Risk Adjustment Specialist jobs

Now available 75 results are consistent

Sort by:relevance - date

BANK EXAMINER/RISK SPECIALIST - DCPC

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...

CompanyFederal Reserve Bank
AddressSan Antonio, TX
CategoryHuman Resources
Job typeFull-Time
Date Posted a month ago See detail

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...

Group Risk Specialist- Business Resilience & Incident Management

York State Department Of Labor

New York, NY

Highly seasoned professional role requiring substantial knowledge/expertise in a complex field and knowledge of broader related areas. Integrates knowledge of the enterprise sub-functions or business lines overarching strategy i...

Property Adjuster Specialist (Field)

Usaa.

Worcester, MA

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

Sr. Financial Risk Specialist/Analyst

Adecco

New York, NY

$88.00/Hour

Comprehensive Benefits Package: Dental, vision, health, and 401K. $88.00/HR. HYBRID enjoy the perks of both environments.. Dive deep into a variety of portfolios (active, passive, liquid alternatives) across asset classes (fixed...

Property Adjuster Specialist (Field)

Usaa.

Olin, NC

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

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...

Data Risk Specialist – Global Confidentiality and Privacy Office

Deloitte

Atlanta, GA

$63.4K - $80.3K a year

Assess and advise on the Data Risk elements of global services and technologies based on a defined process. Delivering Data Risk assessments used by regional stakeholders to determine their risk/adoption strategy. Act as a trusted...

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...

Property Adjuster Specialist (Field)

Usaa.

Los Angeles, CA

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

Property Adjuster Specialist - Field

Usaa.

Dallas, TX

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

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...

Risk Adjustment Coder - VBC - Part-Time

U.s. Renal Care

Remote - Oregon, United States

Collaborate with Lead Coder to review CDMV progress notes and CDMV Summary. Continuous streamlined communication with NPs on queries as needed. Weekly meeting with Lead coder to discuss any barriers on receiving responses to queri...

Supervisor Risk Adjustment Billing and Coding

Innova People

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...

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...

Property Adjuster Specialist (Field)

Usaa.

Sylvania, PA

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

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....

Property Adjuster Specialist (Field)

Usaa.

Bismarck, ND

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. Partners with vendors and internal business pa...

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...

RN Patient Safety Risk Specialist

Hca Healthcare

Draper, UT

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...

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...

Market Risk Analytics Specialist

Sumitomo Mitsui Banking Corporation

New York, NY

remote work

Research on the conceptual soundness of the capital-related Market Risk models, including VaR/SVaR and FRTB Scenario simulation choices (e.g. parametric, historical, Monte-Carlo).PnL generation choices (e.g. sensitivity-based, par...

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...