Risk Adjustment Program Coordinator
14 hours ago
Job Summary:
We are seeking a highly organized and detail-oriented Program Coordinator to support the Manager of Risk Adjustment in the operations of Risk Adjustment programs. The ideal candidate will have experience in basic program support or management, with a strong understanding of coding and HCC knowledge.
Key Responsibilities:
* Assist with practice onboarding and tracking of deliverables
* Assist and possibly lead obtaining access for providers, data needs, researching data issues, working with enterprise and local data teams
* Work with practices to track all physicians joining their primary care teams
* Assist and support Risk Adjustment Manager on projects as needed
* Provide email or phone support surrounding Risk Adjustment, as needed for practices
* Perform data entry, report generation, and tracking of metrics as requested
Requirements:
* 2+ years of experience with customer service and/or office support
* Preferred experience in healthcare operations or managed care products
* Associates Degree, Bachelor's degree; or equivalent work experience required
Location:
Bingham Farms - MI
-
Fraud Risk Oversight Specialist
3 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeFraud Oversight SpecialistWe are seeking a highly skilled Fraud Oversight Specialist to join our team at Comerica Incorporated. As a key member of our Risk Management team, you will be responsible for assisting in the development and delivery of a second-line oversight program for fraud risk across the organization.Key Responsibilities:Develop and socialize...
-
Fraud Operations Risk Oversight Manager
3 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeFraud Operations Risk Oversight ManagerWe are seeking a highly skilled Fraud Operations Risk Oversight Manager to join our team at Comerica Incorporated. As a key member of our Operational Risk Management team, you will be responsible for assisting with the strategic development, execution, and overall management of Fraud risk in alignment with our...
-
Fraud Operations Risk Oversight Manager
4 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeFraud Operations Risk Oversight ManagerWe are seeking a highly skilled Fraud Operations Risk Oversight Manager to join our team at Comerica Incorporated. As a key member of our Operational Risk Management team, you will be responsible for assisting with the strategic development, execution, and overall management of Fraud risk in alignment with our ORM...
-
Franklin, Michigan, United States Henry Ford Health System Full timeJob SummaryWe are seeking a skilled Home Dialysis Registered Nurse to join our Float Team. As a key member of our team, you will provide high-quality patient care and support to patients in their homes.ResponsibilitiesAssess patient needs and develop individualized care plans to ensure optimal health outcomes.Provide education and training to patients and...
-
Renal Dialysis Nurse
2 days ago
Franklin, Michigan, United States Henry Ford Health System Full timeJob SummaryAs a Renal Dialysis Nurse at Henry Ford Health System, you will play a vital role in providing high-quality patient care to individuals with end-stage renal disease. You will work collaboratively with a multidisciplinary team to deliver comprehensive care, including assessment, planning, implementation, and evaluation of patient...
-
Commercial Loan Analyst II
4 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeJob Title: Specialized Commercial Loan Analyst IIWe are seeking a highly skilled and experienced Commercial Loan Analyst II to join our team at Comerica Incorporated. As a key member of our Commercial Bank segment, you will be responsible for processing and analyzing complex commercial loan transactions, ensuring accurate financial reporting, and providing...
-
Commercial Loan Analyst II
3 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeJob Title: Specialized Commercial Loan Analyst IIWe are seeking a highly skilled and experienced Specialized Commercial Loan Analyst II to join our team at Comerica Incorporated. As a key member of our Commercial Bank segment, you will be responsible for processing and analyzing complex commercial loan transactions, ensuring accurate financial reporting, and...
-
Asset Protection Manager
3 weeks ago
Franklin, Michigan, United States Comerica Incorporated Full timeJob Title: Asset Protection ManagerWe are seeking a highly skilled and experienced Asset Protection Manager to join our team at Comerica Incorporated. As a key member of our Corporate Security Operations, you will be responsible for managing regional security operations, providing asset protection, security training, and investigative services.Key...
-
Activities Assistant
3 days ago
Franklin, Michigan, United States ProMedica Health System Full timeJob SummaryWe are seeking a part-time Activities Assistant to join our team at Arden Courts ProMedica Memory Care Bingham Farms. As an Activities Assistant, you will provide daily activity programs for our residents and assist the Activities Coordinator in providing a full range of program services.Key ResponsibilitiesDevelop and implement daily activity...
-
Activities Assistant
2 days ago
Franklin, Michigan, United States ProMedica Health System Full timeJob Title: Activities Assistant - Memory Care Part-timeProMedica Health System is seeking a part-time Activities Assistant to join our team at Arden Courts Memory Care facility in Bingham Farms.Job Summary: As an Activities Assistant, you will provide daily activity programs for residents and assist the Activities Coordinator in providing a full range of...
-
Senior Manager
4 weeks ago
Franklin, Michigan, United States Sargent & Lundy Full timeJob SummaryThis is a challenging opportunity to lead project teams in the design, modification, and analysis of high voltage substations. As a Senior Manager, you will oversee electrical engineering work, ensuring projects are completed satisfactorily, on time, and within budget.Key ResponsibilitiesDirect the Electrical team lead in the coordination of...
-
Project Supervisor
1 day ago
Franklin, Michigan, United States Royal Canadian Mounted Police Full timeJob SummaryWe are seeking a highly skilled Project Supervisor to lead our road improvement projects. The successful candidate will be responsible for overseeing all aspects of the design function, including supervising staff, developing cost estimates, and addressing environmental considerations.Key ResponsibilitiesSupervise and direct all aspects of the...
-
Caregiver Assistant
3 weeks ago
Franklin, Michigan, United States ProMedica Health System Full timeJob SummaryWe are seeking a compassionate and skilled Resident Caregiver to join our team at Arden Courts ProMedica Memory Care Bingham Farms. As a key member of our care team, you will play a vital role in ensuring the physical, emotional, and social well-being of our residents.Key ResponsibilitiesAssist residents with daily living activities, including...
-
Mental Health Therapist
3 weeks ago
Franklin, Michigan, United States Heron Ridge Associates Full timeAbout the RoleWe are seeking a skilled and compassionate Mental Health Therapist to join our team at Heron Ridge Associates. As an independent licensed therapist, you will have the opportunity to work with a diverse range of clients and provide high-quality mental health services in a supportive and collaborative environment.Key ResponsibilitiesProvide...
-
Licensed Clinical Psychologist
2 days ago
Franklin, Michigan, United States UnitedHealth Group Full timeTransforming Behavioral Health Care DeliveryAt Optum, we're revolutionizing the way clinicians work and live. As a Licensed Clinical Psychologist, you'll be an integral part of our vision to make healthcare better for everyone.Key Responsibilities:Conduct individual, family, or group therapy sessions based on ethical and medical necessity guidelinesDevelop...
-
Nurse Practitioner
1 week ago
Franklin, Ohio, United States Hueman Risk Adjustment Solutions Full timeJoin Our Team as a Nurse Practitioner for Home VisitsHueman Risk Adjustment Solutions is actively seeking a skilled Nurse Practitioner to join our team for a part-time opportunity. As a Nurse Practitioner, you will have the chance to interact with patients in a more intimate setting, conducting comprehensive health assessments and providing personalized...
-
Director of Insurance
1 month ago
Franklin, United States Acadia Healthcare Full timeOverviewThe Director of Insurance & Risk Finance is responsible for leading the corporate and field Risk Management staff in securing and maintaining Acadia's property, casualty, and financial lines insurance policies and bonds placements. Serves as chief underwriting officer of Acadia's single parent Captive. Develop processes to provide relevant reports of...
-
Nurse Practitioner NP, Part-Time, HRA
4 months ago
Franklin, United States Hueman Risk Adjustment Solutions Full timeDescription Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Franklin, OH. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in...
-
Family Service Coordinator
1 week ago
Franklin, New Hampshire, United States Community Action Program Belknap-Merrimack Counties Full timeJob Title: Family Service WorkerJob Summary:We are seeking a highly motivated and compassionate Family Service Worker to join our team at the Community Action Program of Belknap-Merrimack Counties. As a Family Service Worker, you will play a vital role in supporting the most vulnerable children and families in our community, helping them achieve success in...
-
Fraud Operations Risk Oversight Manager
3 weeks ago
Franklin, United States Comerica Incorporated Full timeWelcome! We invite you to explore the award-winning culture, people, rewards and opportunities that make Comerica Bank so special. Make your next career choice a confident one. QualificationsJob Qualifications:Bachelor's Degree from an accredited university in Business, Finance, or related field from an accredited university; OR in lieu of a bachelor's...
-
Risk Management Professional
1 month ago
Franklin, Tennessee, United States Cigna Full timeAbout the RoleCigna Healthcare is seeking a talented individual to join our Risk Management & Underwriting Leadership Development Program (RULDP). As a key member of our team, you will play a critical role in evaluating the risk of insuring potential customers and setting premium rates for insurance coverage.Key ResponsibilitiesEvaluate the risk of insuring...
-
Risk Management Professional
14 hours ago
Franklin, Tennessee, United States Cigna Full timeAbout the RoleWe are seeking a highly skilled and motivated individual to join our Risk Management & Underwriting Leadership Development Program (RULDP) as an Underwriting Leadership Development Program Associate. This is an exciting opportunity to develop your career in risk management and underwriting, working with a talented team of professionals who are...
-
Risk Management Professional
2 days ago
Franklin, Tennessee, United States Cigna Full timeAbout the RoleCigna Healthcare is seeking a highly skilled and motivated individual to join our Risk Management & Underwriting Leadership Development Program (RULDP). As a key member of our team, you will play a critical role in evaluating the risk of insuring potential customers and setting premium rates for insurance coverage.Key ResponsibilitiesEvaluate...
-
Risk Management Professional
4 weeks ago
Franklin, Tennessee, United States Cigna Full timeAbout the RoleCigna Healthcare is seeking a highly skilled and motivated individual to join our Risk Management & Underwriting Leadership Development Program (RULDP). As a key member of our team, you will play a critical role in evaluating the risk of insuring potential customers and setting premium rates for insurance coverage.Key ResponsibilitiesEvaluate...
-
Property Risk Engineer
5 months ago
Franklin, United States Travelers Full timeWho Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine...
-
Burn Program Outreach Coordinator
2 weeks ago
Franklin, Tennessee, United States TriStar Skyline Medical Center Full timeAbout the RoleWe are seeking a highly skilled and motivated Outreach Burn Program Coordinator to join our team at TriStar Skyline Medical Center. As a key member of our outreach team, you will be responsible for developing and implementing strategies to grow our burn services and educate community stakeholders about the services we offer.Key...
-
Operations Coordinator
1 month ago
Franklin, Tennessee, United States Atmos Energy Full timeJob SummaryWe are seeking a highly organized and detail-oriented Operations Coordinator to join our team at Atmos Energy. This role will be responsible for coordinating and executing various administrative tasks to support the success of our operations.Key ResponsibilitiesCustomer Service Order Management: Receive and process customer service orders, monitor...
-
Inside Claims Adjuster Trainee
3 weeks ago
Franklin, United States AppleOne Full timeJob DescriptionJob Description, Are you seeking a Career, not just a Job? This opportunity might be just what you have been looking for!! For this position, the client is seeking polished, professional candidates, good computer skills, customer facing skills, solid work history. Position: Inside Claims Adjuster Trainee program Paid training/call center...
-
Security Officer
2 weeks ago
Franklin, United States Brosnan Risk Consultants Full timeOverview /Benefits Here at Brosnan Risk Consultants , our culture encourages and supports diversity throughout the workplace! We offer both full-time and part-time opportunities. We also pride ourselves on promoting within. Many of our employees began their careers as Security Officers, and today we are proud to say they have become a part of the...
-
Security Officer
1 month ago
Franklin, United States Brosnan Risk Consultants Full timeOverview /Benefits Here at Brosnan Risk Consultants , our culture encourages and supports diversity throughout the workplace! We offer both full-time and part-time opportunities. We also pride ourselves on promoting within. Many of our employees began their careers as Security Officers, and today we are proud to say they have become a part of the...
-
Operations Coordinator
2 months ago
Franklin, Tennessee, United States Atmos Energy Full timeJob OverviewThis position entails a variety of responsibilities essential for the smooth operation of customer service and field activities. Key ResponsibilitiesHandles service requests initiated by customer support personnel; oversees, adjusts, and reschedules workload as necessary; reviews system-generated reports to prepare for subsequent...
-
Principal Program Manager
1 month ago
Franklin, United States Northwestern Mutual Full timeAt Northwestern Mutual, we are strong, innovative and growing. We invest in our people. We care and make a positive difference. Job Description: The Principal Program Manager at Northwestern Mutual Life Insurance Company in Franklin, Wisconsin will develop plans on strategic infrastructure and cloud services programs. Deliver complex, cross-functional...
-
Complex Care Coordinator
2 days ago
Franklin, Wisconsin, United States Bluestone Physician Services Full timeComplex Care ManagerBluestone Physician Services is seeking a skilled Complex Care Manager to join our team. As a key member of our care team, you will play a critical role in coordinating acute and post-acute stays and discharges for our patients in value-based care arrangements.Key Responsibilities:Collaborate with hospitals, rehabs, and SNFs to manage...
-
Administrative Operations Coordinator
2 months ago
Franklin, Tennessee, United States Atmos Energy Full timeJob OverviewThis position encompasses a variety of responsibilities that may not be explicitly listed. Key ResponsibilitiesProcesses customer service requests received from support personnel; oversees, adjusts, and reschedules workload as necessary; reviews system-generated reports and prepares for subsequent operations.Creates, finalizes, and cancels...
-
Fresh Food Coordinator
3 months ago
Franklin, United States Loves Travel Stops & Country Store Full timeReq ID: 445558 Address: 2307 South Street Franklin, VA, 23581 Welcome to Loves! Where People are the Heart of Our Success Fresh Food Coordinator Working at Love?s as a Fresh Food Coordinator is a rewarding job. We work hard for our customers and our teams. As a team member at Love?s, you will oversee the deli and assist the manager to better serve the...