Risk Adjustment Coder Specialist

At Oscar Health, we're seeking a seasoned Risk Adjustment Coding Specialist to drive medical record reviews, CMS audits, and process enhancements.This role requires collaboration with the Risk Adjustment Coding Lead to establish and maintain compliance with national coding standards, ensuring accuracy in risk adjustment data. Key responsibilities...

About the RoleThe Risk Adjustment Reporting Specialist analyzes data from various sources, including the Enterprise Data Warehouse (EDW), to report to internal and external customers. You will design, develop, test, document, and maintain data sources used for chart chase, ROI, revenue projections, member/chronic condition stratification, and ad hoc...

Oscar Health is seeking an experienced Actuarial Analyst II - Valuation to join our team in New York City, Tempe, or Los Angeles. The ideal candidate will have a strong background in actuarial science and experience with health insurance concepts and nuances.About the RoleThe successful candidate will be responsible for maintaining and enhancing core...

About the OpportunityWe are seeking a Medical Documentation Specialist Lead to join our team at the Mount Sinai Health System. This is a unique opportunity for a skilled professional to make a meaningful impact in the field of medical documentation and coding.Job SummaryThe Medical Documentation Specialist Lead will be responsible for reviewing and coding...

Risk Adjustment Reporting and Data Analyst About Us Martin's Point Health Care is a pioneering, not-for-profit healthcare organization dedicated to delivering exceptional care and coverage to the people of Maine and beyond. Our mission is to transform the healthcare system while fostering a healthier community. As a valued member of our team, you'll enjoy an...

Company Overview: Corporate Risk Solutions, LLC is a leading risk management and insurance advisory firm dedicated to the private equity and alternative investment community. With a global presence and headquarters in New York, our clients include over 90 private equity, hedge funds, distressed investors, and hundreds of underlying portfolio company assets...

About the RoleThe Commercial Property Claims Adjuster position at North American Risk Services (NARS) offers a unique opportunity to excel in a dynamic environment. As a key member of our team, you will handle a caseload of commercial property claims, utilizing your analytical and communication skills to deliver exceptional results.Key responsibilities...

We are seeking a highly skilled Medical Coding Specialist to join our team at the Mount Sinai Health System. As an Inpatient Coder, you will play a critical role in ensuring accurate and timely coding of medical records for reimbursement purposes.About the RoleThe successful candidate will have a strong understanding of ICD-9-CM and ICD-10-CM coding...

Job DescriptionDeutsche Bank is seeking an experienced Credit Risk Management Specialist to join our Global Financing & Credit Trading business unit. As a key member of the team, you will be responsible for managing credit risk exposure across various asset classes. Your expertise will help shape the bank's strategic decisions, ensuring compliance with...

Job Title: IT Risk Management SpecialistWe are seeking a highly experienced IT Risk Management Specialist to join our team at PGMTEK Inc. in NYC.Salary: $110,000 - $170,000 per yearAbout the RoleThe successful candidate will be responsible for managing and mitigating IT risks to protect our organization's digital assets.Key Responsibilities:Assess and...

Job Title: Risk Management SpecialistThe bank, a prominent financial institution known for its global presence and comprehensive range of banking services, is seeking a skilled professional to manage credit risks, shape policies, and drive asset quality. With a strong reputation and diverse financial solutions, this company operates with a focus on risk...

Join Yoh, a Day & Zimmermann company, as a Credit Risk Specialist. We are seeking an experienced professional to join our team in NYC, Pittsburgh, or Orlando.Company Overview:As a Credit Risk Specialist at Yoh, you will be part of a dynamic team that plays a critical role in ensuring the financial health and stability of our clients. Our team is responsible...

Job Overview: At Diedre Moire Corporation, we are seeking an experienced Risk Management Specialist to join our team in New York City. As a key member of our commercial underwriting department, you will be responsible for evaluating risk, selecting, and pricing submissions for Gas Stations & Auto Repair businesses.About the Role: We are looking for a highly...

Job Overview:Zurich Insurance Company Ltd is seeking a highly skilled Risk Management Specialist to join our team. This role involves handling complex new and renewal domestic National accounts for all Financial Institutions industry verticals and lines of coverage offered.About the Role:As a Risk Management Specialist, you will serve as a customer industry...

Job DescriptionWe are seeking a highly skilled Murex Analyst to join our team at Saxon Global. As a key member of our derivatives trading desk, you will be responsible for generating accurate and reliable financial data using the Murex and Calculation engine platforms.You will collaborate with various teams to troubleshoot and resolve issues pertaining to...

Job Overview:We are seeking a skilled Risk Management Specialist to join our team at Sumitomo Mitsui Trust Bank, Limited in New York City. As a key member of our Front Office Risk Management & Administration Team (FORMAT), you will be responsible for monitoring regulations and ensuring that our Global Market Unit complies with all required regulations.The...

Job OverviewWe are seeking a Risk Appetite Specialist to join our team at Barclays. The role involves setting the risk appetite for the Trading portfolio and actively calibrating and monitoring limits. Key responsibilities include collecting and analysing market data, escalating critical risk issues, and reviewing market risk models.A successful candidate...

About the RoleThe Counterparty Risk Specialist will be part of the Counterparty Credit Risk team under the global Institutional Credit Management (ICM) group. The role is focused on developing counterparty risk & stress testing analytics and analyzing client portfolios and businesses to ensure the risks are being properly measured and controlled in...

About the RoleThis is an exciting opportunity to join our risk management team as a Market Risk Specialist in New York. As a key contributor to our risk management function, you will be responsible for identifying and mitigating risks associated with our credit business.Key Responsibilities:Analyze and interpret market data to identify trends and...

Risk Management is a critical function within Citi, Inc., responsible for identifying and mitigating risks that could impact the company's financial performance. As a Data Risk Specialist, you will play a key role in supporting intelligent risk decisions and proactive management of Citi's risks across the enterprise.The ideal candidate will have 10+ years of...