The Risk Adjustment Analyst II provides analysis, extracts, review and reporting of data (must have solid SQL experience) to ensure accuracy and completeness and identify areas of risk and opportunity. This position is full time, remote. Essential Functions Compile and analyze member information to ensure the Risk Adjustment Factor accurately reflects the member health pr

The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

Fast paced field environment with frequent face to face, customer interaction Ability to traverse ladders, roofs, crawl spaces, and damaged property Typically inspects multiple losses per day requiring car travel between locations Evaluates and settles property related damages (primarily) between $10,000 and $100,000 (aggregate); occasionally handles losses that exceed $1

Sr. Property Adjuster Job Locations US OH Columbus | US OH Cincinnati | US OH Dayton ID 2024 1980 Category Claims Position Type Regular Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are

HYBRID 2 3x in Mason Office. $2000.00 missing equipment fee is assessed , if equipment is not returned. Duration 06/30/2024 Temp to hire or extension Data Entry Test Scores required on Resumes. If not received, will decline resume. Hours M F/Full Time; 8 4 30 (30 Minute lunch) Hybrid 2x in office a week.. Must have adequate WFH space and follow all Client remote protocol.

The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o