Risk Adjustment Manager jobs

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RISK ADJUSTMENT MANAGER

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...

CompanyMid-Atlantic Permanente Medical Group
AddressRockville, MD
CategoryInformation Technology
Salarydental insurance, life insurance, parental leave, paid time off, sick time, tuition reimbursement, 401(k), retirement plan
Date Posted 7 days ago See detail

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...

Risk Management Specialist ~ EXP REQUIRED! New

Cornerstone Staffing

Irving, TX

3-5 years of experience in Risk Management 1-5 years of experience with Auto, CGL and Work Comp is preferred. High level of proficiency in Microsoft Office SharePoint required as well as the ability to navigate clinic portals, Ve...

Risk Adjustment Manager

Edifecs

United States

$108,831 - $159,619 a year

Develop, implement, and maintain Risk Adjustment solution operational workflows for customers. Develop and maintain Risk Adjustment solution training modules. Develop Risk Adjustment Solutions best practices and assist the Imple...

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).....

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...

Cyber Risk Management Lead New

Pierce Technology Corp

New York, NY

Assume management of the security Risk Management process. Lead a team focused on collaborating and helping business units identify their security related risks. Ensure alignment of security policy, standards, and controls with th...

HCC Risk Management Specialist New

Hca Healthcare

Campbell, CA

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Analyst, U.S. Cyber and IT Risk Management New

Scotiabank

New York, United States

Assist in the execution of the Cyber and IT Risk Management, the Third-Party Risk Management Framework, and associated procedures.. Assist with preparation of monthly and quarterly risk reporting for U.S. committees and senior ma...

Automotive Finance Risk Management Consultant

Kpa

San Leandro, CA

Shadow our current consultants and learn the process on how to properly conduct a KPA Sales and Finance Compliance Audit. Learn the Vera Suite system thoroughly and learn to use the mobile application in the field. Attended multip...

Credit Risk Management - Commodity Finance AVP

Adecco

New York, NY

$ 65000 - $ 150000 / Year

Evaluate and analyze borrowers creditworthiness on assigned proposals and prepare in depth analysis. Analyze all aspects related to credit requests submitted by business units, including but not limited to facility structure, hist...

Risk Management Analyst

Baker Hughes

Houston, TX

Collecting and processing of Risk Management related invoices within the applicable SAP accounts payable system. Accountable for timely and accurate internal allocation of Risk Management related costs to the operating business s...

Associate FSQ Risk Manager (hybrid in Minneapolis)

Target

Minneapolis, MN

Complete initial approval and ongoing monitoring of food vendor facilities, including food safety program reviews through desk audits, onsite assessments, and other necessary activities. Support the commercialization of new produc...

Integrated Risk Management

The United Solutions Group Inc. Usg1

United, PA

Company Description USG1 (www.usg1.com) provides top talent and technology solutions to government agencies where we aim to make a meaningful difference and add value to the mission. You will play a vital role in identifying, asse...

Risk Management Analyst

Jackson Square Aviation

San Francisco, CA

Its experienced, international, and professional staff in San Francisco, Dublin, Toulouse, Singapore, Beijing, and Lima are all fully committed to both meeting the airlines' evolving needs, whilst delivering robust risk adjusted f...

Business Control Manager/Risk Manager (Audit, Risk, Compliance, Information Security) New

Iconma

Jersey City, NJ

Must have Risk experience and excellent verbal and presentation skills. In this role, the Business Control Manager will initially lead the management of risk for up to two Technology Executives by partnering with the leadership an...

Operational Technology Security Risk/Audit & Education Manager New

United Parcel Service

Georgia, United States

Team Leadership: Lead a small team of security professionals, providing guidance, setting goals, and ensuring team members are up to date with the latest security practices.. Risk Management: Identify, assess, and mitigate OT secu...

Information Security Management - Technology Risk & Controls New

Jpmorgan Chase & Co.

Columbus, OH

Bachelors degree or equivalent experience. Advanced knowledge of multiple IT control and project management practices, plus experience working across large environments. Ability to collaborate with high-performing teams and indiv...

Coordinator of Risk and Emergency Management

Fort Valley State University

Tate, GA

Plans, directs and trains the campus on risk management and environment/occupational safety and Emergency programs to ensure the highest possible degree of safety and compliance for the campus community. Executes all aspects of th...

Senior Risk Consultant - Fire and Property Account Manager

Aon

Kansas City, MO

The successful applicant should be familiar with the following:. Assembly of Construction, Occupancy, Protection and Exposure (COPE) Data.. Brokerage submission information. Data assembly. Summary documents. Broker renewal support...

Manager Risk Adjustment Data Analytics

Blue Cross And Blue Shield Of Kansas

Topeka, KS

$126,560 a year

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans. Lead and Inspire: Guide and mentor your team to achieve their full potential and success. Dynamic Work Environment: Collaborate wi...

Senior Manager Risk Adjustment - Provider Initiatives (Remote - Florida Only)

Florida Blue

Jacksonville, FL

$88,100 - $110,100 a year

Oversee the staff who is primarily focused on, but is not limited to, establishing, and nurturing collaborative relationships Provider Initiatives for Risk Adjustment programs including provider quality coding chart reviews, char...

Prospective Programs Manager, Medicaid Risk Adjustment

Cvs Health

Connecticut, United States

3+ years of project management experience. . Clinical degree (RN) or previous work in Risk Adjustment, HEDIS or quality.. 2+ years in of Medicaid or relevant health care industry experience . 2+ years of HEDIS/Quality experience....

Professional Services - Sr. Manager, Risk Adjustment

Tabula Rasa Healthcare Group

Remote

$97.4K - $123K a year

Works closely with SVP and Sr. Director of Risk Adjustment to develop and implement strategies that improve client deliverables, identify new Risk Adjustment opportunities, and develop and execute overall key metrics to improve co...

Risk Adjustment Solutions Manager

Lumeris

United States

$84,600 - $113,775 a year

Guides a comprehensive Quality and/or Risk Adjustment strategy for our clients by developing data mining strategies, facilitating collection methodology and an effective Risk Adjustment program, standardizing workflows, ensuring s...

Analyst - RJFS Risk Management

Raymond James Financial

Lorida, FL

Supports RJFS business leadership with preparation of Risk Management reviews and assessments and communicates critical action items in a timely manner. Excellent verbal and written communication and interpersonal skills with...

Claims Admin-Risk Management

United Site Services

Westborough, MA

Knowledge of data management systems and processes (i.e., Outlook, Claims Management Systems, Excel Spreadsheets, Internet, Word, PowerPoint, etc.) Strong interpersonal and communication skills and the ability to work effectively...

Cybersecurity Third-Party Risk Manager

Caterpillar

Irving, TX

Deliver cybersecurity expertise and leadership for the advancement, execution and sustainability of the Cybersecurity Third-Party Risk Management program, processes and supporting tools . Effectively lead and motivate a team of 4...

Member Risk Adjustment Coordinator I

Bcforward

Indianapolis, IN

Schedule appointments, gather medical histories and updated member and provider information in support of member outreach and claims reimbursement. High school diploma or equivalent. 0-2+ years of customer service or medical offic...

Risk Management Representative 1 & 2

Intuit

Reno, NV

Required Visa Status:CitizenGCUS CitizenStudent VisaH1BCPTOPTH4 Spouse of H1BGC Green CardEmployment Type:Full TimePart TimePermanentIndependent - 1099Contract W2C2H IndependentC2H W2Contract Corp 2 CorpContract to Hire Corp...

Business Risk Manager

Citigroup Global Markets Inc.

Lorida, FL

Business Risk Manager for Citigroup Global Markets Inc. in Tampa, FL to carry out Risk/Mat- eriality assessments by prioritizing High Risks / Regulations to determine Target Process inventory. Remote work permitted w/i commutable...