534 Medicare Risk Adjustment Specialist jobs in Orlando,FL

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Medicare Sales Agent - Independent Contractor (1099) Opportunity

MyPlanAdvocate

Orlando, FL

Flexible Schedule

Licensed and experienced Medicare agents

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New, Posted 1 day ago

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Risk & Quality Performance Manager (Remote)

Molina Healthcare

Orlando, FL 32802

$66,456-$129,590/yr

Remote

Bachelor's degree or equivalent combination of education and experience
2+ years of program and/or project management experience in risk adjustment and/or quality
2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
Familiarity with running queries in Microsoft Azure or SQL server
Healthcare experience and functional risk adjustment and/or quality knowledge
Mastery of Microsoft Office Suite including Excel and Project
Experience partnering with various levels of leadership across complex organizations
Strong quantitative aptitude and problem solving skills
Intellectual agility and ability to simplify and clearly communicate complex concepts
Excellent verbal, written and presentation capabilities
Energetic and collaborative

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Investigator, Special Investigative Unit Coding

Molina Healthcare

Orlando, FL 32802

$21.82-$42.55/hr

Onsite

At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.
Critical-thinking, problem-solving and analytical skills.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.

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Bilingual Loan Sales Specialist

OneMain Financial

Apopka, FL 32704

~ 34 min OnsiteBilingual PreferredEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

HS Diploma/GED

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New, Posted 17 hours ago

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AVP, Risk Management Systems Business Analyst

Synchrony Financial

Lake Mary, FL 32795

Remote

Bachelor's degree in a relevant field such as Business Management, Information Technology, or Finance;
OR in lieu of Bachelor's degree, 7+ years' experience in software development and/or life-cycle management including, Design, QA, UAT, and, Project Management
4+ years of experience in software development and/or life-cycle management including, Design, QA, UAT, and, Project Management
4+ years of experience with operational risk management techniques including, development of process flows, identification and assessment of risks and controls, testing and monitoring procedures, and, development of related metrics
Strong analytical and problem-solving skills with attention to detail
2+ years of working with advanced Excel functions and formulas including, Pivot Table vlookup, Macros, and, Charts
5+ years of Project Management experience
Ability and flexibility to travel for business as required
Eligibility Requirements: You must be 18 years or older
You must have a high school diploma or equivalent
You must be willing to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding process
You must be able to satisfy the requirements of Section 19 of the Federal Deposit Insurance Act.
New hires (Level 4-7) must have 9 months of continuous service with the company before they are eligible to post on other roles. Once this new hire time in position requirement is met, the associate will have a minimum 6 months' time in position before they can post for future non-exempt roles. Employees, level 8 or greater, must have at least 18 months' time in position before they can post. All internal employees must consistently meet performance expectations and have approval from your manager to post (or the approval of your manager and HR if you don't meet the time in position or performance expectations).
Legal authorization to work in the U.S. is required. We will not sponsor individuals for employment visas, now or in the future, for this job opening.

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Retail Sales Specialist - Part-Time (Bilingual Spanish)

Spectrum

Winter Park, FL 32792

$18/hr

~ 25 min OnsiteFlexible ScheduleBilingual Preferred

High School Diploma or equivalent.
Proficiency in cash handling and accurate payment transactions.
High comfort level with personal technology, including mobile devices and video platforms and proficiency in computer applications.
Basic math skills.
Ability to read, write, speak, and understand English and to prioritize, organize, manage multiple tasks and handle change effectively.
Familiarity with goal- and incentive-based work environments.
Strong performance in a fast-paced team environment.
Effective communication with employees and customers in person, on the phone and in writing.
Highly effective interpersonal skills for building partnerships across the organization.
Self-motivated, competitive spirit with a desire to exceed sales goals.
Positive and professional demeanor, strong attention to detail and problem-solving skills.
Bilingual: Spanish.
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
Physical demands (lifting up to 35 lbs., prolonged standing).

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Production Based Elite Wealth Manager

Jessica Naioti

Winter Park, FL 32792

$98,135.65/yr

~ 25 min Onsite

Bachelor's Degree
3-5 years
Authorized to work in US
Driver License
Minimum Age 16
Background Check
Weekdays
Series 6
Licensed Life Insurance Agent
Series 65

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New, Posted 17 hours ago

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VP, Merchant Risk Underwriting

Synchrony Financial

Lake Mary, FL 32795

~ 30 min Onsite

Bachelor's degree and 5+ years of experience in a strategic analytical role, or in lieu of a degree, 10+ years of experience in a commercial Credit/Risk role
5+ years of experience in a credit risk/fraud strategy development role
5+ years of SAS/SQL/Python programming experience (proficient level) with the ability to analyze complex datasets to derive actionable insights
Experience operating at a strategic level within cross-functional teams
Strong communication and presentation skills, with a proven ability to interact with, influence, and present to senior leadership and external clients
Ability to navigate uncertainty, collaborate respectfully across functions and teams, and solve complex issues without prior precedent
Ability and flexibility to travel for business as required
You must be 18 years or older
You must have a high school diploma or equivalent
You must be willing to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding process
You must be able to satisfy the requirements of Section 19 of the Federal Deposit Insurance Act
Legal authorization to work in the U.S. is required. We will not sponsor individuals for employment visas, now or in the future, for this job opening.

SmartExplore AI is experimental.

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Part-Time Doorstep Trash Collection Specialist - Nights - Pickup Truck Required

VALET LIVING

Kissimmee, FL 34744

$18/hr

~ 36 min Onsite

Your own personal open-bed pickup truck (or vehicle with trailer) - required for this role
Valid driver's license and auto insurance
At least 18 years old
Smartphone with a data plan to use our work app
Authorized to work in the U.S. (proof required)

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Seasonal Repair Specialist

Safelite

Orlando, FL 32897

$17.75/hr

Onsite

Must be 18 years of age or older.
Valid state-issued driver's license and any other licenses (as required by federal, state and local laws) to operate a company vehicle. Required
On-the-job training/completion of Safelite SafeTech™ certification. Required
Lifting and carrying up to 25 lbs. for short periods, assist an associate with lifting windshields weighing 26 lbs. to 50 lbs.
Ability to stand for extended periods, work in tight spaces, bend and twist body
Ability to use a variety of hand tools and power tools safely and effectively
Ability to operate a motor vehicle in accordance with all federal, state and local laws and agreement to be monitored via camera / video surveillance
Ability to safely work outside (in a variety of weather conditions and extreme temperatures) for extended periods
Ability to work with chemicals (including but not limited to flammable chemicals), as applicable per the “Safelite Way of Fitting”
Ability to read, write and interpret the English language and technical directions

SmartExplore AI is experimental.