Risk adjustment jobs in Hoboken, New Jersey (NJ) State

Thorough understanding of healthcare risk adjustment coding practices and principles. ...

Knowledge of risk adjustment programs for Medicare/Medicaid, or risk mitigation programs under ACA, is a plus. Remote Senior Risk Adjustment Data Analyst. HealthCare Support is actively seeking a Senior Risk Adjustment Data Analyst to fill an opening with one of the leaders in improving health ca...

Bring your experience with healthcare analytics experience to an established insurer and play an active role in submission, monitoring, and contributing to the end-to-end Risk Adjustment Data Submission and Validation. You will be responsible for oversight and participation in projects including ...

Create programs and strategies to aid in the development of the risk adjustment department and advance enterprise wide knowledge of risk adjustment goals. This position is accountable for the development and execution of on-going risk adjustment educational communications for the enterprise. The ...

Center 3 (19075), United States of America, McLean, VirginiaManager, Cyber Risk & Analysis (Machine Learning)The Enterprise Services Business Risk Office provides risk management support to several lines of business including: Tech, Digital, Brand, Enterprise Supplier Management, Capital One Vent...

TRM plays a critical role in ensuring that the company’s risk-taking entities are aware of the risks inherent in their activities and decisions, the impact of their actions on the company at an enterprise level, and opportunities to reduce, mitigate or avoid the risks altogether. The successful c...

Job Overview:The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. Represent the Risk Management Department on hospital committees as needed, including the provisio...

TRM plays a critical role in ensuring that the company’s risk-taking entities are aware of the risks inherent in their activities and decisions, the impact of their actions on the company at an enterprise level, and opportunities to reduce, mitigate or avoid the risks altogether. The successful c...

RFPs)• lead collaborative engagements with external stakeholders to develop Financial Advisor education initiatives and identification of market opportunities • consistently find ways to understand client needs / competitive landscape so as to expand and enhance the program to make it easier to d...

Must have 3 years of experience working in non-financial risk domains focusing on technology transformation (Op Risk, IT Risk, Compliance Risk, Internal Audit, and/or Enterprise Risk Management). Must have 2 years of experience in one or a combination of any of the below frameworks and processes:...

The primary purpose of the Customer Service Receptionist is to register visitors for visitation and/or same day procedures by creating a visitor badge using the Visitor Management System; greet patients and visitors while providing friendly and prompt assistance when directing them to their desti...

This role will be assisting the executive leadership to manage the business, understand the impact of potential financial changes, manage general operating expenses, understanding the impact on PL statements, and communicating insightful information gathered from the recent historical results. Fo...

Have a solid understanding of operational risk frameworks to create meaningful categorization of risk, risk ratings, loss estimates, prevention tools and risk management strategies. Based on modeled results for potential losses, create mitigating procedures and controls that take into account org...

Would you like to bring your knowledge and experience along with your interpersonal and organizational skills to be a main contributor to the growth and expansion of our team and company in the NJ/NY Metro area? We are seeking a dedicated and committed HR Administrative Assistant to join our Team...

As a Project Manager / Business Analyst will be responsible for a wide variety of tasks for multiple project types. Opening for Project Manager with 3-5 years of experience, for one our our direct client a Global Bank. Title: Project Manager / Business Analyst. Looking for Project Manager with 3-...

One of our clients, a Healthcare organization, is looking for a Data Analyst. ...

The team interacts daily with Business (sales, Products, traders) and support functions (IT Business Analysts, Operation and Application Support). The Front Office Business Analyst (BA) joining the team will take part of ongoing initiatives identified to support business growth. What are we looki...

We are seeking a detail-oriented and experienced Medical Biller to join our client’s team. The Medical Biller will be responsible for managing all aspects of the billing process for their physical therapy practice, including claim submission, reimbursement tracking, and addressing billing inquiri...

Switching the title search to financial analyst or data analyst; could still be a BA but trying to avoid the IT folks. Ideally looking for applicants with a solid background in the financial/Banking services industry. The role will be as a Business Analyst working on the Operations Change and Tra...

Our client, a major Investment Bank, is seeking an experienced and highly skilled Project/Program Manager to join their team. Lead and manage complex projects and programs within the banking sector, focusing on innovation and efficiency. Implement best practices in project and program management....

Monitor program Key Performance Indicators to ensure program delivery meets business plan expectations and requlatory requirements; Prepare and present program and project status reports to senior management. Develop and maintain the processes for implementing energy efficiency projects and progr...

In this pivotal role, you will report directly to the Vice President for Operational Risk and act as the second-in-command, leading and mentoring a team of three junior operational risk managers. Senior Operational Risk Manager. Junior Operational Risk Managers. We are seeking an experienced and ...

Min of 1 year exp in AR insurance follow up / collections.Understanding of denials – what they mean and how to overturn.How to utilize insurance portals – Availity, United Healthcare, Connex, etc.How to put together documentation for appeals.Coding knowledge – CPC is a plus.Contacting payers and ...

The Manager will be responsible for working closely with assigned areas and team members to facilitate incident review, promote patient safety and support regulatory and risk compliance. Represent the Risk Management Department on hospital committees as needed, including the provision of analyzed...