Talent.com
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsRedding, California, 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 • Redding, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsRedding, California, 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
State Licensed Actuary

State Licensed Actuary

VirtualVocationsRedding, California, 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
Bill of Materials Analyst

Bill of Materials Analyst

VirtualVocationsRedding, California, 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

VirtualVocationsRedding, California, 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
Delaware Compliance Officer

Delaware Compliance Officer

VirtualVocationsRedding, California, 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
Michigan Licensed Workers Compensation Adjuster

Michigan Licensed Workers Compensation Adjuster

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while managing claims exposure Interact with var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist to manage financial and insurance information for patients.Key Responsibilities Verify the accuracy and completeness of financial and insurance in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Property and Casualty Underwriter

Property and Casualty Underwriter

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for an Underwriting Operations Specialist II to focus on underwriting operations and support the underwriting strategy and guidelines. Key Responsibilities Review inspections ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Actuarial Senior Consultant

Actuarial Senior Consultant

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for an Actuarial Senior Consultant specializing in Annuity Modeling.Key Responsibilities : Lead the implementation of new products and regulations in Moody's AXIS, collaborati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Project Reconciliation Analyst

Project Reconciliation Analyst

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for a Project Reconciliation Analyst to join their Revenue Cycle Department.Key Responsibilities Perform final budget reconciliation and analyze protocol / budget amendments fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
State Licensed Financial Crimes Specialist

State Licensed Financial Crimes Specialist

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for a Financial Crimes Specialist.Key Responsibilities Investigate AML and fraud alerts to detect potentially suspicious activity Draft comprehensive investigative narrative...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Risk Adjustment Coordinator

Risk Adjustment Coordinator

VirtualVocationsRedding, California, 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

VirtualVocationsRedding, California, 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
South Carolina Compliance Officer

South Carolina Compliance Officer

VirtualVocationsRedding, California, 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_1_day
  • serp_jobs.job_card.promoted
Licensed Insurance Strategist

Licensed Insurance Strategist

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Strategist to sell life, long-term care, and disability income insurance.Key Responsibilities Lead clients through discovery to identify needs and articulate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I responsible for examining, investigating, and settling insurance claims efficiently. Key Responsibilities Investigate workers' compensation clai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Prevention Analyst

Risk Prevention Analyst

VirtualVocationsRedding, California, United States
serp_jobs.job_card.full_time
A company is looking for a Risk Prevention Analyst responsible for operational risk assessments and fraud mitigation strategies. Key Responsibilities Develop and implement fraud strategies using t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours