Risk Management Supervisor

Key ResponsibilitiesWe are seeking a skilled Risk Management Specialist to join our team. In this role, you will be responsible for reviewing risk pool summaries, auditing risk pool detail, and submitting disputes to health plans or cap hospitals.

Job OverviewMEDPOINT MANAGEMENT has an exciting opportunity for a Healthcare Risk Management Professional to join our team. As a Risk Claims Adjuster Specialist, you will be responsible for managing and adjusting hospital risk claims to ensure compliance with regulatory requirements.Key Responsibilities:Accurately review all incoming adjustment requests to...

Job OverviewWe are seeking a skilled Risk Management Professional to join our team at MedPOINT Management.This role is responsible for ensuring the accuracy and efficiency of claims processing, in accordance with regulatory requirements and company policies.The ideal candidate will have experience working with automated claims adjudication systems and...

Risk Pool Financial Analyst Job DescriptionWe are seeking a skilled Risk Pool Financial Analyst to join our team at MedPOINT Management. As a key member of our finance team, you will be responsible for leading the preparation and delivery of financial, clinical, and business analysis. Your primary focus will be on ensuring the accuracy and timeliness of...

Job SummaryMedPOINT Management seeks a highly skilled Inpatient UM Supervisor to oversee clinical operations for our Shared Risk Line of Business/La Care Health P team. As a key member of our leadership team, you will be responsible for ensuring the delivery of high-quality, cost-effective care to our members.

About the RoleThe Inpatient UM Supervisor- Shared Risk Line of Business/La Care Health P will be responsible for overseeing Inpatient Review and coordination of all clinical activities of Inpatient UM Teammates. This individual will work collaboratively with the Health Plans, Facilities, and IPAs to ensure coordinated and continuous cost-effective quality...

Job SummaryWe are looking for an experienced Care Management Supervisor to lead our team in coordinating medical services and discharging patients efficiently.This role requires strong clinical knowledge and excellent critical thinking skills to facilitate ongoing physician communication and ensure high-quality patient care.

Job Overview:We are seeking an experienced Risk Pool Analyst to join our team at MedPOINT Management. As a key member of our Auditing & Recoveries department, you will be responsible for reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining files audited, submitting disputes to outside entities, and ensuring accuracy and integrity...

Job OverviewWe are seeking a highly skilled Risk Pool Auditor to join our team at MedPOINT Management.This role involves reviewing claims paid in Shared and Dual Risk Pools, monitoring and maintaining audited files, and ensuring the accuracy and integrity of hospital claims paid by MPM.Key Responsibilities:Review, track, and analyze risk pool summariesAudit...

We're seeking highly motivated and organized individuals to join our team as Associate Investigators. As a member of our team, you'll have the opportunity to work closely with experienced investigators and learn the skills necessary to become a successful Private Investigator.About the JobThe primary responsibility of this role is to conduct field...

Job OverviewMedPOINT Management is seeking an experienced Risk Pool Review Specialist to join our team. As a key member of our Auditing & Recoveries unit, you will be responsible for reviewing and analyzing Risk Pool Summaries to ensure the accuracy and integrity of hospital claims paid by MPM.**Key Responsibilities**Review Risk Pool Summaries to identify...

Job Title: Risk Management LeadJob Type: Full-timeAbout the Role:We are seeking a highly skilled Risk Management Lead to join our team at City National Bank. As a key member of our organization, you will be responsible for leading risk management initiatives and ensuring that our financial institution maintains a strong risk management culture.About Us:City...

Risk Management Expert OpportunityZone Ins Inc is seeking a seasoned Risk Management Expert to join our team and contribute to the success of our business. As a Risk Management Expert, you will be responsible for identifying and mitigating potential risks that may impact our operations or those of our clients.Your expertise in risk management and insurance...

At EY, we recognize the importance of effective risk management in today's business landscape.About the RoleThis role involves providing expert advice to clients on risk management practices, helping them to identify and mitigate potential risks.You will work closely with clients to develop and implement effective risk management strategies, conducting risk...

The Royal Bank of Canada is currently seeking a seasoned Risk Management Consultant to lead our Funds Transfer Pricing initiatives. This is an exciting opportunity for someone with a strong background in risk management and fund transfer pricing to join our team and contribute to shaping the bank's risk management strategy.As a Treasury Analyst Leader, you...

Culinaire Staffing is seeking an experienced Senior Risk Manager to lead risk management activities for a portfolio of 60+ restaurants across the United States. This critical leadership role will ensure that our restaurants operate safely, compliantly, and financially responsibly while mitigating potential risks.The ideal candidate will have a strong...

About the RoleWe are seeking a skilled Medical Records Auditor to join our team at MedPOINT Management.Responsibilities:Conduct thorough reviews of medical records to identify coding risk areas and ensure training activities address these areas.Utilize independent judgment and sensitivity when communicating audit findings and suggestions for coding...

We are the leading provider of professional services to the middle market globally, our purpose is to empower clients and people to realize their full potential. Our exceptional team members are the key to our inclusive culture and talent experience, enabling us to deliver compelling solutions to clients. You'll find an environment that inspires and empowers...

**Job Overview:**Citi National Bank is seeking a skilled Risk Program Analyst to join our Marketing Team in Los Angeles or NYC. This role will support the execution, operation, and ongoing maintenance of the marketing Risk & Compliance Program.**Key Responsibilities:**Promote risk awareness across the Marketing division.Research emerging risks & trends, and...

Job Description:In this role, you will be responsible for leading the IT risk management team in identifying and mitigating risks associated with our infrastructure. You will work closely with our technology teams to ensure that our systems are secure and compliant with industry standards.Responsibilities:Lead the development and implementation of IT risk...