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Collaborate with key stakeholders to evaluate and uncover strategic insights related to Profit & Loss performance including Product Strategy, Pricing, Marketing, Sales, Credit Risk, Distribution Channels, and Member Experience.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Collaborates with key stakeholders to evaluate and uncover strategic insights related to Profit & Loss performance including Product Strategy, Pricing, Marketing, Sales, Credit Risk, Distribution Channels, and Member Experience.
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Participates in developing, implementing, and reviewing: Programs for coding compliance monitoring Criteria for benchmark comparisons Organization’s policies and procedures Providers clinical documentation improvement Reports and applications supporting HCC/Risk Adjustment program.
Full-timeRemoteExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Who Should Apply: If you have experience as a certified coder, medical coder, Medicare risk adjustment, CPC, CRC, medical coding specialist, remote coder, medical coding, MRA, HCC, hierarchal condition categories, or risk adjustment, we would love for you to apply.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Title of Job: Sr. Risk Adjustment Coder - Remote Pay: will be based upon years of experience $22-33 an hour (overtime will be paid at 1.5 times the normal hourly pay rate). Location: This is a remote role, work-from-home, telecommuter Effective Date / Tentative Start Date: October 11th Job Summary The Sr. Risk Adjustment Coder will provide Hierarchical Condition Category (HCC) coding services for outpatient and inpatient charts.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Monitors and evaluates trends in DRG (MS-DRG), APC, ACG, DCG, HCC and other Health Risk Adjusted Factors appropriate to the assigned area, and the effect on Case Mix Index by use of specialized software.
$26.29 - $39.44 an hourFull-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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10+ years of IT auditing experience at a global level, specializing in areas such as IT governance, project management, infrastructure management, software development, and cybersecurity risk. This leader will ensure further enhancement of the IT SOX controls, risk, and compliance framework in close cooperation with IT leaders, Internal Audit, and business stakeholders.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Foster a long-term results-orientation and business partner mindset within the IT SOX, Risk, and Compliance Teams. Conduct risk assessments of IT projects, financial reporting processes, and information systems, and coordinate the scope of the annual SOX assessment process, ensuring adequate coverage with internal audit.
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Conduct design review/Operational Risk Management meetingsUpdate the Air to Ground Site Survey Database DocumentComplete the Site Requirement Form (SFR)Review project deliverables and provide verbal and written communication to the findings.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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QualificationsBachelor’s degree (preferably Engineering, Architecture, Construction Management, or related field)5+ years of project controls change and/or risk management experience or cost engineer experienceExperience within the construction industry is a mustRisk software experience:Safran Risk/Primavera Risk/Oracle Experience with Monte Carlo analysis toolAdditional InformationOur inspired people share our vision and mission.
Full-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The SOC Analyst is responsible for monitoring and using a suite of security tools, products, and services centered on Security Operations and MSSP offerings in network security engineering, security risk management, vulnerability management, threat intelligence, incident investigation and response, and Cyber breaches.
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A minimum of two years’ experience in one or more of the following fields: risk management, quality improvement, health information management, healthcare administration, patient care, and/or business management.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Be part of a forward-thinking, risk-taking church that is making a lasting difference by leading people to love God and love people! Kids, Youth or Music Ministry Pathways. Be part of a forward-thinking, risk-taking church that is making a lasting difference by leading people to love God and love people.
Part-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Utilizes schedule risk assessments, milestone charts, earned value management, and other project management techniques to gauge progress and identify performance variances to facilitate focus and intervention on critical areas.
Full-timeExpandApply NowActive JobUpdated 1 month ago
risk job
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