Risk Adjustment Manager
7 days ago
We are seeking a highly skilled Risk Adjustment Manager to lead our team in integrating established risk adjustment principles at University Health.
Key Responsibilities- Manage system-level data collection, analysis, and reporting to integrate quality improvement theory and practice into health plan processes.
- Direct cross-functional teams through improvement projects and facilitate progress until project goals are met and sustained.
- Conduct quality improvement services at all levels of the organization, promoting process improvement, the integration of statistical methods, and variation reduction.
- Assist in the development of process metrics, data collection tools/systems, and presentation/analysis of resultant data.
- Deliver system and functional-level reports to clinical and nonclinical operational and management teams.
- A Bachelor's degree in Nursing, Healthcare Administration, Business, or a related field is required.
- Three years of clinical patient care or healthcare administration experience is required.
- A Master of Science in Nursing, Healthcare Administration, Business, or a related field is preferred.
- Documented work experience in the management of quality data, process improvement, and five years of experience in the application of quality improvement methodologies with demonstrated proficiency in the application of statistical methods is preferred.
- The American Society for Quality certification or similar quality certification is preferred.
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Risk Adjustment Manager
2 weeks ago
San Antonio, Texas, United States University Health System- San Antonio Full timeJob SummaryWe are seeking a highly skilled Risk Adjustment Manager to lead our team in integrating established risk adjustment principles at University Health System- San Antonio.Key ResponsibilitiesManage system-level data collection, analysis, and reporting to integrate quality improvement theory and practice into health plan processes.Direct...
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Risk Management Specialist
1 week ago
San Antonio, Texas, United States Wells Fargo Full timeJob SummaryWe are seeking a highly skilled Senior Control Management Specialist to join our team at Wells Fargo.The successful candidate will be responsible for leading initiatives to mitigate current and emerging risks with broad impact. This will involve working closely with cross-functional teams to monitor, evaluate, and measure the impact of decisions...
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Nurse Practitioner
6 days ago
San Angelo, Texas, United States Hueman Risk Adjustment Full timeJob OpportunityHueman Risk Adjustment is seeking a skilled Nurse Practitioner to join our team in San Angelo, TX. As a Health Risk Assessment Specialist, you will have the opportunity to work with Medicare and Medicaid members in a unique and rewarding way.This part-time position offers a flexible schedule, allowing you to balance your professional goals...
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Nurse Practitioner
1 day ago
San Angelo, Texas, United States Hueman Risk Adjustment Full timeJob Opportunity OverviewHueman Risk Adjustment is actively seeking qualified Nurse Practitioners to join our team in completing in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the San Angelo, TX area.This unique opportunity offers a flexible schedule, allowing you to balance your professional goals with your personal preferences....
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COMSEC Manager II
4 weeks ago
San Antonio, Texas, United States Watermark Risk Management International, LLC Full timeJob SummaryWe are seeking a highly skilled COMSEC Manager II to join our team at Watermark Risk Management International, LLC. As a COMSEC Manager II, you will be responsible for providing day-to-day support for Collateral, Sensitive Compartmented Information (SCI), and Special Access Program (SAP) activities.Key ResponsibilitiesConduct secure equipment and...
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Injury Claims Adjuster
5 days ago
San Antonio, Texas, United States USAA Full timeJob Title: Injury Claims AdjusterAt USAA, we're committed to providing exceptional service to our members. As an Injury Claims Adjuster, you'll play a critical role in ensuring that our members receive fair and timely compensation for their injuries.Key Responsibilities:Adjust complex bodily injury claims, including those with significant demonstrable...
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Property Claims Adjuster
3 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleUSAA is seeking an experienced Property Claims Adjuster to join our Catastrophe team. As a Property Claims Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling low to moderate complexity property insurance claims.Key ResponsibilitiesClaims Investigation: Conduct thorough investigations of property claims,...
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Senior Injury Claims Adjuster
3 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the Role:As a dedicated Senior Injury Claims Adjuster at USAA, you will play a critical role in facilitating the financial security of millions of U.S. military members and their families. Your primary responsibility will be to adjust attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical...
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Senior Property Adjuster
6 days ago
San Antonio, Texas, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Senior Property Adjuster to join our team at USAA. As a Senior Property Adjuster, you will play a critical role in investigating, evaluating, negotiating, and settling complex property insurance claims presented by or against our members.Key Responsibilities:Proactively manage assigned claims caseload comprised...
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Senior Injury Claims Adjuster
3 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleAs a Senior Injury Claims Adjuster at USAA, you will play a critical role in ensuring the financial security of our members by adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key ResponsibilitiesClaims Adjusting: Identify and manage existing and emerging risks...
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Senior Injury Claims Adjuster
3 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleAs a Senior Injury Claims Adjuster at USAA, you will play a critical role in facilitating the financial security of millions of U.S. military members and their families. Your primary responsibility will be to adjust attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key...
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Complex Bodily Injury Adjuster
4 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleAs a dedicated injury claims examiner at USAA, you will play a critical role in ensuring the financial security of our members by adjusting complex bodily injury claims and UIM claims. Your expertise will be essential in confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in...
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Senior Property Adjuster
4 days ago
San Antonio, Texas, United States USAA Full timeAbout the RoleWe are seeking a highly skilled Senior Property Adjuster to join our team at USAA. As a key member of our claims team, you will be responsible for investigating, evaluating, and negotiating complex property insurance claims presented by or against our members.This is a hybrid role that requires an individual to be in the office 3 days per week....
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Actuarial Analyst
4 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleUSAA is seeking a highly skilled Associate Actuary to join our Competitive Intelligence team. As a key member of our team, you will play a critical role in developing and implementing advanced actuarial analyses to support our business objectives.Key ResponsibilitiesActuarial Analysis: Establish statistical plans, analytical tools, and...
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Risk Management Specialist
2 weeks ago
San Antonio, Texas, United States Diedre Moire Corp. Full timeDiedre Moire Corp. is seeking a skilled Risk Management Specialist to join our team in San Antonio, TX. As a Habitation Underwriting Expert, you will be responsible for analyzing and mitigating risks associated with Habitational Real Estate Investors, Property Managers, and Risks Underwriting Hotels, Motels, Apartment Buildings, Boarding Houses, Mobile Home...
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Investigations and Claims Adjusting Expert
4 weeks ago
San Antonio, Texas, United States Syntricate Technologies Full timeJob DescriptionAt Syntricate Technologies, we are seeking a highly skilled and experienced Special Investigations Unit Professional to join our team. As a key member of our organization, you will be responsible for conducting thorough investigations and analyzing complex data to identify potential risks and opportunities.Key Responsibilities:Investigations...
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IT Risk Management Specialist
6 days ago
San Antonio, Texas, United States International Bank of Commerce Full timeJob SummaryWe are seeking a highly skilled IT Auditor III to join our team at International Bank of Commerce. As a key member of our Internal Audit Services department, you will be responsible for leading technology-focused audit projects and evaluating systems development life cycle, change management, computer operations, and information security risks and...
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Risk Management Specialist
3 days ago
San Antonio, Texas, United States Frost Bank Full timeJob Title: Manager of Third-Party Risk ManagementFrost Bank is seeking a highly skilled and experienced Manager of Third-Party Risk Management to join our team. As a key member of our risk management team, you will be responsible for developing and implementing strategies to mitigate risks associated with third-party vendors.About the Role:Develop...
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IT Risk Management Specialist
2 weeks ago
San Antonio, Texas, United States International Bank of Commerce Full timeJob SummaryWe are seeking a highly skilled IT Auditor III to join our team at International Bank of Commerce. As a key member of our Internal Audit Services department, you will play a critical role in evaluating and improving the effectiveness of our technology risk management processes.Key ResponsibilitiesLead technology-focused audit projects, identifying...
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Risk Management Executive
3 weeks ago
San Antonio, Texas, United States USAA Full timeAbout the RoleUSAA is seeking a highly skilled Risk Management Executive to join our team. As a key member of our organization, you will be responsible for leading the development and implementation of first-line-of-defense risk management programs and frameworks.Key ResponsibilitiesDevelop and oversee the implementation, development, and maintenance of...