• Creative Financial Staffing (Des Plaines, IL)
    …is a rapidly growing educational establishment who are looking to add a Senior Manager , Foundation, Finance and Operations to their team. The company has enjoyed ... financial leadership to ensure sound fiscal practices that enable streamlined operations in, and provide scalability to, the advancement services functions of… more
    JobGet (04/14/24)
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  • Risk Adjustment Analytics…

    CareOregon (Portland, OR)
    Job Title Risk Adjustment Analytics Manager Exemption Status Exempt Department Finance Manager Title Director, Risk Adjustment Direct Reports ... Oregon. Job Summary Responsible for the development, execution, and management of the risk adjustment data analytics programs for the Medicare Advantage and… more
    CareOregon (03/26/24)
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  • Manager , Risk Adjustment

    Corewell Health (Grand Rapids, MI)
    …Three (3) to five (5) years' experience in the healthcare setting, preferably in Risk Adjustment or Medicare/ACA Operations with design and program ... Job Summary As a key leader in the Risk Adjustment team, the successful candidate...include but are not limited to: + Develop prospective operations and track trending with month over month and… more
    Corewell Health (04/20/24)
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  • Enterprise Risk Adjustment Analyst…

    LA Care Health Plan (Los Angeles, CA)
    … department operations . Chief Architect for reporting and analytics in support of Risk Adjustment operations for multiple lines of businesses. Serves as ... Enterprise Risk Adjustment Analyst III Job Category:...relates to reimbursement reporting requirements. Brings identified concerns to Manager with recommendations for resolution. Applies subject expertise in… more
    LA Care Health Plan (03/12/24)
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  • Risk Adjustment Provider Educator…

    The Cigna Group (UT)
    ** Risk Adjustment Provider Educator** **_Incumbent_** **_candidate must reside in assigned territory and have the ability to travel to the local office and ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in...role will work under the direction of Provider Education Manager to reach overall operational market goals in conjunction… more
    The Cigna Group (03/21/24)
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  • Sr. Manager , Business Consultant…

    CVS Health (Dover, DE)
    Adjustment experience Medicare, IFP, and/or Medicaid + Core understanding of Risk Adjustment operations + Management consulting, business process ... convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment )...Revenue Integrity (RI) Sr. Manager , Business Consultant ( Risk Adjustment ) is responsible for the management… more
    CVS Health (03/10/24)
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  • Senior Data Analyst - Risk

    Point32Health (Canton, MA)
    …this individual will be responsible for supporting critical data submission functions for the Risk Adjustment Department (RAD) including risk adjustment ... and timely resolution of production issues pertaining to CMS and risk adjustment data submission, including issue investigation, business requirements,… more
    Point32Health (03/20/24)
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  • Risk Adjustment Coder

    ChenMed (Miami, FL)
    …We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and ... medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure...do not meet quality standards. + Examples of missed operations missed opportunities. + Examples of clinical that ensure… more
    ChenMed (04/10/24)
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  • Medicare Risk Adjustment Advanced…

    Elevance Health (Denver, CO)
    …a check, or ask you for payment as part of consideration for employment. **Medicare Risk Adjustment Advanced Analyst Sr** + Job Family: RDA > Reporting & Data ... + GA, ATLANTA + HI, KAPOLEI + IA, W DES MOINES **Description** **Medicare Risk Adjustment Advanced Analytic Senior** Location: This position will work a hybrid… more
    Elevance Health (03/05/24)
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  • Manager , High Risk Disease…

    ChenMed (Miami, FL)
    …Disease Detection (HRDD) Manager will be responsible for supporting the company Risk Adjustment program and ensuring that risk exposures and ... non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. + Assists in education and… more
    ChenMed (04/20/24)
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  • Portfolio and Risk Analytics Solutions…

    Bloomberg (New York, NY)
    Portfolio and Risk Analytics Solutions (PORT) Account Manager , Enterprise Sales - Bloomberg Financial Solutions **New York, NY** Posted Apr 2, 2024 - Requisition ... our customers and employees alike. Our team comprises several key pillars: sales, service, operations , culture and brand. As a department, we are united by a common… more
    Bloomberg (04/03/24)
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  • Manager - Enterprise Risk & Internal…

    Inspire Brands (Atlanta, GA)
    …experience in IT SOX (ITGC and ITAC), SOC 1/2/3 audits/reports, IT Governance, IT Risk , IT Audit, IT Operations or related fields + Proven track record ... embarked on an exciting journey at Inspire Brands to reimagine our Enterprise Risk and Internal Audit functions to align with Inspire's strategic objectives. The … more
    Inspire Brands (04/05/24)
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  • Risk Manager

    City of Lakeland (Lakeland, FL)
    Risk Manager Print (https://www.governmentjobs.com/careers/lakelandfl/jobs/newprint/4446554) Apply  Risk Manager Salary $85,447.77 - $128,172.17 ... This position has management responsibility for eleven employees. The Risk Manager has wide latitude for independent...all claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured… more
    City of Lakeland (04/05/24)
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  • Manager , Enterprise Risk

    Inspire Brands (Atlanta, GA)
    … and Internal Audit functions to align with Inspire's strategic objectives. The Manager , Enterprise Risk and Internal Audit, will have the exciting opportunity ... This role will report directly to the Director, Enterprise Risk & Internal Audit - Finance, who reports to...that will drive end to end remediation and strategic adjustment + Provide valuable and actionable insights that help… more
    Inspire Brands (03/13/24)
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  • Prospective Program Solutions & Performance…

    The Cigna Group (Westerville, OH)
    …between Markets and Provider Performance Enablement teams, Provider Education, and the Risk Adjustment Operations teams. The Prospective Program Solutions ... role will work under the direction of the Senior Manager - National Lead Provider Education to reach overall...conjunction with market Provider Performance Enablement teams and the Risk Adjustment Operations team. The… more
    The Cigna Group (02/14/24)
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  • Senior Manager Clinical Documentation…

    AdventHealth (Maitland, FL)
    …to developing the overall structure and operations to support programs in Risk Adjustment coding, CDI review, working on Electronic Medical Record tools, ... incentive programs, and develop and lead a broad and diversified range of risk adjustment coding services for the AdventHealth Population Health Ri Clinical… more
    AdventHealth (04/04/24)
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  • Data Center Project Manager - Workplace…

    Bloomberg (Totowa, NJ)
    Data Center Project Manager - Workplace Operations & Supply Chain **Totowa, NJ** Posted Feb 26, 2024 - Requisition No. 123417 The energy of a newsroom, the pace ... Node Sites in North and South America. We are seeking a Data Center Project Manager to lead and support Data Center Construction Projects in New Jersey. The Data… more
    Bloomberg (03/01/24)
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  • Race & Sports Book Risk Supervisor

    Atlantis Casino Resort Spa (Reno, NV)
    **Overview** Come join Team Atlantis! We are currently accepting applications for Risk Supervisor. The Risk Supervisor, as with all members of the Atlantis ... at all levels. **Shift:** Varies **Responsibilities** + Assist the Manager in operation of the Race and Sports Book,.... + Monitor all current game markets and make adjustment were necessary. + Manage multiply game markets simultaneously… more
    Atlantis Casino Resort Spa (04/14/24)
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  • Sales Operations Content Manager

    RELX INC (Boca Raton, FL)
    Sales Operations Content Manager Are you looking for an innovative role?Are you a proactive team player looking to develop your career? About the Business ... about LexisNexis Risk at the link below, risk .lexisnexis.com About our Team: International Operations team...expand into new markets. About the Role: The Sales Operations Content Manager will manage content and… more
    RELX INC (03/13/24)
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  • Regional Coding Operations Manager

    HCA Healthcare (Salt Lake City, UT)
    **Description** This position is incentive eligible. **Introduction** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the ... or Certified Professional Coder - Hospital (CPC-H(R)) or Certified Risk Adjustment Coder (CRC) EXPERIENCE: + Experience...Do you want to work as a(an) Regional Coding Operations Manager WFH where your passion for… more
    HCA Healthcare (04/20/24)
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