9 risk adjustment jobs at 8 companies in Chicago, IL
3w
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Senior Manager, Corporate Compliance - Risk Adjustment
Scottsdale or Northbrook or Irving or Hartford or Woonsocket
$75k-$166k/yr HybridFull Time
7+ YOE5+ Mgmt7+ years Medicare Advantage/Risk Adjustment/compliance experience, 5+ years leadership, CMS/RADV/HCC expertise, CPMA/CRC/CPC/CCS required, bachelor's in related field, willingness to travel up to 10%.
1mo
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Senior Risk Manager – Corporate Auto Casualty and Litigation Claims, Logistics Claims Management
Texas or Austin or Bellevue or Chicago or Irvine or Nashville or New York City or San Diego or Santa Cruz or Seattle or Tempe or Dallas or Houston or Glendale or Virginia or Florida
$97k-$185k/yr OnsiteFull Time
7+ YOEBA/BS,7+ years adjudicating complex bodily injury claims,5+ years transportation claims/program experience,active adjuster license,reserve management and litigation knowledge,financial acumen.
Microsoft Office
1w
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Senior Commercial Claims Adjuster - Auto and General Liability BI - Municipality Claims
Rolling Meadows, Illinois, United States
$69k-$98k/yr RemoteFull Time
5+ YOEHigh school diploma and 5+ years of related claims experience required, with applicable adjuster licensing or certification, industry knowledge, analytical skills, and claims software experience.
claims management software
1w
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Manager, Underwriting Portfolio Management
Armonk or Chicago or Fort Wayne or Kansas City or Alpharetta
$156k-$246k/yr HybridFull Time
Experience analyzing underwriting portfolios, portfolio risk, exposure, concentration, diversification, capital allocation, capacity setting, and risk-adjusted returns in reinsurance or commercial insurance; strong analytical and communication skills.
Palantir
1w
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Head of Medicare Performance Hub
Chicago or Washington, D.C.
$198k-$278k/yr HybridFull Time
12+ YOERequires a bachelor's degree or equivalent experience, 12+ years in Medicare Advantage, health plan operations, or managed care improvement, and expertise in at least two of Stars, risk adjustment, or medical cost management.
VRDC, NDW, MMR, EMR, Health Information Exchanges
1mo
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Business Development Executive (MedInsight)
Seattle or Atlanta or Appleton or Boise or Wakefield or South Burlington or Chicago or Dallas or Windsor or Houston or Indianapolis or Little Falls Township or Pasadena or Brookfield or Eden Prairie or Omaha or Irvine or Berwyn or Phoenix or Portland or Portland or San Diego or San Francisco or St. Louis or Salt Lake City or Tampa or Walnut Creek
$105k-$199k/yr RemoteFull Time
8+ YOE8+ years enterprise new-business development in consultative sales, experience selling to health plans/providers, knowledge of risk adjustment and reimbursement landscape, strong executive selling and territory planning skills.
Salesforce
1mo
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CMS EDGE Server Product Manager / Principal / Architect
Chicago, Illinois, United States
RemoteFull Time, Contract
7+ YOE7+ years healthcare payer experience with deep CMS EDGE Server and ACA Risk Adjustment knowledge; experience with membership/claims/encounter data, implementation and client-facing consulting, strong communication and stakeholder management.
CMS EDGE Server, Facets (TriZetto), ClaimSphere, Cognizant CMS EDGE Server, SQL
1mo
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Collaborating Physician (1099) Part time Remote
Gary, Indiana, United States
RemoteContract, Part Time
Active/unrestricted physician license, board certified/eligible, residency completion, 1 year healthcare management experience, risk adjustment experience, reside in state of opening, maintain valid driver's license and driving record.
1mo
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Collaborating Physician (1099) Part time Remote
Gary, Indiana, United States
RemotePart Time, Contract
Active/unrestricted medical physician license, board certified or board eligible, residency completed, 1 year healthcare management experience, risk adjustment experience, must reside in the state of the opening and maintain a valid driver’s license.