Risk Adjustment Coder Specialist

Role Overview Oscar Health is hiring a Risk Adjustment Coder Specialist in Miami, Florida. This role focuses on ensuring precise coding and thorough documentation to support risk adjustment programs. The work directly affects coding accuracy and helps drive better patient outcomes. What You Will Do Review medical records and documentation for accuracy in risk adjustment coding Work closely with healthcare providers to confirm correct coding practices Support initiatives aimed at improving coding quality and compliance What You Bring Strong attention to detail Commitment to improving healthcare delivery Experience with risk adjustment coding (details not specified in the source)

Join our dynamic team at Morgan & Morgan as a Bodily Injury Claims Adjuster, where your expertise will play a pivotal role in ensuring fair and timely claims handling. You will be responsible for investigating and resolving bodily injury claims, negotiating settlements, and providing exceptional service to our clients.

Join our team as a Medical Coder in Miami, FL! In this role, you will be responsible for accurately coding medical diagnoses and procedures to ensure proper billing and compliance with regulations. We are looking for detail-oriented professionals who can navigate complex coding systems and contribute to our mission of delivering exceptional healthcare services.

Job Summary:The Risk Manager will be instrumental in advancing the Bank's comprehensive risk management framework across various risk dimensions, focusing particularly on risk governance, operational risk management, and cyber risk. The ideal candidate is a detail-oriented and intellectually curious professional who excels in a dynamic environment and possesses strong analytical and critical thinking abilities. These skills will enable the individual to navigate multiple risk dimensions effectively. This role collaborates across different business lines and control functions to ensure that risks are identified, assessed, monitored, and reported in accordance with regulatory standards and the Bank's defined risk appetite. The Risk Manager will also play a crucial role in enhancing the risk culture, governance discipline, and control effectiveness within a small banking environment.

ABOUT HUT 8Join us at Hut 8, where innovation meets infrastructure. We are dedicated to constructing and managing some of the world's most significant data centers tailored for cutting-edge computing workloads, spanning AI, Colocation, Cloud Services, and Bitcoin Mining. Our mission is to create dynamic and challenging opportunities for individuals eager to build teams, solve complex problems, and make a meaningful impact from day one. If you're a driven professional seeking a rewarding and stimulating career, you've found your place.About the RoleThe Risk Coordinator will play a crucial role in supporting Hut 8’s risk management and insurance programs across various operations, including extensive construction projects, energy infrastructures, Bitcoin mining, and high-performance data centers. Reporting directly to the Risk Transfer & Insurance Strategy Manager, this position will act as a central operational hub for insurance and risk activities, ensuring that policies, claims, and compliance processes are executed efficiently while enhancing Hut 8’s enterprise risk management framework as we scale.Key Responsibilities:Administer Hut 8’s corporate insurance programs, encompassing OCIP, property, general liability, builder’s risk, cyber liability, business interruption, and specialized operational coverages.Facilitate insurance policy renewals by collecting underwriting data, exposure schedules, and operational updates from internal teams.Maintain comprehensive insurance documentation, including policy schedules, endorsements, certificates, and coverage summaries.Act as a daily liaison with insurance brokers, carriers, and external partners.Organize and manage records of insurance policies, certificates, and coverage documentation across the organization.Track and oversee Certificates of Insurance (COIs) from vendors, contractors, and partners, ensuring compliance with contractual stipulations.Assist with insurance compliance related to contractual obligations, lender requirements, and project-specific insurance provisions.Collaborate with operational teams across mining sites, energy infrastructures, and data center operations to identify and document potential risk exposures.Help collect and analyze operational risk data to support enterprise risk assessments and risk registers.Contribute to internal risk reviews and audits.

Emigrant Bank seeks a Senior Risk Manager in Miami, Florida to help safeguard the bank’s assets and support day-to-day operations. This role leads risk identification and mitigation efforts, always keeping regulatory compliance in focus. Key responsibilities Identify and assess risks across all operational areas of the bank Develop and carry out strategies to manage and reduce risks Maintain compliance with applicable regulatory standards Collaborate closely with senior leaders and teams throughout the organization Advise on risk-related decisions and encourage a risk-aware mindset across the bank Requirements Background in risk management within the financial sector Strong analytical abilities and sound judgment Clear communication skills Experience working with colleagues at all organizational levels

At Anaplan, we pride ourselves on being a team of trailblazers dedicated to enhancing business decision-making through our premier AI-driven scenario planning and analysis platform, empowering our clients to surpass their competitors and thrive in the marketplace.What brings Anaplanners together across various teams and locations is our shared commitment to ensuring our customers' success and fostering our Winning Culture.Our customer base includes top-tier companies from the Fortune 50, including Coca-Cola, LinkedIn, Adobe, LVMH, and Bayer, among over 2,400 global organizations that trust our cutting-edge platform.Our Winning Culture is the driving force behind our innovative teams. We embrace diverse perspectives and ideas, act as leaders irrespective of our titles, pursue ambitious goals, and celebrate our achievements – both large and small.Guided by our principles of being strategy-led, values-driven, and disciplined in our execution, you will find inspiration, connection, development, and rewards here. Your unique qualities are welcomed; join us in building the future together!As our new Third Party Risk Analyst, you will be essential in safeguarding Anaplan by managing the risks associated with our third-party suppliers and collaborating closely with our legal team. You will oversee the comprehensive lifecycle of third-party risk management, which includes identifying, assessing, mitigating, and monitoring risks to ensure our programs and operations remain secure and resilient. This position demands analytical precision, exceptional communication prowess, and the ability to work collaboratively across diverse teams.Your ImpactStrengthen Resilience: Directly enhance the security and resilience of Anaplan by constructing and enforcing a robust third-party risk management framework.Drive Compliance: Guarantee that all third-party engagements comply with company policies and adhere to regulatory guidelines and industry best practices.Enable the Business: Collaborate with business units to facilitate risk-aware decision-making, enabling effective supplier partnerships while protecting the company.Enhance Visibility: Develop and manage reporting that provides leadership with clear insights into third-party risk posture, trends, and key performance indicators (KPIs).

About UsNubank stands as one of the largest digital financial platforms globally, boasting over 122 million customers across Brazil, Mexico, and Colombia. Committed to our mission of combating complexity and empowering individuals, we are transforming the financial services landscape in Latin America. And this is only the beginning of the vibrant future we are creating.As a publicly traded company on the New York Stock Exchange (NYSE: NU), we leverage proprietary technology, data intelligence, and a streamlined operational model to provide financial products that are straightforward, accessible, and human-centric.Our impact is acknowledged by prestigious global rankings such as Time 100 Companies, Fast Company’s Most Innovative Companies, and Forbes World’s Best Bank. For more details, visit our careers page at https://international.nubank.com.br/careers/.About the Team:At Nubank, we view Compliance as a strategic partner rather than a mere checkpoint. We believe that effective Risk Management and Compliance are the driving forces that sustain agility and foster rapid, responsible growth across diverse global markets. Our team collaborates closely with internal stakeholders, applying a targeted approach to address the most pertinent regulatory risks and integrating compliance directly into product design from the outset.The Global Compliance function acts as the Second Line of Defense, overseeing the comprehensive regulatory lifecycle: monitoring new regulations, advising product and technology teams, testing controls, coordinating regulatory inspections, and ensuring the effective resolution of regulatory issues.Your Responsibilities:Provide independent guidance to business partners on new product initiatives, marketing strategies, servicing processes, and systems implementations to identify and alleviate compliance risks prior to deployment.Challenge the First Line of Defense (Business Operations, Marketing, Product) regarding the design and adequacy of compliance controls, policies, and procedures.Interpret and apply federal and state consumer protection laws to varied and intricate business scenarios, delivering actionable compliance solutions rather than mere risk flags.Evaluate the compliance and regulatory implications of internal operational occurrences (e.g., system errors, process failures, vendor issues), audit findings, and external regulatory shifts; formulate and implement remediation strategies for compliance-related challenges in collaboration with the First and Third Lines of Defense.Convert complex regulatory requirements into clear, comprehensible guidance for cross-functional teams and business leadership, ensuring alignment and understanding.

Join hellogov as an AI Escalation Specialist in Miami, Florida, where you'll play a crucial role in managing and resolving complex AI-related issues. This position requires a strong understanding of artificial intelligence technologies and exceptional problem-solving skills. As part of our dynamic team, you will enhance our AI systems and ensure optimal performance, contributing significantly to our mission of providing innovative solutions.

Kaseya is hiring a Renewal Specialist in Miami, FL. This role centers on managing customer renewals and supporting ongoing client relationships. The position plays a key part in ensuring customers remain satisfied and continue to use Kaseya’s technology solutions. Role overview The Renewal Specialist handles the full renewal process, working directly with clients to maintain and extend their contracts. Regular communication and attentive support are essential to help customers get the most from Kaseya’s offerings. What you will do Coordinate and manage customer renewal activities Communicate proactively with clients to address questions and concerns Support customers in using Kaseya’s technology solutions effectively Build and maintain strong, long-term client relationships

Role overview The HIV Therapeutic Specialist at Eversana works across the Miami region, focusing on relationship-building with both healthcare providers and patients. This role involves sharing current information about HIV treatments and support resources, aiming to strengthen connections within the community. Key responsibilities Engage with healthcare professionals to discuss available HIV treatment options and approaches to patient care. Offer education and up-to-date resources about HIV therapies to clinicians and staff. Guide patients by providing information on support services and answering questions about available therapies. Contribute to improved patient outcomes and support efforts to raise the standard of HIV care in the Miami area. Location details This position is based in Miami and covers the greater Miami region.

We are seeking a highly motivated and detail-oriented Implementation Specialist to join our dynamic team at Firm Pilot A Law Firm Marketing. As an Implementation Specialist, you will play a crucial role in ensuring our clients successfully adopt our innovative marketing solutions. Your expertise will help guide clients through the implementation process, ensuring they achieve optimal results.

Job OverviewAs a Compliance Operations Specialist at CashQ, you will play a crucial role in facilitating the onboarding process for our customers and partners.Key Responsibilities:Execute KYC onboarding processes for clients and partners, ensuring all documentation is complete, accurate, and legitimate.Utilize various systems, databases, and online resources for thorough research pertinent to investigations.Detect red flags and suspicious activities, analyze patterns, and propose effective solutions.Conduct checks for sanctions, Politically Exposed Persons (PEP), and adverse media.Perform both basic and enhanced KYC due diligence for new and existing clients.Stay informed on relevant BSA and OFAC laws and regulations.Collaborate with internal teams to update KYC/AML policies and procedures.Effectively escalate compliance issues to management as necessary.Implement policies and procedures to ensure regulatory compliance.

As a proud partner of the Leavitt Group, FBMC is looking to enrich our team with a talented Benefits Education Specialist at our client site, Jackson Health Systems, located in beautiful Miami, FL.With a legacy spanning over 40 years, FBMC is dedicated to providing employees with affordable, top-notch benefits. Our commitment to fostering strong relationships with clients, delivering outstanding service, and contributing positively to the communities we serve reflects our core values of integrity, collaboration, and a shared vision for a secure and thriving future.Position OverviewThe Benefits Education Specialist (BES) is instrumental in offering premium support to client employees by facilitating personalized benefits education sessions, both virtually and in person. You will empower employees to comprehend their core and voluntary benefits options, support their decision-making process, and ensure precise and compliant enrollment procedures.This position suits individuals who relish the opportunity to educate others, excel in dynamic environments, and are driven to assist individuals in making significant financial and healthcare choices.Key ResponsibilitiesConduct personalized benefit education and review sessions utilizing employer-provided census data.Educate and guide employees on core and voluntary benefit options while ensuring compliance with all licensure and regulatory mandates.Manage inbound inquiries and perform outbound follow-ups related to benefits education and enrollment.Diligently document and process employee enrollment selections.Identify and escalate complex issues or concerns as necessary.Assist with annual open enrollment activities, including extended hours or travel as required.Maintain active insurance licensure (when applicable).Execute additional duties as assigned to further team and organizational objectives.QualificationsWe are looking for an individual who possesses a blend of strong technical expertise and exceptional interpersonal communication skills. The ideal candidate will demonstrate:Adaptability and willingness to learn.Outstanding verbal and written communication abilities.Exceptional customer service and consultative skills.

Join our dynamic team as a Medical Billing Specialist. In this pivotal role, you will manage billing processes, ensuring accuracy and compliance with healthcare regulations. Your expertise will contribute to the financial health of our organization, while providing top-notch service to our clients.

Join our dynamic team at Integrated Resources, Inc. as a Data Management Specialist. In this pivotal role, you will be responsible for overseeing data processes, ensuring data integrity, and assisting in the development of data management strategies. Your expertise will help streamline our operations and enhance data-driven decision-making.

Join Integrated Resources, Inc. as a Data Management Specialist where your expertise will play a crucial role in optimizing our data operations. In this position, you will oversee the integrity and security of our data systems, ensuring that they are efficient and accurate.Your responsibilities will include analyzing and managing data flow, implementing data governance protocols, and collaborating with cross-functional teams to enhance data utilization.

Role overview KIPP is hiring a School Facilities Specialist based in Miami. The role centers on keeping school buildings safe, functional, and ready for daily use. Attention to detail and a commitment to health and safety are essential, as the facilities must always meet required standards. What you will do Handle routine maintenance and repairs throughout the school buildings Track and support facility improvement projects as they progress Check that all spaces follow health and safety regulations Coordinate with vendors and service providers to address building needs Impact This position helps ensure that students and educators can focus on learning and teaching, confident that the school environment is safe and well maintained.

ABOUT HUT 8Hut 8 is at the forefront of innovation in technology, energy, and infrastructure. Our mission is to construct and operate some of the largest data centers globally, catering to next-generation computing workloads such as AI, Colocation, Cloud, and Bitcoin Mining. We take pride in offering dynamic and challenging opportunities for those eager to build teams, tackle complex problems, and make a meaningful impact from day one. If you are an ambitious professional ready for a rewarding and challenging career, you've found your place.ABOUT THE ROLEWe are currently in search of a meticulous and organized Contract Specialist to join our Legal team, reporting directly to the Associate General Counsel. This critical position will be responsible for the initial review and drafting of standard commercial agreements, overseeing contract intake and workflows, and maintaining our contract templates and systems. Your contributions will be vital in enhancing efficiency, minimizing risk, and ensuring uniformity across the company's contracting processes.

As a Data Specialist at CGS Federal, you will play a crucial role in assisting our government clients with data processing using LAW. This full-time, mid-level position entails handling large volumes of production data, executing database exports for discovery party productions, and downloading files from our file-sharing tool, JEFS. Ensuring accuracy through meticulous quality control on load and export files is essential. CGS Federal is dedicated to bringing together motivated, skilled, and innovative individuals to tackle the government's most pressing challenges using advanced technology. We seek candidates passionate about contributing to government innovation, thrive in collaborative environments, and can proactively assess the needs of their teams. We pride ourselves on fostering a supportive workplace that encourages professional development through various learning opportunities. Key Responsibilities:- Efficiently modify load files and conduct quality control on data loads.- Collaborate in creating and updating document processing protocols.- Manage multiple load streams concurrently.- Execute native file processing within LAW.- Generate load files by exporting data from Relativity as needed by Case Managers.- Carry out data conversion processes, including various document type conversions.- Address specialized format data conversions and file manipulation requests.- Oversee quality control for load files and Relativity data loads and exports.- Complete advanced tasks, such as producing data exports for productions and ensuring quality control on complex file overlays, privilege clawbacks, and document sequestration.- Validate accuracy on loads performed by new Data Specialists through quality control checks.- Provide practical training to fellow Data Specialists as required.- Conduct basic Relativity searches and global updates for marking/tagging records as instructed, including confirming record counts in Save Searches and verifying image redactions before creating production exports.- Clearly communicate any data inconsistencies with the Project Manager.- Assist with inquiries regarding data load file formats or media encryption software as requested by Case Managers and IT personnel.