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Our direct end-client a large healthcare insurance provider is seeking to hire a Senior Professional Coder/ Risk Adjustment Coder for a 6+ months contract role to work 100% remote | W2 contract only.
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Domain knowledge of derivatives and fixed income trading, pricing, analytics, middle office ops is a plus. You will work with industry leading financial software and market data providers such as Bloomberg, S&P, IHS MarkIT, Blackrock, Refinitiv and many others.
$90,000 - $120,000 a yearFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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This encompassing domain includes products related to access control monitoring, video surveillance, bank security, alarms, and the overall safety of personnel across our people centers and retail branches.
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Medical Director Opportunity – Medicare Risk Adjustment HCC Review – Columbus, Ohio. Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio. ROLE: The Medical Director reviews outpatient/inpatient medical records for proper documentation relevant to Medicare Risk Adjustment reimbursement payment system.
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Understanding of Licensing and Consumer Products industry with proven domain experience in Revenue Accounting, Finance and Contract Management Systems including, but not limited to contract processes and practices, licensee royalty statement submission processes, royalty and revenue transaction processing.
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The ideal candidate will have domain expertise in collateral management, operate with a commercial mindset, and have very strong communication to help drive client and industry momentum towards greater product use.
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Job Description The Department of Radiation Oncology at Memorial Sloan Cancer Center (MSKCC) is seeking a qualified Radiation Oncologist candidate for the position of Clinician Investigator focusing on the treatment of breast cancer patients with radiotherapy and conducting investigation in the domain.
$350,000 - $500,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Demonstrated working knowledge of Medicare Risk Adjustment methodology, Medicare payment policies, coding and documentation practices, and process improvement and optimization techniques required.
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Expert knowledge of U.S. Basel III Risk Weighted Assets (RWA) regulations is required with a specialization in Market Risk (FTRB), Credit Valuation Adjustment (CVA) and Derivatives Counterparty Credit Risk (SCCR.Significant experience evaluating complex transactions with ability to deconstruct structures and apply judgement to draw proper regulatory capital treatment conclusions when the US Basel III rules are not prescriptive/clear and defend those decisions upon first line escalation.
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Provide comprehensive individual, couples, and/or group counseling services to diverse students with a wide range of concerns including but not limited to the following: adjustment issues, interpersonal relationships, stress and time management, conflict issues, anxiety, depression, grief, and loss, gender and sexuality, suicidality, and substance abuse.
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Research claims that may have paid incorrectly and communicate findings for adjustment; Adjust claims based on findings (i.e., correct coding, rates of reimbursement, authorizations, contracted amounts etc.
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Proven track record in the field of Compliance Model Validation more specifically in the BSA / AML, Sanctions and regulatory domain is mandatory. The Model Risk Management (MRM) Group within the Risk Department (Model Risk & Risk Governance) is responsible for Model Validation, Model Risk Assessment and Model Risk Management for Natixis’ Group.
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Position Summary:As a Manager, Business Consultant within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical record data extraction, reconciliation and aggregation, and financial and operational reporting.
$63,300 - $139,200Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation.
$48 an hourExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Success in this role will be measured by aligned goals that include but are not limited to membership growth, quality, risk adjustment, utilization management, and overall financial performance.
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candid domain adjustment jobs Company: Pwc in New York, NY
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