Top 190 Risk compliance Jobs in Doral, Fl

Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
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Director, Servicing Compliance
Lakeview Loan Servicing —Coral Gables, FL
- $170,000 - $230,000 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
- 10 years
- Health insurance
- 401(k) matching
Compliance Specialist I
Space Coast Credit Union —Miramar, FL
- $24.74 - $26.20 an hour
- Monday to Friday
- Hybrid work
- Pass drug screening
- Office
- High school diploma or GED
- Health savings account
- Disability insurance
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9d
Junior Compliance Officer - Southeast: Charlotte, Atlanta, Tampa, Miami
LIS Solutions —Miami, FL
- Full-time
- US work authorization
- In-person
- Communication skills
Compliance Officer
CENTER FOR FAMILY. —Miami Gardens, FL
- $75,000 - $85,000 a year
- 5 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
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Compliance Specialist
Solis Health Plans —Doral, FL
- $60,000 - $70,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Ability to walk for extended periods
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Privacy Compliance Analyst
Lennar —Miami, FL
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid parental leave
- Health insurance
AML Investigator II
Valley National Bank —Aventura, FL
- $82,800 - $141,200 a year
- Microsoft Outlook
- Research
- Mid-level
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Security and Compliance Analyst
Ascension Federal Services Inc. —Miami, FL
- Computer Science
- 5 years
- HIPAA
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Security & Compliance Analyst (Access Management)
SOSi —Doral, FL
- $79,451 - $165,013 a year
- Full-time
- Computer Science
- 5 years
- Mid-level
Quick Apply
Manager, Global Compliance
Univision communications inc —Miami, FL
- Full-time
- Spanish
- English
- Office
- Health insurance
- Dental insurance
Security & Compliance Analyst (Data Transformation)
SOSi —Doral, FL
- $67,351 - $139,882 a year
- Full-time
- Computer Science
- 5 years
- Mid-level
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Due Diligence Analyst Level 3 (Alternative/Hedge Funds)
BankUnited, N. A. —Miami Lakes, FL
- 7 years
- Mid-level
- Office
Health Plan Compliance Analyst
Independent Living Systems —Miami, FL
- Full-time
- HIPAA
- Mid-level
- Office
Associate - Verifications
Hard Rock Digital —Hollywood, FL
- Full-time
- Hybrid work
- Computer literacy
- Computer skills
- Communication skills
Quick Apply
7d
Senior Compliance Specialist-FT BHC
Broward Health —Fort Lauderdale, FL
- Full-time
- Nursing
- 5 years
- Administrative experience
Risk Specialist I - Sanctions
First Horizon Bank —Miami Lakes, FL
- Research
- Office
- High school diploma or GED
- Wellness program
- Health savings account
IT Risk and Compliance Analyst
Greenberg Traurig —Miramar, FL
- Full-time
- Azure
- Mid-level
- Windows
Compliance Analyst
Banco de Credito e Inversiones —Miami, FL
- Weekends as needed
- Computer literacy
- Mid-level
- Office
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Senior Associate, Compliance as a Service
Aprio —Fort Lauderdale, FL
- $80,000 - $132,000 a year
- Full-time
- Remote
- Azure
- Mid-level
- 3 years
- Profit sharing
- Wellness program

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risk compliance jobs near doral, fl

Auditor, Risk Adjustment

Oscar Health -
Miami, FL

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Job Details

$82,717 - $108,566 a year

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Certified Professional Coder

Full Job Description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
Manage the implementation process improvements that will maximize risk adjustment factor increases.
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Bachelor's degree in a relevant field of study or commensurate work experience.
Certified professional coder (CPC)
3+ year(s) retrospective risk adjustment coding experience.
1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

Certified Risk Adjustment Coder (CRC) or similar certification
Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

risk compliance jobs in doral, fl

Auditor, Risk Adjustment

Director, Servicing Compliance

Compliance Specialist I

Junior Compliance Officer - Southeast: Charlotte, Atlanta, Tampa, Miami

Compliance Officer

Compliance Specialist

Privacy Compliance Analyst

AML Investigator II

Security and Compliance Analyst

Security & Compliance Analyst (Access Management)

Manager, Global Compliance

Security & Compliance Analyst (Data Transformation)

Due Diligence Analyst Level 3 (Alternative/Hedge Funds)

Health Plan Compliance Analyst

Associate - Verifications

Senior Compliance Specialist-FT BHC

Risk Specialist I - Sanctions

IT Risk and Compliance Analyst

Compliance Analyst

Senior Associate, Compliance as a Service

I want to receive the latest job alert for risk compliance in doral, fl

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