Risk manager • peoria il
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
This position will also supervise, train, coordinate and assist the employees who repair and maintain the facilities, tools and equipment.Responsible for management of workforce.Responsible for det... Show more
For over 50 years, Long John Silver’s has been serving up golden, crispy seafood and creating treasured moments for families worldwide.With nearly 500 locations, we’re proud to be the world's favor... Show more
Director Of Safety & Risk Management.Altorfer, a leading Caterpillar dealer serving customers throughout Iowa, Illinois, Indiana, and Missouri, is seeking a strategic and results-oriented Director ... Show more
About the RoleAre you a hands-on leader who takes pride in keeping a property running smoothly and looking its best? We're looking for a Maintenance Manager/Engineer to lead our maintenance team an... Show more
Shift Manager – Steak ’n Shake - Paying up to $20.At Steak ’n Shake, we don’t just compete on pay —.Steak ’n Shake (on top of your salary) invested in your personal Bitcoin.Real long-term financial... Show more
As part of the Subway Team, you will focus on eight main things:.Providing an excellent guest experience.Ensuring that great food is prepared & served.Keeping our restaurants functional, clean and ... Show more
This position performs, leads, and supervises basic operational duties to provide quality products and service to guests.Perform, lead, and supervise station duties (fountain & frozen, dresser,... Show more
Hallmark Healthcare of Pekin -.Hallmark Healthcare of Pekin | Pekin, IL.Full-Time | Day Shift | RN or LPN.We are looking for a dependable nursing professional who is passionate about resident care,... Show more
Oversee daily food service operations and preparation.Obtains and keeps current with food manager certification and SafeServ food handlers card, of which the company will reimburse you for.Establis... Show more
Site Manager — Sparkle Express Car Wash.At Sparkle Express, our Site Managers run the show — leading the full day-to-day operation, building strong teams, and creating a guest experience that stand... Show more
At BoxLunch, we're committed using our love of pop culture to do something amazing: eliminate hunger.With every $10 spent, we donate a meal to Feeding America that directly benefits the communities... Show more
Avanti's Restaurant Management Opportunity.At Avanti's, we believe in more than just serving meals - we create experiences that leave lasting impressions.Are you someone who thrives in a vibrant, e... Show more
Shift Supervisors play a critical role in our restaurant leadership team.Working closely with restaurant management, you'll help lead and train the crew to exceed customer expectations, ensure grea... Show more
Job SummaryThe responsibilities of the Sales Manager – Aggregates & Construction is to oversee Standard Product & Custom Product Sales Associates, to promote and sign dealers into our Strategic Dea... Show more
Flexible PRN Opportunity for Nurse Practitioners & Physician Assistants – Health Risk Assessments.We’re looking for Nurse Practitioners (NPs) and Physician Assistants (PAs) interested in a flexible... Show more
Lead and develop people to execute outstanding product quality and customer service, build sales, and control costs for each shift.The Assistant Manager must follow standard operating policies and ... Show more
Victory Automotive Group is family owned and operated since 1997 with over 50 locations across the United States.We provide the best opportunities for all employees, customers, communities and each... Show more
The Maintenance Superintendent manages and assists in completing day to day activities involving the maintenance of production machinery, buildings/facilities, equipment and machinery including IT/... Show more
As part of the Subway® Team, you as a Manager will focus on eight main things: .Providing an excellent guest experience .Ensuring that great food is prepared & served.Keeping our restaurants fu... Show more
The average salary range is between $ 95,057 and $ 164,899 year , with the average salary hovering around $ 124,182 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
