Talent.com
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsAtlanta, Georgia, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.

Key Responsibilities

Manage multiple interrelated projects for the IFP Risk Adjustment team, ensuring financial tracking and budgetary compliance

Develop financial strategies, including budget management, risk identification, and mitigation plans

Coordinate cross-functional teams and oversee compliance-related activities while engaging with stakeholders

Required Qualifications

Bachelor's degree in Business Administration, Finance, Project Management, or a related field preferred

5+ years of relevant work experience required

Healthcare industry experience and / or HHS Risk Adjustment experience highly preferred

Strong understanding of financial processes, including forecasting and reporting

Proficiency in Excel, MS Word, and PowerPoint

serp_jobs.job_alerts.create_a_job

Risk Advisor • Atlanta, Georgia, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Fraud Compliance Analyst

Fraud Compliance Analyst

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.part_time
A company is looking for a Fraud Compliance Analyst (Part Time).Key Responsibilities : Conduct manual reviews of flagged identity verification cases Analyze ID documents and behavioral signals to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
State Licensed Actuary

State Licensed Actuary

VirtualVocationsAlpharetta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for an Actuary to join their Risk team.Key Responsibilities Oversee the design and enhancement of pricing and underwriting models in partnership with Underwriting Leverage s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior A&H Pricing Actuary

Senior A&H Pricing Actuary

Axis CapitalAlpharetta, GA, United States
serp_jobs.job_card.full_time
This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Risk Analyst

Senior Risk Analyst

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Business Risk Senior Analyst - Servicing.Key Responsibilities Partnering with Enterprise Risk Management for external audit requests and maintaining records of these re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Manager

Risk Manager

MBPAtlanta, GA, United States
serp_jobs.job_card.full_time
Project Controls / Risk Management.Do you have experience in risk monitoring and management for manufacturing facility projects and enjoy collaborating with construction managers, contractors, owners...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsNorcross, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Denials Specialist

Denials Specialist

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Denials Specialist - REMOTE.Key Responsibilities Validate denial reasons and ensure accurate coding in DCM, coordinating with the Clinical Resource Center as needed Ge...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Third Party Risk Management Analyst

Third Party Risk Management Analyst

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Business Risk & Controls Advisory Analyst specializing in Third Party Risk Management.Key Responsibilities Oversee vendor lifecycle management, including due diligence,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Risk and Compliance Analyst

Risk and Compliance Analyst

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Risk & Compliance Analyst.Key Responsibilities Design and implement compliance controls across a unified framework to manage regulatory and privacy obligations Drive r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Nevada Licensed Compliance Officer

Nevada Licensed Compliance Officer

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Nevada.Key Responsibilities Oversee compliance functions for the Nevada health plan and coordinate policy development Manage interactions with st...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in South Carolina.Key Responsibilities Oversee compliance functions for the South Carolina health plan and ensure timely submission of CMS Medicare S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsAlpharetta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Delaware.Key Responsibilities Oversee compliance functions for the Delaware health plan and ensure timely submission of CMS Medicare SNP requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Revenue Assurance Specialist

Revenue Assurance Specialist

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Revenue Assurance SME - Remote.Key Responsibilities Audit Corporate Standard CDM / client CDMs for regulatory compliance Utilize and analyze large datasets to drive data...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsDecatur, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Senior Business Risk Advisor

Senior Business Risk Advisor

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Business Risk & Controls Advisor - TPRM- Global Services (Remote).Key Responsibilities Oversee risk management strategies and ensure alignment with business / stra...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Risk Adjustment Coordinator

Risk Adjustment Coordinator

VirtualVocationsLawrenceville, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Member Risk Adjustment Coordinator I.Key Responsibilities Schedule appointments and assist members in booking visits with primary care providers Gather medical histori...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Indiana Compliance Officer

Indiana Compliance Officer

VirtualVocationsAlpharetta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer in Indiana.Key Responsibilities Oversee compliance functions for the Indiana health plan and manage submission of CMS Medicare SNP requirements Serv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsAlpharetta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Materials Analyst to support the Maintenance, Repair, and Operations (MRO) department.Key Responsibilities Analyze historical data on equipment wear and failure to cate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Disaster Recovery Project Lead

Disaster Recovery Project Lead

VirtualVocationsAlpharetta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Business Continuity Project Lead - Disaster Recovery.Key Responsibilities Lead the development and maintenance of a comprehensive Business Continuity / Disaster Recovery ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Trust & Safety Specialist

Trust & Safety Specialist

VirtualVocationsMarietta, Georgia, United States
serp_jobs.job_card.full_time
A company is looking for a Trust & Safety Specialist to ensure safety and mitigate fraud on its platform.Key Responsibilities Identify, investigate, and resolve fraudulent-related issues on the p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30