Risk Adjustment Coder Specialist

Role Overview Oscar Health is hiring a Risk Adjustment Coder Specialist in Dallas, Texas. This position focuses on reviewing and analyzing patient records to ensure precise coding and regulatory compliance across healthcare operations. The work supports both coding accuracy and overall care quality. What You Will Do Collaborate with clinical teams to review …

Join Altegra Health as a Remote Certified Medical Coder in Dallas! This is a temporary, home-based position expected to continue through the end of 2015. Our Coders will be compensated per chart, ensuring flexibility and efficiency in your work. As a Remote Certified Coder, you will meticulously review medical records, applying the appropriate ICD-9-CM diagnostic codes while adhering to Altegra Health's quality assurance standards, including compliance with Official Coding Guidelines and Risk Adjustment Guidelines.Key Responsibilities:• Extract essential information from patient medical records and assign suitable ICD-9-CM codes, including HCC and/or RxHCC group assignments as needed.• Utilize Altegra Health Flagged Event codes when documentation is ambiguous or insufficient for accurate medical coding.• Stay updated on medical coding guidelines and reimbursement reporting requirements.• Review your chart assignments daily and accurately report all hours worked on a weekly basis.• Communicate any work-related concerns to your designated Coder Advocate, escalating to the Senior Manager of Clinical Operations if necessary.• Uphold the Standards of Ethical Coding as established by the American Health Information Management Association, while strictly following official coding guidelines.• Ensure compliance with HIPAA laws and regulations.• Engage in testing and training as required by the company.

Join our dynamic team at Integrated Resources, Inc. as a Benefit Coder, where you will play a crucial role in ensuring accurate coding and documentation of benefits. This position offers an exciting opportunity to contribute to our mission of providing exceptional services to our clients. You will be responsible for reviewing and coding benefit-related documents, ensuring compliance with industry standards.

Join Care.com as a Senior Risk Mitigation Specialist, where you will be at the forefront of our commitment to safety and security for our users. In this role, you will assess and manage risks associated with our services, ensuring our platform remains a trusted environment for families and caregivers. Your expertise will be pivotal in shaping policies and strategies that protect our community.

Conduct in-depth financial modeling analyses, including performance metrics, scorecards, and profitability assessments, providing strategic recommendations to enhance business outcomes.Design and uphold performance metrics and scorecards that facilitate improved operational results while aiding executive decision-making processes.Aggregate and structure the necessary data for analysis into a comprehensive data mart, supporting interactive dashboards for executives and end users.Collaborate with management to understand business requirements, analyze information needs, and translate them into actionable strategic and tactical solutions.Engage in key initiatives and projects related to financial management, technological advancements, policy formulation, profitability analysis, and new business ventures.Act as a business advocate, partnering with management to pinpoint solutions for various financial productivity and information management challenges.Responsible for ongoing analysis of process constraints, project costing, and margin evaluations, ensuring accurate cost data is available for management's decision-making.

The Risk Manager plays a pivotal role in supporting executive leadership by crafting and executing strategic insurance solutions tailored to the organization's unique business model. Successful candidates will demonstrate a profound understanding of risk strategies that enhance business alignment, implementation of comprehensive risk and insurance solutions, and the ability to train risk owners. This position is critical in making informed decisions that cultivate profitability and bolster organizational resilience.Key Responsibilities:Identify emerging risks and opportunities to strengthen the organization’s competitive edge.Oversee the insurance renewal process, collaborating effectively with internal stakeholders, brokers, and carriers to secure optimal terms and rates.Collect, analyze, and maintain comprehensive data related to construction, occupancy, protection, exposure (COPE), revenue, payroll, and employee metrics for accurate reporting and insurance purposes.Apply advanced loss analysis and rating principles to support self-insured retention plans and establish premium allocation methodologies.Assist in the quoting process for insurance program modifications and perform due diligence for mergers and acquisitions, focusing on risk identification and cost-efficiency.Develop and manage requests for proposals for brokers and vendors; oversee the distribution of certificates of insurance.Prepare and disseminate financial reports, including loss bordereaus and carrier cost allocations, while maintaining precise loss estimates for financial planning.Collaborate with accounting and finance teams to enhance cash flow, validate premium audits, and manage internal billing and accounts receivables related to insurance.Manage claims by reviewing incident reports, coordinating with carriers and third-party administrators, and representing the organization in mediations and litigation.Utilize information management systems to generate timely and credible reports while maintaining the risk and employee database.Review contracts for risk transfer, ensure compliance with contractual insurance stipulations, and address issues within risk management programs or policies.Design and deliver training sessions to enhance organizational risk competency and serve as a knowledgeable resource for risk and insurance processes.Perform additional duties and responsibilities as assigned.

As a Program Risk Analyst at AECOM, you will play a pivotal role in identifying, analyzing, and mitigating risks associated with various projects. Your analytical skills will aid in the formulation of strategies that enhance the resilience and success of project deliverables. Collaborate with cross-functional teams to develop risk management frameworks and ensure compliance with industry standards.

Join the Indeed Flex team! We're on the lookout for talented individuals to help shape the future of work.At Indeed Flex, we are a pioneering tech-driven staffing platform that empowers workers to select their own shifts while giving businesses the tools to hire seamlessly. Our innovative approach is transforming the traditional staffing model into one characterized by speed, transparency, and flexibility.We harness the agility and ambition of a high-growth organization, backed by the reliability and resources of Indeed, the world’s leading job site. This unique combination allows us to innovate rapidly and establish a commanding presence in the market.The RoleAs the Workers' Compensation Risk Manager, you will be responsible for overseeing the employer-side workers’ compensation claims management program. You will provide strategic direction to our successful EH&S department, aiming to integrate injury prevention with claims mitigation, thereby creating a cohesive risk strategy in a rapidly expanding staffing environment.Your primary focus will be on building a robust Workers’ Compensation claims framework from the ground up, while also leading an existing EH&S team. This role emphasizes integration and alignment, ensuring that our safety achievements directly enhance our claims results. You will initially supervise one direct report, with the potential to grow the Risk team as the program develops. As a hands-on Risk professional, you will manage daily claims and support our preventative strategies. This position is part of our Global Risk and Compliance team and reports directly to the Head of Risk and Compliance. This role is remote but candidates must reside within or near the Dallas metropolitan area. Occasional travel to Houston, TX or Austin, TX may be required.

About UsAt Roofstock, we are revolutionizing the rental housing industry. As the premier end-to-end investment platform for single-family rental homes (SFR), our mission is to reshape the rental housing ecosystem for all stakeholders. We combine our enthusiasm for helping investors generate wealth through real estate with innovative technology that redefines how they achieve it.Our Growth JourneyWith a dedicated team of over 750 Roofsters, our collaborative and proactive culture drives our expansion. In 2022, we successfully secured $240 million in our Series E funding round and have established offices in the Bay Area and New York City. Our growth trajectory includes strategic acquisitions of Stessa (financial and asset management software), RentPrep (tenant screening and placement services), and Mynd (property management platform for both retail and institutional investors). In 2025, Roofstock made a significant investment in Casago (short-term rental management services), broadening our platform to cater to both long-term and short-term rental investment needs.Role OverviewAs Roofstock continues to expand its national presence, we are in search of a Safety & Fleet Specialist to be the architect of our physical safety culture and the manager of our mobile assets. In this impactful dual-role, you will oversee the complete lifecycle of our vehicle fleet while also developing, implementing, and supervising a thorough safety program for the organization. You will connect field operations with corporate risk management, ensuring that every employee, whether in a vehicle, at a property, or in an office, operates in a secure environment that prioritizes their well-being. Your objective will be to optimize vehicle availability and efficiency while cultivating a "Safety First" culture that mitigates hazards and guarantees full regulatory compliance.

Key Responsibilities include, but are not limited to:Exemplifies and promotes the core values of IMA.Recognizes and appreciates the significance of diversity, equity, and inclusion among all IMA team members.With moderate guidance, manages the marketing, negotiations, and placements of new and renewal business, which encompasses:Preparation of submissionsConducting market searchesPresenting to underwritersCommunicating effectively with service team members, including Account Executives and ProducersAnalyzing contracts and financial statements as requiredDrafting proposalsAssisting Producers/Account Executives in account sales, possibly involving site visits, proposal preparation, and coverage guidanceEngaging with customers and internal service teams via phone or in-person to manage accounts as necessaryProviding ongoing service for ERS placements throughout the policy term, addressing coverage inquiriesMaintaining organized account files with appropriate documentation and integrity as per IMA standardsAdvocating for claims as needed on non-complex issuesInterpreting and understanding the fundamental components of financial statementsReading, comprehending, and articulating the details of organizational chartsFamiliarity with ERS workflows and responsibilitiesEnsuring data integrity in EPIC according to workflows Required Experience and Skills include, but are not limited to:4 to 7 years of relevant experience in Executive Risk or Management Liability preferred.Bachelor’s degree preferred or equivalent experience.Technical education development (Management Liability specific classes, designations, etc.)Intermediate proficiency in Microsoft Office.Property & Casualty License required.Strong written and verbal communication skills.Ability to track all tasks against applicable deadlines.Competently manages high-volume demands accurately with minimal lead time.Responds promptly and accurately to inquiries.

Employers Direct Healthcare is hiring a Senior Governance & Risk Analyst for a hybrid role based in Dallas, TX, with three days per week in the office. Role overview This position supports the company’s mission of connecting individuals to high-quality specialty care through a national Network of Excellence. The Senior Governance & Risk Analyst will contribute to maintaining high standards in healthcare delivery, ensuring compliance, and managing risk across the organization. The work environment values logic, inclusion, grit, humanity, and truth, principles that guide the team’s approach to supporting members and clients. What you will bring Strong decision-making skills, using logical reasoning to drive progress and change Commitment to inclusion, valuing diverse perspectives and collaboration Determination and ambition to tackle complex challenges with innovative thinking Dedication to customer care, recognizing the impact of your work on individuals’ lives Integrity and honesty in all communications and reporting Ability to thrive in a collaborative, team-oriented environment Our values The team operates by the principles of LIGHT: Logic, Inclusion, Grit, Humanity, and Truth. These values guide daily work and support the mission of helping members navigate the healthcare system and access the care they need. Interested candidates are encouraged to apply through the company’s recruitment portal.

We are on the lookout for a seasoned Risk Management Insurance Broker with a minimum of 3 years of B2B sales experience in the Property and Casualty (P&C) industry. In this pivotal role, you will deliver expert advice and support to clients, helping them navigate the intricate world of insurance and related programs. Ideal candidates will have:Demonstrated success as an insurance broker, particularly in property and casualty sales.A comprehensive understanding of insurance and risk management solutions to assess intricate policies and uncover cost-saving opportunities.The capability to engage with C-Suite executives to craft effective risk management strategies tailored to their insurance needs.Exceptional communication and interpersonal skills, fostering rapport and trust with clients.Join a High-Performing Team: This position offers the chance to join a team with an outstanding record in the insurance sector. Our client base spans the Construction, Manufacturing, and Food & Agriculture sectors. Over the years, we have consistently achieved double-digit growth, driven organically, and maintained a client retention rate exceeding 90%. This growth showcases our team's ability to adapt to evolving market trends, anticipate client needs, and deliver exceptional results.Unrivaled Sales Support: We empower our sales team with comprehensive resources to ensure their success, including:Expert Account Management Teams: Your clients will receive top-tier service from our skilled account management teams, designed to ensure the highest level of client care.In-House Specialists: Our team comprises specialists in compliance, HR consulting, analytics, client communications, worksite products, stop loss, and technology.Tools & Resources: You will have access to assessments, checklists, audits, and partner companies like ThinkHR and Zywave to create custom solutions for each client.We are committed to winning and have a proven history of success. Many of the top brokers in the country have made Cottingham & Butler their home, building unparalleled careers in the industry.

ROLE SUMMARY:The Risk Control Client Experience & Technology Manager plays a pivotal role in enhancing operational efficiency within the Risk Control Division. This position is dedicated to fostering an exceptional "Client Experience" by identifying, developing, and implementing a suite of software tools that will be utilized by both clients and Risk Control team members. This role aims to streamline administrative tasks, thereby improving the overall performance of the Risk Control team and supporting the long-term strategic objectives. The selected candidate will collaborate closely with Risk Control Team Leaders and Industry Leaders to ensure optimal resource allocation, best practices, and cooperative efforts across all offices to drive new business and bolster client retention. Additionally, this position will manage approximately 25% of the client service workload directly associated with IMA clients to maintain a current understanding of operational demands. Key Responsibilities:Provide support to the Risk Control Team by addressing client inquiries related to software tools.Exemplify IMA’s core values while promoting a culture of diversity, equity, and inclusion among all associates.Assist Team Leaders and Industry Leaders in boosting efficiency and profitability through centralized access to resources and success stories.Engage professionally with teammates, Market Leaders, Producers, and Account Executives to enhance client retention and secure new business opportunities.Serve as a trusted advisor on data initiatives, such as Loss Source Analysis and Safety Perception Surveys.Identify, develop, and sustain technology solutions for Risk Control projects as prioritized by leadership.Maintain an updated list of vetted vendors for internal and client referrals.Manage client updates using third-party software tools and negotiate renewals based on accurate usage.Act as a liaison to outsourced operational partners, providing insights for process improvements.Oversee the operational aspects of vendor relationships, including agreements, billing, and legal reviews.

Join AECOM as a Qualys Reporting & Risk Visibility Analyst in a hybrid work environment based in Dallas, Texas. In this role, you will leverage your analytical skills to enhance our risk visibility and reporting capabilities within the Qualys platform. Collaborate with cross-functional teams to identify vulnerabilities, assess risks, and support compliance efforts. Your insights will play a crucial role in safeguarding our clients and their assets.

Rexel seeks a Benefits and Leave Specialist based in Dallas to oversee employee benefits and leave programs. This role ensures that all offerings align with company policies and comply with legal requirements. Day-to-day, the position centers on supporting employees and maintaining accurate program administration. Key Responsibilities Administer a variety of employee benefits programs, ensuring smooth operation and accurate records Manage leave of absence requests, tracking documentation and timelines Monitor compliance with relevant laws and regulations for all benefits and leave processes Respond to employee questions about benefits and leave, offering clear and timely information Role Focus This position emphasizes both program administration and direct employee support. Attention to detail and knowledge of compliance standards are important for success in this role.

destinationknot seeks a Scheduling & Reservations Specialist to handle client booking and reservation tasks. This remote position is based in Dallas, Texas and centers on supporting travelers with efficient, accurate service. Key Responsibilities Coordinate and manage client reservations, keeping accuracy and timeliness as top priorities Maintain thorough records of all bookings and schedules Guide clients through the booking process from start to finish Contribute to a positive travel experience by providing dependable service What We Look For Attention to detail in every aspect of the work Strong organizational skills to manage multiple bookings A commitment to delivering quality client service

Join our dynamic team at Prosidian Consulting as a Junior Contract Specialist. In this entry-level role, you will have the opportunity to support our contracting processes, ensuring compliance and efficiency. This position is perfect for detail-oriented individuals looking to kick-start their career in contract management within a collaborative environment.

Who We AreChomps is the fastest-growing meat snack brand in the U.S., redefining the snacking experience. Our products are crafted from high-quality proteins, free from sugar, and made with real ingredients, embodying simplicity, flavor, and convenience. With a presence in over 30,000 stores nationwide and a robust e-commerce platform, our mission is to inspire and empower our community through accessible, real food that doesn’t compromise on taste.

Join Ag Technologies Inc. as a Training & Placement Specialist focusing on Informatica and Microstrategy. This role is ideal for individuals passionate about guiding new talent into successful careers, providing them with the necessary skills and placements in the tech industry.

Join our dynamic team at North Star Staffing Solutions as a Sourcing Specialist. In this pivotal role, you will take charge of identifying and acquiring top-tier talent to meet our clients' needs. Your expertise in sourcing candidates through various platforms and your ability to build strong relationships with potential hires will be key to your success.As a Sourcing Specialist, you will utilize innovative sourcing techniques, including social media, job boards, and networking events, to discover exceptional candidates. Your keen understanding of the hiring landscape and commitment to diversity and inclusion will help us attract a wide range of talent.