risk adjustment program manager

North Middlesex Regional School District

<b>POSITION:</b> ADJUSTMENT COUNSELOR/ SOCIAL WORKER REPORTS TO: Building Principal, Director/Asst. Director of Special Education ESSENTIAL FUNCTIONS: Adjustment counselors/ Social Workers assist students with academic learning by providing strategic services that identify and address the social-emotional-environmental issues that interfere with the educational process. Working with parents/guardians, teachers, school principal/principal's designee, and community based resources, the school counselor/ adjustment counselor implements strategies that promote students' positive school adjustment. Adjustment counselors/ Social Workers are members of the Special Education Department.
<br><br>
Each adjustment counselor/ social worker is assigned to the school(s) based upon identified needs of the student population. JOB DUTIES: Identifies and assesses academic problems through analysis of factors impinging on student adjustment including factors in the home, school, and community. Determines and implements appropriate school based therapeutic strategies to effect changes in behavioral-social interactions of students and their families. Collection and documentation of student progress through progress monitoring and observation data.
<br><br>
Provides individual and group therapeutic counseling to students and, as appropriate, families. Collaborates with school staff and other school system personnel in implementing strategies to promote student learning. Participate as members of the IEP and other school based teams to develop interventions for promoting students' academic success. Serves on both school-based and system-wide committees to address educational, adjustment problems, safety issues, and program development for students.
<br><br>
Provides crisis intervention services. Completes psychosocial assessments to assist in the determination of special education services. Provides social work case management for students and families. Provides staff consultation on behavioral/emotional/environmental issues affecting student participation in the learning process.
<br><br>
Maintains required clinical records and submits appropriate documents for statistical reports with adherence to program standards in school social work. Serves as District Contact Person for related service IEPs, social/counseling goal. Manages a 504 caseload, including setting up parent meetings, writing 504 plans, and ensuring stakeholders are made aware of new and adjusted 504 plans. Completes risk assessments on referred students.
<br><br>
Serves as liaison with community agencies and assists in fostering communication between schools, parents/guardians, and community leaders. Locates and mobilizes community resources to support the educational program. Attends meetings and professional development activities as required. Follows all federal, state and district-wide mandates, laws, and initiatives.

Adjustment Counselor/ Social Worker

Amazon.com

<div><h2 class="jobSectionHeader"><b>DESCRIPTION</b></h2><div>
Application deadline: May 11, 2026<br>
<br>
The Portfolio, Program and Vendor Management Team within Amazon&rsquo;s Logistics Claims Management and Operations group is seeking a motivated and experienced Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in process improvement, have experience in vendor lifecycle management, and understand institutional program design and implementation. They will support a growing and evolving insurance program, partnering with key stakeholders to identify business challenges and develop creative, often novel, solutions. They will use data and metrics to propose program enhancements and modify standards as needed to improve our ability to scale. They will be comfortable presenting issues and proposed solutions to all levels of leadership through superior written and verbal communication skills.<br>
<br>
In this role, the Senior Risk Manager will use their expertise in liability and insurance, excellent analytical skills, and business acumen to deliver results. They will obsess over our customers (internal and external) and will work backward from the customer&rsquo;s needs to create best-in-class processes. They are a trusted partner to our external partners and internal business operations and will leverage those trusting relationships to create excellent outcomes.<br>
<br>
Key job responsibilities<br>
<ul><li>Manage all aspects of vendor relationships, from process implementation to performance evaluation and improvement.</li><li>Support document management and compliance.</li><li>Clearly define and uphold performance standards based on organizational and team goals.</li><li>Identify opportunities for improvements across the entire auto claims program and all lines of business.</li><li>Effectively communicate recommended risk mitigation strategies and program/process improvements to cross-functional and internal leadership teams.</li><li>Support finance forecasting, reporting, and accounting processes.</li><li>Available for travel up to 25% of the time.</li></ul></div><h2 class="jobSectionHeader"><b>
BASIC QUALIFICATIONS</b></h2><ul><li>Bachelor's degree or equivalent</li><li>6+ years of compliance, audit or risk management experience</li><li>Knowledge of Microsoft Office products and applications at an advanced level</li></ul><h2 class="jobSectionHeader"><b>
PREFERRED QUALIFICATIONS</b></h2><ul><li>Project Management Professional (PMP) or equivalent certification</li><li>Experience leveraging technology and implementing lean principles / Six Sigma methodologies to drive process improvements or equivalent</li><li>Master's degree or equivalent</li></ul><br>
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.<br>
<br>
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you&rsquo;re applying in isn&rsquo;t listed, please contact your Recruiting Partner.<p><br>
The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life &amp; AD&amp;D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.</p><br>
USA, AZ, Tempe - 121,200.00 - 163,900.00 USD annually<br>
USA, NY, New York - 133,300.00 - 185,000.00 USD annually<br>
USA, TN, Nashville - 109,000.00 - 155,400.00 USD annually<br>
USA, TX, Austin - 121,200.00 - 163,900.00 USD annually<br>
USA, WA, Bellevue - 121,200.00 - 163,900.00 USD annually</div><p></p>

Sr. Risk Manager, Logistics Claims Management & Operations

<div><h2 class="jobSectionHeader"><b>DESCRIPTION</b></h2><div>
Transportation Operations Management (TOM) is seeking a talented Program Manager. You will manage capacity and risk planning for the TOM organization, supporting Sort Centers. You will work with network planning teams to forecast demand, build and use models to understand our ever-changing capacity, and define solutions that support the end-to-end supply chain. The outputs for these models will identify risk and influence how we plan our network. This role marries operational knowledge, strategic planning and exceptional statistical and analytical thinking. In this role, you will communicate and collaborate with front-line senior leaders in Operations, Finance, Planning, Engineering, and Real Estate. You will be part of a high-visibility program that helps to define the future of transportation through each level of the Amazon Fulfillment supply chain.<br>
<br>
Key job responsibilities<br>
<ul><li>Determine and gain alignment with TOM and site ops leadership on yard specific capacity.</li><li>Identify buildings at risk based on yard constraints and determine short term and long term solutions to solve</li><li>Lead strategic planning and forecasting for your defined business</li><li>Collaborate with customer and partner groups to identify and leverage data to make programmatic changes</li><li>Develop and automate models as needed</li><li>Manage and deliver results on complex projects across multiple organizations</li><li>Work with program managers, business leaders and executive team to communicate and impact critical business initiatives</li><li>Develop, implement, and govern Key Performance Indicator (KPI) reporting for a portfolio of programs, providing visibility to the milestones, and performance across all projects</li><li>Gather and analyze data to drive business decisions</li><li>Innovate to improve processes and continuously remove cost from operations</li><li>Travel 10%</li></ul></div><h2 class="jobSectionHeader"><b>
BASIC QUALIFICATIONS</b></h2><ul><li>4+ years of people management experience</li><li>Bachelor's degree or equivalent in BI, finance, engineering, statistics, computer science, mathematics or equivalent quantitative field</li><li>Experience building optimization models using Advanced Excel</li><li>Experience working with MS Excel, VBA, SQL, Data Warehouse or business intelligence systems and data visualization tools such as Tableau</li><li>Experience in Project/Program management</li></ul><h2 class="jobSectionHeader"><b>
PREFERRED QUALIFICATIONS</b></h2><ul><li>3+ years of project/program management experience</li><li>3+ years of workflow experience</li></ul><br>
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.<br>
<br>
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you&rsquo;re applying in isn&rsquo;t listed, please contact your Recruiting Partner.<p><br>
The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life &amp; AD&amp;D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.</p><br>
USA, NY, New York - 118,200.00 - 177,000.00 USD annually<br>
USA, TN, Nashville - 96,800.00 - 144,800.00 USD annually<br>
USA, VA, Arlington - 107,500.00 - 160,000.00 USD annually<br>
USA, WA, Bellevue - 107,500.00 - 160,000.00 USD annually</div><p></p>

Program Manager, Capacity Planning, Yard Capacity Planning and Analysis

Baptist Health System KY & IN

<div><p><b>Summary
</b></p><p><b>Job Description:
</b></p><p><b><i>Baptist Health Medical Group is looking for an Ambulatory CDI Specialist to join our team! This is a remote work position that requires residency in KY or IN
</i></b></p><p></p><div><div><div><div><div><div><div><div><div><p>The BHMG Ambulatory CDI Specialist I is responsible for the evaluation of documentation utilizing their coding and clinical expertise to ensure specificity of coding and coding accuracy. They identify HCC diagnosis codes, ensure documentation accurately reflects the medical necessity and acuity of the patients. They provide guidance/education to the providers, medical assistants, practice managers and ancillary staff on clinical documentation best practices. Position requires a self-motivated, flexible, confident presenter that is able to travel and work remotely as well as attend internal meetings.
</p><p></p><p><b><i>Minimum Education, Training, and Experience Required
</i></b></p><ul><li><p>2 years&rsquo; professional medical group coding experience
</p></li><li><p>Experience with:
</p><ul><li><p>ICD-10-CM coding principles and procedures,
</p></li><li><p>HCPCS, CPT, CPT II and modifier coding,
</p></li><li><p>CMS HCC, HHS HCC, Rx HCC coding and risk adjustment assignment as it relates to provider documentation,
</p></li><li><p>Knowledge of Microsoft Office (Outlook, PowerPoint, Excel)
</p></li></ul></li></ul><ul><li><p><b><i>Preferred Experience
</i></b></p><ul><li><p>HCC (CMS, HHS, Rx HCC) coding and risk adjustment assignment as it relates to provider documentation,
</p></li><li><p>Proficient experience with Epic and/or other major EMR vendor software, and
</p></li><li><p>Presenting education to coders, providers and/or other caregivers.
</p></li><li><p><i>Clinical experience a plus
</i></p></li></ul></li></ul><p><b><i>Certification/Licenses:
</i></b></p><ul><li><p>Active Certification Required:
</p><ul><li><p>Certified Professional Coder (CPC)
</p><p>certification or Certified Coding Specialist-Physician based (CCS-P) or equivalent
</p><p>certification from AAPC, AHIMA or other
</p><p>acceptable professional organization.
</p></li></ul></li><li><p>A minimum of one additional advanced certification, required within one year of hire.
</p><ul><li><p>CRC = Certified Risk Adjustment Coder (certification)
</p></li></ul></li></ul></div></div></div></div></div></div></div></div></div><p><b>Work Experience
</b></p><p></p><p><b>Education
</b></p><h3 class="jobSectionHeader"><b><i>If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
</i></b></h3><p></p><h3 class="jobSectionHeader"><b>Baptist Health is an </b><b><i>Equal Employment Opportunity </i></b><b>employer.</b></h3></div>

BHMG Ambulatory CDI Specialist

Marriott International

<div><b>Additional Information</b><br>
<b>Job Number</b>26056861<br>
<b>Job Category</b>Finance &amp; Accounting<br>
<b>Location</b>Marriott International HQ, 7750 Wisconsin Ave, Bethesda, Maryland, United States, 20814<br>
<b>Schedule</b>Full Time<br>
<b>Located Remotely?</b>N<br>
<b>Position Type</b> Management<br>
<b>Pay Range:</b> $96,000-$151,900 annually<br>
<b>Bonus Eligible:</b> Y
<p></p><div><div><div><p><b>JOB SUMMARY</b></p></div><br>
<p></p><div><p>The Claims Unit Manager is responsible for overseeing the adjustment and resolution of self-insured and self-administered casualty claims across multiple jurisdictions, ensuring compliance with legal and organizational standards. This role manages a team of 3&ndash;6 claims professionals, including adjusters, assistants, and administrative support personnel, providing training, guidance, and performance oversight. The manager monitors caseloads to maintain appropriate balance based on jurisdictional requirements and the complexity of workers&rsquo; compensation and general liability claims, ensuring high-quality, timely, and cost-effective claim outcomes.</p></div><br>
<p></p><div><p><b>CANDIDATE PROFILE</b></p><br>
</div><p></p><div><p><b>Education and Experience
</b></p></div><div><p><i>Required</i></p>
</div><div><ul><li>Minimum of 5 years claims adjusting experience with advanced knowledge of claims processing.</li>
</ul></div><div><ul><li>Demonstrated experience providing technical guidance and direction, including litigation case management training and support.</li>
</ul></div><div><ul><li>Strong technical knowledge of civil laws and state workers&rsquo; compensation statutes.</li>
</ul></div><div><p><i>Preferred</i></p>
</div><div><ul><li>Bachelor&rsquo;s degree in risk management or claims
</li></ul></div><div><ul><li>Certification from various Claims seminars</li></ul><br>
</div><p></p><div><p><b>CORE WORK ACTIVITIES</b></p>
<div><ul><li>Maintain primary responsibility for settlement decisions up to individual authority.</li>
</ul></div><div><ul><li>Assign, control and monitor staff investigations/dispositions to assure compliance with state laws/regulations and department policies and procedures.</li>
</ul></div><div><ul><li>Monitor and approve benefit, claims and expense payments to assure reasonableness, accuracy and timeliness.</li>
</ul></div><div><ul><li>Review unit transactions to assure proper procedure and prompt error corrections.</li>
</ul></div><div><ul><li>Oversee and manage unit Service Call Program.</li>
</ul></div><div><ul><li>Monitor and assess adequacy of reserves.</li>
</ul></div><div><ul><li>Oversee and ensure the effective management of workers' compensation (WC) and liability claims by adjusters, in accordance with legal requirements and company policies. Key areas of focus include but are not limited to:</li>
</ul></div><div><ul><li>Prompt investigation of claims, including obtaining statements to determine liability and compensability.</li>
</ul></div><div><ul><li>Evaluation of damages and payment of benefits as prescribed by law and/or Marriott policies and procedures.</li>
</ul></div><div><ul><li>Collection of necessary documentation to support timely loss adjustment and oversight of settlement decisions within individual authority limits.</li>
</ul></div><div><ul><li>Completion and monitoring of timely WC payments and required state filings.</li>
</ul></div><div><ul><li>Management of WC medical treatment with the goal of minimizing disability, including consultation with Occupational Health Services as needed.</li>
</ul></div><div><ul><li>Oversight of litigation cases, including coordination with outside attorneys and support for discovery, trial preparation, and legal strategy.</li>
</ul></div><div><ul><li>Evaluation of claims for potential third-party liability or subrogation recovery.</li>
</ul></div><div><ul><li>Partner with the Regional Director and Operations Managers to ensure effective communication, coordination, and issue resolution across key operational areas, including:</li>
</ul></div><div><ul><li>Notifying leadership of staff absences, schedules, and appointments.</li>
</ul></div><div><ul><li>Informing of attorney, vendor, or other visits from external parties.</li>
</ul></div><div><ul><li>Communicating updates on upcoming trials and their outcomes.</li>
</ul></div><div><ul><li>Evaluating significant and high-risk incidents.</li>
</ul></div></div></div><div><div><ul><li>Reporting personnel issues or concerns as they arise.</li>
</ul></div><div><ul><li>Delivering monthly statistical reports within five days of receiving the data.</li></ul></div></div><p><br>
</p><p></p><p><i>Marriott International is an equal opportunity employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under applicable law.</i></p><p></p><div>
All positions offer a 401(k) plan, stock purchase plan, discounts at Marriott properties, commuter benefits, employee assistance plan, and childcare discounts. Benefits are subject to terms and conditions, which may include rules regarding eligibility, enrollment, waiting period, contribution, benefit limits, election changes, benefit exclusions, and others. Click here to learn more.</div><div><br>
<br>
</div><div>Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance.</div><div><br>
<br>
</div><div><b>Washington Applicants Only</b>: Employees will accrue paid sick leave, 0.077 PTO balance for every hour worked and be eligible to receive a minimum of 9 holidays annually.</div><div><br>
<br>
</div><div>Marriott HQ is committed to a hybrid work environment that enables associates to Be connected. Headquarters-based positions are considered hybrid, for candidates within a commuting distance to Bethesda, MD; candidates outside of commuting distance to Bethesda, MD will be considered for Remote positions.</div><p></p><p>
Marriott International is the world&rsquo;s largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. <b>Be</b> where you can do your best work, <b>begin</b> your purpose, <b>belong</b> to an amazing global team, and <b>become</b> the best version of you.</p></div></div>

Claims Unit Manager

Advantmed

<div>
 <p>
  <strong>
   Nurse Practitioner (1099 / PRN) - In Home Assessments
  </strong>
 </p>
 <p>
  <strong>
   Pay
  </strong>
  {{:}} ~$100 per completed assessment + paid mileage
 </p>
 <p>
  <strong>
   Schedule
  </strong>
  {{:}} Flexible weekdays | No evenings, weekends, or on call
 </p>
 <p>
  <strong>
   Work Model
  </strong>
  {{:}} 1099 Independent Contractor (PRN)
 </p>
 <p>
  <em>
   Designed for NPs seeking reliable, ongoing PRN income with structure and support
  </em>
 </p>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   About the Role
  </strong>
 </p>
 <ul>
  <li>
   Advantmed is seeking a licensed, dependable Nurse Practitioner to conduct structured, in home wellness and risk adjustment assessments for Medicare members and other at-risk populations
  </li>
  <li>
   This PRN role offers flexibility with consistent visit availability and strong operational support. It is best suited for NPs who value autonomy, professionalism, and accountability and are looking for steady supplemental income, not short term or ad hoc work
  </li>
 </ul>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   Why Advantmed
  </strong>
 </p>
 <ul>
  <li>
   Partnering with 40+ health plans and supporting 1M+ providers nationwide
  </li>
  <li>
   99% Provider Satisfaction and 97% Member Satisfaction
  </li>
  <li>
   30%+ In Home Assessment completion rates, even in complex populations
  </li>
  <li>
   Clinically led, quality first organization with standardized visits and strong QA
  </li>
  <li>
   Technology enabled workflows and clear training from day one
  </li>
 </ul>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   Why You'll Like This Role
  </strong>
 </p>
 <ul>
  <li>
   Paid training and standardized onboarding
  </li>
  <li>
   ~$100 per completed visit + mileage
  </li>
  <li>
   Most providers complete 4-5 visits per day, based on availability
  </li>
  <li>
   Visits ready to schedule immediately
  </li>
  <li>
   Choose your own weekday availability
  </li>
  <li>
   Dedicated coordinators, scheduling, and tech support
  </li>
 </ul>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   What You'll Do
  </strong>
 </p>
 <ul>
  <li>
   Conduct in home Annual Wellness Visits and chronic condition assessments
  </li>
  <li>
   Perform focused histories, exams, vitals, medication reviews, and screenings
  </li>
  <li>
   Screenings{{:}} Hemoglobin A1C, Spirometry, KED (Kidney Health Evaluation), DRE (Diabetic Retinal Exam), FIT
  </li>
  <li>
   Educate members on preventive care and chronic disease management
  </li>
  <li>
   Document visits in the EMR to support value-based care and risk adjustment
  </li>
 </ul>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   All assessments are standardized, with training, equipment guidance, and EMR support provided.
  </strong>
 </p>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   Important Role Expectations
  </strong>
 </p>
 <ul>
  <li>
   This is a 1099 PRN role requiring consistency and reliability
  </li>
  <li>
   Maintain ongoing monthly availability
  </li>
  <li>
   Be responsive during onboarding and scheduling
  </li>
  <li>
   Honor confirmed visits and assignments
  </li>
  <li>
   Work independently and professionally in the field
   <br/>
  </li>
 </ul>
 <p>
  <strong>
   Minimum commitment{{:}}
  </strong>
  &nbsp;~30 hours per month, ongoing - Not intended for casual or very short-term engagement.
 </p>
 <p>
  <strong>
   Travel Expectations
  </strong>
  {{:}} Daily travel within a 55-mile radius of the assigned county
 </p>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   Qualifications
  </strong>
 </p>
 <ul>
  <li>
   Active, unencumbered NP license in the applicable state
  </li>
  <li>
   3+ years of patient care experience preferred
  </li>
  <li>
   Comfortable with EMR systems and independent work
  </li>
  <li>
   In home or risk adjustment experience preferred
  </li>
  <li>
   Willing to obtain additional licensure if needed (supported by Advantmed)
  </li>
 </ul>
 <p>
  &nbsp;
 </p>
 <p>
  <strong>
   What Advantmed Offers
  </strong>
 </p>
 <ul>
  <li>
   Competitive per visit compensation
  </li>
  <li>
   Paid mileage
  </li>
  <li>
   Flexible, provider driven scheduling
  </li>
  <li>
   Appointment confirmation and advanced member scheduling support
  </li>
  <li>
   Dedicated coordinator and clinical escalation support
  </li>
  <li>
   Modern, technology enabled documentation workflows
  </li>
 </ul>
</div>


Field Nurse Practitioner - Montgomery County, Ohio

Marina Village Medicine

<p><b>Advanced Practice Nurse Practitioner</b></p><p>We&rsquo;re seeking motivated Nurse Practitioners (NPs) for a flexible, rewarding role performing <b>Annual Health Assessments</b> for risk adjustment purposes.</p><p><b>This opportunity offers:</b></p><ul><li>Flexible scheduling &ndash; you choose when and how many visits to complete</li><li>Meaningful patient interactions in the comfort of their homes</li><li>Competitive compensation: <b>$80&ndash;$120 per hour</b></li><li>New graduates welcome &ndash; comprehensive training provided</li><li>Malpractice coverage included</li><li>Supportive physician mentorship and ongoing professional development</li></ul><p><b>Qualifications:</b></p><ul><li>Master&rsquo;s degree in Nursing or a related field from an accredited program</li><li>Current licensure as an Advanced Practice Registered Nurse (APRN) in the state of practice</li><li>Strong clinical skills in patient assessment</li><li>Excellent communication skills for patient and family interactions</li><li>Ability to work independently while maintaining high attention to detail</li></ul><p><b>Job Types:</b> Part-time, Contract</p><p><b>Work Location:</b> SF &amp; Daly City</p><p>Job Types: Part-time, Contract</p><p>Pay: $80.00 - $120.00 per hour</p><p>Work Location: In person</p>

Advanced Practice Nurse Practitioner

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