing, and interpreting climate data to assess risks. Utilize advanced GIS tools and techniques to conduct spatial analysis and visualize climate-related risks....

Financial Risk Specialist, Model Risk Program

Federal Reserve System

New York, NY

Lead and continue developing the Function's Model Risk management program, design new processes and improve current processes in executing the independent assessment of models used across the Bank, which includes conducting analys...

Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

Oversees a program or programs that is jointly accountable for Risk Adjustment strategy, performance, and results within a designated market(s). Responsible for identifying and recommending nuanced market Risk Adjustment strategi...

Reputational & Strategic Risk Specialist

Northern Trust

Chicago, IL

Unspecified

Crafting andmaintainingpolicies on reputationalandStrategic Risk, and responding to inquiries from examiners and auditors on practices in each area. Organizing discussions of reputational risk at the designated first-line gove...