Lighthouse Risk Jobs in Usa

4,185 positions found — Page 4

Experienced Analyst - Oil/Gas Product Risk
Salary not disclosed
Houston, TX 2 days ago

Please closely read the job requirements.


We're helping our client, a large international oil/gas conglomerate with offices in Houston and New York fill several Risk Analyst/Lead openings These individual contributor positions will join the Product Risk team, which analyzes the market risk of various physical commodities in crude, natural gas, and related products.


Candidates must have:

  • 1-6 years of risk experience from oil/gas product/market risk management
  • Experience from physical commodities trading houses or one of the oil majors
  • Ability to commute regularly into the company's offices either in Houston or New York City


If you're interested and meet the above qualifications, email Sean at , attaching your resume. Thanks!

Not Specified
Risk Management Specialist - P&C Personal Lines (SAN ANTONIO)
🏢 Usaa
Salary not disclosed
San antonio, TX 5 days ago

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

This posting is for multiple P&C Actuarial Analyst positions on the pricing, indications, and forecasting teams. These roles require experienced analysts to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.

We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is not available for this position.

Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.

What you'll do:

  • Independently applies actuarial methodologies to complete structured projects (e.g.)

  • Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).

  • Identifies and  improves existing processes utilizing actuarial, mathematical, or statistical techniques.

  • Proactively resolves technical issues and identifies appropriate issues for escalation.

  • Assists others with troubleshooting issues.

  • Creates instructions and training materials for actuarial tools and processes.

  • Mentors new team members.

  • Apply business acumen to provide actionable insights that help solve business problems.

  • Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

  • 2 years of actuarial or analytical business experience.

  • 3 Casualty Actuarial Society (CAS) exams.

  • Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.

  • Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.

What sets you apart:

  • Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).

  • Demonstrated experience with basic actuarial pricing methodologies.

  • Demonstrated experience aggregating and analyzing data to solve problems.

  • Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • P&C Personal Lines pricing experience.

  • Familiarity and experience with industry pricing software such as Earnix.

  • US military experience through military service or a military spouse/domestic partner.

Compensation range: The salary range for this position is: $77,120 - $138,810.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

 

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on .

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Not Specified
Risk Management Actuarial Analyst (PLANO)
🏢 Usaa
Salary not disclosed
Plano, TX 5 days ago

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

This posting is for multiple P&C Actuarial Analyst positions on the pricing, indications, and forecasting teams. These roles require experienced analysts to independently apply actuarial methods for accurate pricing and process improvement, mentor colleagues, provide strategic insights, and manage business risks in compliance with internal risk management policies.

We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is not available for this position.

Experienced analyst responsible for independently applying actuarial methodologies to complete structured projects and serves as a technical subject matter expert on assigned tasks.

What you'll do:

  • Independently applies actuarial methodologies to complete structured projects (e.g.)

  • Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale).

  • Identifies and  improves existing processes utilizing actuarial, mathematical, or statistical techniques.

  • Proactively resolves technical issues and identifies appropriate issues for escalation.

  • Assists others with troubleshooting issues.

  • Creates instructions and training materials for actuarial tools and processes.

  • Mentors new team members.

  • Apply business acumen to provide actionable insights that help solve business problems.

  • Effectively communicates insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor’s degree OR 4 years of related actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.

  • 2 years of actuarial or analytical business experience.

  • 3 Casualty Actuarial Society (CAS) exams.

  • Experience with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.

  • Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.

What sets you apart:

  • Familiarity with Excel and at least one programming language or modeling software package (Python, SQL, R, SAS, etc.).

  • Demonstrated experience with basic actuarial pricing methodologies.

  • Demonstrated experience aggregating and analyzing data to solve problems.

  • Ability to effectively communicate insights and solutions to broad audiences including actuarial and non-actuarial stakeholders.

  • P&C Personal Lines pricing experience.

  • Familiarity and experience with industry pricing software such as Earnix.

  • US military experience through military service or a military spouse/domestic partner.

Compensation range: The salary range for this position is: $77,120 - $138,810.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

 

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on .

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Not Specified
Financial Risk Analyst – Life Insurance Team (SAN ANTONIO)
🏢 Usaa
Salary not disclosed
San antonio, TX 5 days ago

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

We are seeking a dedicated Life Actuary to join the Life Company’s Asset Liability Management Team.  This role coordinates, prepares, and performs actuarial analyses required to develop new products, project future results, reprice existing products, and/or determine financial strength.

This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site four days per week.  Relocation assistance is not available for this position.

What you'll do:

  • Performs complex work assignments utilizing actuarial modeling software driven models for pricing, valuation, and/or risk management.

  • Reviews laws and regulations to ensure all processes are compliant; and provides recommendations for improvements and monitors industry communications regarding potential changes to existing laws and regulations.

  • Runs models, generates reports, and presents recommendations and detailed analysis of all model runs to Actuarial Leadership.

  • May make recommendations for model adjustments and improvements, when appropriate.

  • Shares knowledge with team members and serves as a resource to team on escalated issues and navigates obstacles to deliver work product.

  • Leads or participates as a key resource on moderately complex projects through concept, planning, execution, and implementation phases with minimal guidance, involving cross functional actuarial areas.

  • Develops exhibits and reports that help explain proposals/findings and provides information in an understandable and usable format for stakeholders.

  • Identifies and provides recommended solutions to business problems independently, often presenting recommendation to leadership.

  • Maintains proper price level, price structure, data availability and other requirements to achieve profitability and competitive goals.

  • Identifies critical assumptions to monitor and suggest timely remedies to correct or prevent unfavorable trends.

  • Tests impact of assumptions by identifying sources of gain and loss, the appropriate premiums, interest margins, reserves, and cash values for profitability and viability of new and existing products.

  • Advises management on issues and serves as a primary resource for their individual team members on escalated issues.

  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • Bachelor’s degree OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.  (Total of 8 years of experience without bachelor’s degree)

  •  Do you have one of the following:

  • 4 years relevant actuarial or analytical experience and attainment of Fellow within the Society of Actuaries (Bachelor’s degree + 4 years of experience + FSA)

  • OR 8 years relevant actuarial experience and attainment of Associate within the Society of Actuaries. (Bachelor’s Degree + 8 years of experience + ASA)

  • OR 8 years relevant actuarial or analytical experience and attainment of Fellow within the Society of Actuaries (FSA)

  • OR 12 years relevant actuarial or analytical experience and attainment of Associate within the Society of Actuaries (ASA)

  • Experience performing complex work assignments utilizing actuarial modeling software driven models for pricing, valuation, and/or risk management.

  • Demonstrated experience communicating complex actuarial analysis and recommendations to technical and non-technical audiences.

What sets you apart:  

  • US military experience through military service or a military spouse/domestic partner

  • FSA (Fellow of the Society of Actuaries) designation

  • Experience using Moody’s AXIS software

  • 2 or more years of experience with asset liability management or cash flow testing

  • Prior Actuarial experience with Life Insurance and Annuity Products

  • Fixed Indexed Annuity (FIA) Experience

Compensation range: The salary range for this position is: $127,310 - $236,250

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

 

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on .

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Not Specified
Assistant Registered Nurse (RN) - Risk Manager - $41-62 per hour
✦ New
Salary not disclosed
BJC HealthCare is seeking a Registered Nurse (RN) Risk Manager Assistant for a nursing job in Saint Louis, Missouri.

Job Description & Requirements Specialty: Risk Manager Discipline: RN Duration: Ongoing Employment Type: Staff At Vivian Health, candidates with updated profiles have the best success.

Make sure yours is complete so recruiters can match you to the perfect job! Additional Information About the Role Our unit is vital to the flow of patients needing to be admitted from ED, CCU, admitting, procedure areas and other hospital units, and from outside hospitals.

Most of our patient populations are those diagnosed with myocardial infarction requiring cardiac catheterization, congestive heart failure, heart arrhythmias, and pulmonary hypertension.

Additional Details: Evening Shift
- 4
- 10's (3pm
- 1:30am) Exempt Status Leadership experience is preferred, but not required.

Minimum of 2 years heart & vascular experience required.

Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S.

News & World Report.

Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals.

Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

Nursing Divisions 9100/9200 are 25 bed high risk cardiology units where you will find many exciting challenges and opportunities for learning.

Many of the patients that you will care for require advanced medication infusions and post cardiac procedure care.

Our team consists of registered nurses, patient/student nurse technicians, and house staff of residents, interns and other medical professionals.

Preferred Qualifications Role Purpose The Assistant Nurse Manager provides administrative support to Nurse Managers and direct reports.

This includes coordinating patient care, performance management of direct reports, equipment purchasing/management, and statistical accumulation.

Responsibilities Manages individual(s) including but not limited to: hires, trains, assigns work, manages & evaluates performance, conducts professional development plans.

Ensures that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership.

May participate in the development of departmental staffing, revenue and/or expense budgets and having direct responsibility for adhering to those goals.

This includes responding to changes in the business which may affect the ability to achieve the budget goals.

Provides and oversees patient care according to planned interventions with regard to their age and developmental needs to attain the patient's optimal level of wellness and documents according to policy.

Creates and ensures implementation of a collaborative plan of care based on assessment, diagnosis and medical treatment.

May support the review of staff hours worked vs scheduled hours and determine appropriate disposition if variation exists.

Perform and approve daily payroll updates.

Reconcile time cards, bonus tracking and coding approval.

Prepare, coordinate and execute all staff communications; prepare huddle agendas and lead meeting.

Determine staffing needs; make nursing assignments as well as assign overtime.

Recommend effective annual increases.

Interview staff for open positions; evaluate and conduct performance reviews as assigned; draft and issue corrective actions/coaching; follow up regarding any disciplinary action to determine compliance.

Responsible for staff productivity and the overall operational goals of the department as established by department leadership.

Conducts performance evaluations and makes recommendations on areas of improvement if needed.

BJC has determined this is a safety-sensitive position.

The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements Education Bachelor's Degree
- Nursing Experience 2-5 years Supervisor Experience No Experience Licenses & Certifications RN Preferred Requirements Experience 5-10 years Supervisor Experience Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date Disability insurance
* paid for by BJC Annual 4% BJC Automatic Retirement Contribution 401(k) plan with BJC match Tuition Assistance available on first day BJC Institute for Learning and Development Health Care and Dependent Care Flexible Spending Accounts Paid Time Off benefit combines vacation, sick days, holidays and personal time Adoption assistance To learn more, go to our Benefits Summary.
*Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position.

It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

Equal Opportunity Employer BJC HealthCare Job ID 99517.

Posted job title: High-Risk Cardiology
- Assistant Nurse Manager About BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St.

Louis, southern Illinois and southeast Missouri regions.

With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations.

Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri.

BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit.

That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay.

In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.5c143e31-5e48-4549-b638-05792d185386
Not Specified
Personal Lines Risk Manager
✦ New
Salary not disclosed
Overland Park, KS 1 day ago

The Personal Lines Risk Manager is responsible for working directly with our Wealth Managers and their clientele to provide a comprehensive insurance approach to their personal insurance needs. They will provide quotes, explain coverages, and communicate with clients to determine how we can best serve them from a personal insurance standpoint.


The Personal Lines Risk Manager has a service‐driven personality and is experienced at marketing complex personal insurance risks. They will determine appropriate markets and work directly with companies to place personal insurance plans ranging from home, auto, umbrella, collections, boats, and secondary dwellings.


We do not accept resume submissions from third-party recruiters or staffing agencies. Please contact our recruiting team directly.


JOB DUTIES:

  • Promptly address requests received from Wealth Managers, clients, and carriers regarding insurance quote status, coverage, claims, or administrative issues.
  • Creates ACORD and various other company applications as needed to place coverages requested.
  • Submits applications, loss runs, etc. to various markets to obtain quotes as quickly as possible.
  • Reviews quotes and resolves any discrepancies directly with the underwriter and communicates final quotes to clients.
  • Prepares summaries of insurance, schedules and proposals for Customers as needed.
  • Confirms binding of coverage with carriers and issues binders.
  • Issues Auto IDs for new business policies as needed.
  • Invoices agency‐billed policies and executes premium finance agreements as needed.


REQUIRED EXPERIENCE/QUALIFICATIONS:

  • Property and Casualty Insurance Agents License in Kansas or Missouri.
  • Able to market and place insurance coverage promptly and independently –
  • identifies appropriate markets, submits risks for quotes, presents quotes to insured, and binds coverage as elected.
  • Strong communication skills and the ability to receive, interpret, and respond to complex issues.
  • An ongoing effort to obtain professional designations such as CISR, CIC.
  • Strong relationship‐building skills with Wealth Managers, companies, clients, and colleagues.
  • Ability to be a team player and adapt to a fast‐paced, ever‐changing work environment with a positive attitude.
  • High‐level multi‐tasker
Not Specified
Risk & Claims Analyst
✦ New
Salary not disclosed
Richmond, VA 1 day ago

Position Overview


ProspectBlue is seeking a Risk & Claims Analyst for their client in the logistics and transportation industry. This individual will play a key role in investigating cargo and equipment incidents, managing claims, and supporting overall risk mitigation efforts across the organization.


This position is highly cross-functional and requires strong analytical skills, attention to detail, and the ability to communicate effectively with both internal teams and external partners.


Key Responsibilities


• Investigate cargo-related incidents by reviewing shipment details including commodity, packaging, weight, hazardous classification, and container history


• Analyze documentation, photos, and operational records to determine root cause and responsible parties


• Manage cargo claims from initial review through resolution, including validation, coordination with stakeholders, and invoicing


• Coordinate third-party surveys and ensure findings are incorporated into claims evaluations


• Partner with internal teams across operations, customer service, equipment, and finance to resolve issues and improve processes


• Communicate professionally with customers, vendors, and external partners regarding claims and investigation outcomes


• Ensure compliance documentation is accurate and up to date, including insurance, DOT/SCAC registrations, and interchange agreements


• Identify trends in incidents and provide insights to support operational improvements and risk mitigation


Qualifications


• Bachelor’s degree or equivalent work experience


• Experience in logistics, transportation, cargo claims, or risk management preferred


• Exposure to ocean freight, NVOCC/liner operations, or supply chain environments is a plus


• Strong analytical and problem-solving skills with high attention to detail


• Ability to manage multiple priorities in a fast-paced environment


• Proficiency in Microsoft Office and ability to learn internal systems


• Strong written and verbal communication skills


• Ability to work both independently and collaboratively


• Must be authorized to work in the U.S. and eligible to obtain a TWIC card


Additional Information


• Standard business hours (8:00 AM – 5:00 PM)


• Professional office environment with limited travel as needed

Not Specified
Certified Risk Adjustment Coder (Medical)
Salary not disclosed
Corpus Christi, TX 3 days ago

We are seeking a detail-oriented Certified Risk Adjustment Coder to join our healthcare team. This role involves working directly within a clinical or administrative unit to ensure accurate and compliant coding of medical procedures, diagnoses, and services. The ideal candidate will be embedded in day-to-day operations, collaborating closely with physicians, nurses, and billing staff to support efficient documentation and reimbursement processes.


This is a hybrid role, and requires 3 days a week in the office


Key Responsibilities:

  • Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
  • Ensure coding accuracy and compliance with federal regulations, payer policies, and internal standards.
  • Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
  • Submit coded data to billing systems to initiate insurance claims and support reimbursement.
  • Maintain and update patient data for long-term tracking and reporting.
  • Participate in audits and quality reviews to ensure coding integrity.
  • Stay current with changes in medical coding guidelines, CMS updates, and payer requirements.
  • Support internal compliance and contribute to external audit readiness.

Qualifications:

  • Certified Risk Adjustment Coder (CRC) Certification
  • Minimum 2–3 years of experience in medical risk adjustment coding, preferably in an embedded or integrated healthcare setting.
  • Familiarity with value-based care and risk-bearing contracts.
  • Strong understanding of medical terminology, anatomy, and disease classification systems.
  • Proficiency with Electronic Health Records (EHR) and coding software.
  • Working knowledge of Microsoft Office.
  • Excellent attention to detail and analytical skills.
  • Ability to work collaboratively in a fast-paced clinical environment.

Preferred Skills:

  • Experience with inpatient, outpatient, or specialty coding.
  • Ability to engage with providers.
  • Familiarity with payer-specific coding requirements and reimbursement processes.
  • Strong communication skills for cross-functional collaboration.
  • Knowledge of HIPAA and confidentiality protocols.
Not Specified
Risk RN Director
✦ New
Salary not disclosed
Las Cruces, NM 2 hours ago

Community hospital looking to bring on Nurse Director Risk! Relocation!


Manage risk identification, avoidance, and mitigation by collaborating with all levels of leadership, provider, front end staff and other stakeholders. Manage the evolving needs of active litigation cases to include investigations, interviews, depositions, gathering of legal hold records and other needs as determined by legal counsel. Responsible for training leaders, providers and various hospital staff on the risk management program and reporting of incidents. Serve as the Compliance and Ethics Officer for the facility. Reports to CEO.


Qualifications:

  • Bachelor's degree in Nursing required. MSN, Healthcare Administration, and MBA strongly preferred.
  • 5+ years’ healthcare experience with at least 3 years’ experience in a leadership role.
  • Prior acute healthcare risk management experience is preferred and can substitute for the leadership experience.
  • Experience working in a for-profit hospital is strongly preferred. Must possess strong human relations and interpersonal skills.
Not Specified
Risk Safety Coordinator
✦ New
Salary not disclosed
San Marcos, TX 1 day ago


Time Type: Full Time

Starting Pay: $50,000 / YR

Job Location: San Marcos, TX


McCoy’s Building Supply is looking for a Risk Safety Coordinator. A Risk Safety Coordinator is consultant multiple assigned company facilities and plans, directs, and implements organization safety program to ensure a safe and accident-free work environment.


The final candidate can office in our Headquarters location in San Marcos when not traveling or may choose to live in a central area in the markets they support. Relocation assistance will be provided to the final candidate who wishes to move to either area.

 

This is an in-person Risk position and is not eligible for 100% remote work in order to best support our employees working in our retail and manufacturing facilities.


SUMMARY

Plans, directs, and implements organization safety program to ensure safe and accident-free work environment by performing the following duties:


ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

  • Plans and implements safety policies and procedures in compliance with McCoy’s internal policies, local, state, and federal laws, including Occupational Safety and Health Administration (OSHA), Federal Motor Carrier Safety Act (FMCSA), Department of Transportation (DOT), etc.
  • Plans and implements programs to train managers and employees in work site safety practices and fire prevention
  • Works with and through store management, executive management and various insurance carriers and other third-party consultants within the risk management industry
  • Prepares, studies and analyzes accident causes and hazards. Prepares written reports of findings and recommendations regarding unsafe and potentially dangerous conditions
  • Inspects facilities to detect existing or potential accident and health hazards, determines corrective or preventive measures and follows up to ensure measures have been implemented
  • Evaluates employee safety behaviors and work practices, works with store management to ensure preventive practices are followed
  • Inspects properties such as buildings, yard area and vehicles to evaluate physical conditions, safety practices and hazardous situations
  • Provides information such as signs, posters, barriers, and other materials to warn of potential and actual safety hazards and to prevent access to hazardous conditions
  • Responds to, investigates and follows post-inspection procedures and post-accident response procedures for company related incidents
  • Compiles, drafts and submits accident reports required by regulatory agencies
  • Prepares and arranges safety exhibits and material for display, promotional work, industry conferences, and exhibitions
  • Represents the organization in community or industry safety groups and programs. May conduct informal meetings among various educational and civic groups to promote general safety concepts
  • Maintains safety files and records
  • Follows standard operating procedures while carrying out the responsibilities of position
  • Attends all team meetings and company training sessions as required


SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities


QUALIFICATIONS  

  • Bachelor's degree from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to utilize Microsoft Word, Excel & Outlook, and other 3rd party software applications as assigned


WORK AVAILABILITY

  • Must maintain regular and acceptable attendance, at such level as is determined by management
  • Must be regularly available and willing to work at least 8 hours per day, 40 hours per week or such other hours per day or hours per week as the employer determines are necessary or desirable to meet business needs
  • Must be available and willing to work such weekends and holidays as the employer determines are necessary or desirable to meet its business needs


TRAVEL REQUIREMENTS

  • This position requires frequent travel with overnight stays
  • Must meet driver’s license requirements as required by the company
  • Must be able to legally obtain a rental vehicle in all states in which the company does business
  • Must have current auto liability insurance


PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; and talk or hear. The employee is occasionally required to reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.


WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts; high, precarious places; fumes or airborne particles; toxic or caustic chemicals; outside weather conditions; and vibration. The noise level in the work environment is occasionally loud.


McCoy’s is an equal opportunity employer. Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodations in the application and/or interview process should contact a representative of the People Development Department at (866) 896-0884. EOE, AAP, D, F, VA

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