Manages internal and external relationships to promote positive working relationships and advancement of HEDIS and Risk Adjustment clinical documentation and coding reporting initiatives * Serves as ...
Manages internal and external relationships to promote positive working relationships and advancement of HEDIS and Risk Adjustment clinical documentation and coding reporting initiatives * Serves as ...
GIS Analyst
Portland, ME · Remote
... flood risk analysis, mapping, and related services on Federal Emergency Management Agency (FEMA ... Remote Skills / Qualifications Required: * 2 - 5 years of GIS project experience * BA/BS in GIS ...
GIS Analyst
Portland, ME · Remote
... flood risk analysis, mapping, and related services on Federal Emergency Management Agency (FEMA ... Remote Skills / Qualifications Required: * 2 - 5 years of GIS project experience * BA/BS in GIS ...
Regional Director of Health Services
Portland, ME · On-site +1
$135K - $140K/yr
Conducts remote spot audits to ensure community compliance with follow-up and action items in place ... risk highlights, resident evaluation systems, pharmacy systems, medication management, etc
Regional Director of Health Services
Portland, ME · On-site +1
$135K - $140K/yr
Conducts remote spot audits to ensure community compliance with follow-up and action items in place ... risk highlights, resident evaluation systems, pharmacy systems, medication management, etc
HVAC and Plumbing Estimator
Portland, ME · Remote
$75K - $140K/yr
From helping us win competitive bid work to performing high quality preconstruction CM at-risk and ... This position can be based full time in the office, hybrid - a combination of remote and hybrid, or ...
HVAC and Plumbing Estimator
Portland, ME · Remote
$75K - $140K/yr
From helping us win competitive bid work to performing high quality preconstruction CM at-risk and ... This position can be based full time in the office, hybrid - a combination of remote and hybrid, or ...
HVAC and Plumbing Estimator
Portland, ME · Remote
$75K - $140K/yr
From helping us win competitive bid work to performing high quality preconstruction CM at-risk and ... This position can be based full time in the office, hybrid - a combination of remote and hybrid, or ...
HVAC and Plumbing Estimator
Portland, ME · Remote
$75K - $140K/yr
From helping us win competitive bid work to performing high quality preconstruction CM at-risk and ... This position can be based full time in the office, hybrid - a combination of remote and hybrid, or ...
EHS Technical Consultant
Portland, ME · On-site +1
$90K - $145K/yr
... manage regulatory compliance, reduce operational risk, and improve environmental and workplace ... Remote/hybrid opportunities considered Travel: Approximately 50% travel in-region is anticipated ...
EHS Technical Consultant
Portland, ME · On-site +1
$90K - $145K/yr
... manage regulatory compliance, reduce operational risk, and improve environmental and workplace ... Remote/hybrid opportunities considered Travel: Approximately 50% travel in-region is anticipated ...
EHS Technical Consultant
Portland, ME · On-site +1
$90K - $145K/yr
... manage regulatory compliance, reduce operational risk, and improve environmental and workplace ... Remote/hybrid opportunities considered Travel: Approximately 50% travel in-region is anticipated ...
Quick apply
EHS Technical Consultant
Portland, ME · On-site +1
$90K - $145K/yr
... manage regulatory compliance, reduce operational risk, and improve environmental and workplace ... Remote/hybrid opportunities considered Travel: Approximately 50% travel in-region is anticipated ...
Workers Compensation Claims Trainee - New England
Portland, ME · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... managing mock claims without risk, helping build confidence before handling actual cases.
Workers Compensation Claims Trainee - New England
Portland, ME · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... managing mock claims without risk, helping build confidence before handling actual cases.
Associate Director - Life Underwriting
Portland, ME · On-site +1
Underwriting team members provide medical and financial risk assessment on applications for ... This position reports to the Managing Underwriting Director and will work with Case Managers ...
Associate Director - Life Underwriting
Portland, ME · On-site +1
Underwriting team members provide medical and financial risk assessment on applications for ... This position reports to the Managing Underwriting Director and will work with Case Managers ...
Holistic Health Specialist - Work From Home
Portland, ME · Remote
$61K - $136K/yr
... low to high risk maternity management) * Working toward or completion of CCM/CCP/CDE/MCG ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
Holistic Health Specialist - Work From Home
Portland, ME · Remote
$61K - $136K/yr
... low to high risk maternity management) * Working toward or completion of CCM/CCP/CDE/MCG ... LI-Remote This is a Remote/Work-From-Home role. Must have an active and unrestricted Compact ...
Sr. Director, Medical & Scientific Affairs - Specialty Testing - (USA REMOTE)
Portland, ME · On-site +1
... risk / reward / resource discussions, and developing talent within and outside of the MedSci ... Minimum of 5 years of project management skills to establish strategic goals and to prioritize ...
Sr. Director, Medical & Scientific Affairs - Specialty Testing - (USA REMOTE)
Portland, ME · On-site +1
... risk / reward / resource discussions, and developing talent within and outside of the MedSci ... Minimum of 5 years of project management skills to establish strategic goals and to prioritize ...
Sr. Director, Medical & Scientific Affairs - Specialty Testing - (USA REMOTE)
Augusta, ME · On-site +1
... risk / reward / resource discussions, and developing talent within and outside of the MedSci ... Minimum of 5 years of project management skills to establish strategic goals and to prioritize ...
Sr. Director, Medical & Scientific Affairs - Specialty Testing - (USA REMOTE)
Augusta, ME · On-site +1
... risk / reward / resource discussions, and developing talent within and outside of the MedSci ... Minimum of 5 years of project management skills to establish strategic goals and to prioritize ...
$119K - $157K/yr
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
Quick apply
$119K - $157K/yr
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
Quick apply
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
$119K - $157K/yr
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
Quick apply
$119K - $157K/yr
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
NGFW, SASE/ZTNA adoption, micro-segmentation, secure remote access/VPN. * Core Services: DNS/DHCP ... Risk, Security & Compliance * Identify and manage project risks; implement mitigating controls and ...
NGFW, SASE/ZTNA adoption, micro-segmentation, secure remote access/VPN. * Core Services: DNS/DHCP ... Risk, Security & Compliance * Identify and manage project risks; implement mitigating controls and ...
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
Quick apply
... risk, and lower costs for IT teams and managed service providers. NinjaOne is obsessed with ... NinjaOne is #1 on G2 in endpoint management, patch management, remote monitoring and management ...
Risk reduction - ransomware defense, endpoint visibility, and patching gap remediation ... management, autonomous patching, backup, and remote access in a single console to improve ...
Quick apply
Risk reduction - ransomware defense, endpoint visibility, and patching gap remediation ... management, autonomous patching, backup, and remote access in a single console to improve ...
Clinical Pharmacist (MTM) - Work From Home
Portland, ME · Remote
$102K - $184K/yr
... high-risk populations. These reviews include but are not limited to the assessment of drug ... Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred * Experience ...
Clinical Pharmacist (MTM) - Work From Home
Portland, ME · Remote
$102K - $184K/yr
... high-risk populations. These reviews include but are not limited to the assessment of drug ... Minimum 3 years' experience in Managed Care, Medicare and/orMedicaid settingspreferred * Experience ...
... assisted risk prioritization, partnering closely with product and detection teams to reduce ... management, autonomous patching, backup, and remote access in a single console to improve ...
Quick apply
... assisted risk prioritization, partnering closely with product and detection teams to reduce ... management, autonomous patching, backup, and remote access in a single console to improve ...
Remote Bank Risk Management information
What is remote bank risk management?
What are some common challenges faced by professionals in remote bank risk management, and how can they be addressed?
What are the key skills and qualifications needed to thrive as a remote bank risk management professional, and why are they important?
What is the difference between Remote Bank Risk Management vs Remote Credit Analyst?
| Aspect | Remote Bank Risk Management | Remote Credit Analyst |
|---|---|---|
| Required Credentials | Banking certifications, risk management degrees | Finance, economics degrees, credit analysis certifications |
| Work Environment | Banking institutions, financial firms | Financial services, lending companies |
| Employer & Industry Usage | Used in risk departments of banks | Used in lending and credit departments |
| Search & Comparison Intent | Understanding risk roles in banking | Assessing credit risk and loan decisions |
Remote Bank Risk Management focuses on identifying and mitigating risks within banking operations, requiring risk management expertise. Remote Credit Analysts evaluate creditworthiness of borrowers, focusing on loan approvals. While both roles involve financial analysis, Risk Management emphasizes risk mitigation strategies, whereas Credit Analysts concentrate on credit assessment. Both roles are essential in banking but serve different functions within the financial industry.
What are popular job titles related to Remote Bank Risk Management jobs in Maine?
For Remote Bank Risk Management jobs in Maine, the most frequently searched job titles are:
What job categories do people searching Remote Bank Risk Management jobs in Maine look for?
The top searched job categories for Remote Bank Risk Management jobs in Maine are:
What cities in Maine are hiring for Remote Bank Risk Management jobs?
Cities in Maine with the most Remote Bank Risk Management job openings:

Remote Clinical Documentation Improvement Nurse - Certified
Portland, ME • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Martin’s Point Health Care rating
7.4
Based on 6 frontline employees who took The Breakroom Quiz
Job description
Position Summary
As a member of the GA Programs team, the Clinical Documentation Improvement Nurse partners key stakeholders within the health plan, delivery systems, and provider network to develop and implement processes and best practices to support accurate diagnostic coding and attention to gaps in care as it relates to Medicare Advantage Risk Adjustment. This role is also responsible for reviewing clinical documentation to support HEDIS, and to participate in the HEDIS medical record abstraction process. The Clinical Documentation Improvement Nurse is responsible in assisting the provider community to improve the overall accuracy, quality and completeness of clinical documentation.
Job Description
Key Outcomes:
- Facilitates recommendations for improvement to clinical documentation through extensive interaction with key stakeholders in the delivery system and participating provider network to ensure the accuracy of the documentation and coding reflective of the reviewed services rendered.
- Ensures the accuracy and completeness of clinical information used for measuring and reporting outcomes and confirms accuracy of diagnosis codes on submissions to the Centers for Medicare and Medicaid Services (CMS).
- Provides education as it relates to quality and risk adjustment documentation and reporting in the delivery system, and participating provider network
- Identifies trends, develops and executes action plans to increase clinical documentation accuracy and capturing of risk adjustable codes
- Supports accreditation and regulatory compliance by evaluating process effectiveness, identifying and acting on improvement opportunities, and ensuring that all HEDIS requirements are met
- Ensures compliance for all HEDIS quality audits and maintain all data and process controls
- Manages internal and external relationships to promote positive working relationships and advancement of HEDIS and Risk Adjustment clinical documentation and coding reporting initiatives
- Serves as risk adjustment coding subject matter expert from a clinical perspective and works collaboratively with management team to strategically plan and execute risk adjustment coding efforts to yield desired outcomes
- Research and understand CMS and other regulatory and reputable risk adjustment publications to assist in development of best practice policies and creation of educational materials such as coding newsletters for distribution to providers with the most up to date guidelines and changes. Ensures the completeness and accuracy of the clinical documentation by reviewing clinical records, identifying gaps or inaccuracies, formulating credible clarifications and communicating with providers to clarify clinical diagnoses, ICD 10 code selections and supporting documentation.
- Provides training to providers, practice leadership and designated staff to facilitate accuracy of clinical documentation and risk adjustment coding and to improve methodologies to support data integrity.
- Reviews clinical documentation, identifies incomplete or inaccurate information for clinical relevance. Works with key stakeholders in a timely manner to ensure points of clarification are recorded in medical records.
- Keep abreast of Medicare Advantage program and how it impacts payment, knowledge of pathophysiology and disease process.
- Knowledge of value-based purchasing and other quality metrics affecting the clinical documentation integrity program.
- Reviews and analyzes population data and metrics to inform improved coding outcomes
- Identifies gaps in clinical operational structure between current and desired state
- Develop monitoring tools to track successes and challenges in the CDI program in order to facilitate process improvements
- Performs all other related duties as assigned
Education/Experience:
- Bachelor's Degree in Nursing required
- Current RN license in good standing required
- 5+ years' clinical experience, preferably in geriatrics
- 2 years of clinical coding experience with strong attention to detail and a high level of accuracy preferred
- Ability to speak and provide presentations and education to small and large groups alike
- Ability to work a flexible work schedule and willingness to travel (locally) as determined by business need
- One or more of the following Licenses/Certifications required: CDI, CPC, CPC-H, CPC-P, CRC, CCS, CCS-P, CPMA
Skills/Knowledge/Competencies (Behaviors):
- Knowledge of HEDIS, abstraction concepts, Medicare Risk Adjustment preferred
- Ability to assess population health needs and define health improvement priorities
- Excellent verbal and written communication skills required
- Self-motivated and accountable for project coordination and follow-through
- Strong organizational and planning skills required
- Must meet deadlines and produce accurate work product
- Must be able to handle multiple tasks at the same time
- Must work well independently
- Maintain strong clinical knowledge and understanding of Evidenced-Based Practice principles
- Define and educate regarding appropriate sources for standards of care
- Ability to review and analyze population data and metrics to inform development of programs
- Create, build and maintain relationships in order to improve performance and establish trust and maintain creditability throughout the organization
- Impact and influence: ability to make a difference
- Demonstrate adaptability and flexibility in the face of changing demands.
- Demonstrate willingness to perform additional tasks as assigned
- Display initiative to improve relative to job function.
- Contribute ideas to help improve processes and abstracting data
- Demonstrate an understanding of and alignment with Martin's Point Values.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org
What Martin’s Point Health Care employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Martin's Point Health Care
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, ME, US
Year founded
1858