Hybrid: Senior Risk Adjustment Operations Lead
Paycom
Clever Care Health Plan is seeking a Senior Risk Adjustment Operations Specialist in Huntington Beach. The role facilitates communication between coding teams and PCP practices, translating findings into actionable provider education and workflow improvements. You will analyze risk adjustment data, support documentation improvement, and coordinate with multiple stakeholders to ensure compliant coding and successful RADV readiness. Hybrid schedule with onsite attendance required. #J-18808-Ljbffr Paycom
- Clever Care Health Plan in Huntington Beach, CA, is seeking a Senior Risk Adjustment Operations Specialist to translate coding findings into provider... ...through education, audits, and process redesign. Hybrid schedule and field engagements possible. #J-18808-Ljbffr...SeniorRisk
$127k - $160k
This position operates on a hybrid work schedule. This position will require 3 days onsite at the Huntington... ...diversity and innovation.Job SummaryThe Senior Manager, Risk Adjustment Operations and Performance Improvement leads the operational and analytics-informed execution...SeniorRiskWork at officeRemote work$81.5k - $100k
This position operates on a hybrid work schedule. This position will require 3 days onsite at the Huntington Beach office.Are you ready... ...celebrates diversity and innovation.POSITION SUMMARYThe Senior Risk Adjustment Operations Specialist serves as a key liaison among risk...SeniorRiskWork at office- Clever Care Health Plan is seeking a Senior Manager to lead risk adjustment operations and performance improvement for Medicare Advantage plans in a hybrid work model based in Huntington Beach. You will oversee Stars, HEDIS, CAHPS initiatives, and RAF activities to boost...SeniorRisk
- ...seeking a Project Manager (Construction) to lead owner-representative duties on large commercial projects. The role is hybrid, with two days weekly at our Southern California... ...a GC or OR firm) and strong communication, risk management, and budgeting #J-18808-Ljbffr Marx...SeniorRisk
- Clever Care Health Plan in Huntington Beach, CA is seeking a Risk Adjustment Coordinator, Chart Retrieval. The role manages end-to-end medical record retrieval to support the Medicare Advantage RADV program, coordinating with PCP offices, hospitals, and providers to improve...Risk
- Experian is seeking a Senior Employment Counsel to partner with HR, Employee Relations, and... ...Director and requires a proactive, risk-aware approach to policy, investigations,... ...provide scalable guidance, and support a hybrid work model with weekly presence at the Costa...SeniorRisk
- Wilson Elser seeks a senior attorney for its Orange County/Los Angeles offices to lead defense of legal and accounting malpractice... ...litigation, client counseling on risk and governance, and cross‑... ...leadership mindset. A flexible hybrid or remote working arrangement is...SeniorRiskRemote jobFlexible hours
- Clever Care Health Plan is seeking a Senior Business Process Advisor, Quality & Risk Adjustment, to serve as the primary liaison... ..., Quality/Stars, Clinical Operations, and IT. You will translate CMS... ...Advantage performance. You will lead requirements, testing, and validation...SeniorRisk
- ...actively seeking a talented Senior Actuary to join our Annuity Inforce... ..., NC. This role follows a hybrid schedule of four days in the... ...trends and any needed adjustments. Assess the impact of non-guaranteed... ...emerging opportunities or risks.Oversee renewal rate analysis...SeniorRiskFull timeWork at officeRelocation packageFlexible hours
- Experian, a global data and technology company, seeks a Director to lead risk, regulatory compliance, and data privacy for the North America Data Office based in Costa Mesa, CA. The role partners with Compliance, Audit, Legal, Product and Sales to ensure governance and...SeniorRiskRemote jobWork at office
$103.2k - $210.9k
...seeking a Manager or Senior Manager specializing in... ...Dynamics 365 Finance & Operations to lead complex ERP... ...scope, schedule, budget, risks, dependencies, resources... ...oriented industries. #LI-Hybrid We expect the candidate... ...estimate has not been adjusted for the applicable geographic...RiskLocal areaWorldwide- KeyCorp in Newport Beach seeks a Senior Relationship Manager to act as a Trusted Advisor for active commercial real estate owners, investors... ...using Key's product platform to meet client goals and manage risk while driving revenue growth. The role emphasizes relationship...SeniorRisk
$140k - $200k
...Summary As a Senior GCP Technical Account Manager (Lead Cloud Integrated... ...with cloud adoption, operational planning, technical... ...track customer issues, risks, dependencies,... ...intelligence, networks, and hybrid cloud... ...estimate has not been adjusted for the applicable...SeniorRiskLocal area$74.93k - $153k
...ll doAs a NTAG Tax Senior, you will: Prepare... ..., discontinued operations, and carve-out financial... ...to lead projects or workstreamsAbility... ...their individual risk profiles. Business... ...responsibilities within a hybrid work model that... ...has not been adjusted for the applicable...SeniorRiskWork at officeLocal areaVisa sponsorship2 days per week3 days per week$163.4k - $322.1k
...enable our clients to operate with resilience,... ...responsible for…· Leading the strategy,... ...engagements across cloud, hybrid, and on-premises... ...margins, delivery risk, quality, and... ...experience at the Senior Manager level or above... ...has not been adjusted for the applicable...SeniorRiskLocal areaRemote workVisa sponsorship$105.4k - $207.8k
...Non-Human Identity Senior ConsultantJoin Deloitte’s Cyber... ...controls across cloud and hybrid ecosystems, with a focus on... ...clients to reduce identity risk, improve operational resilience, and strengthen... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskLocal areaVisa sponsorship$155.6k - $306.8k
...scale impact, pairing leading class engineering... ...you’ll do As a Senior Frontier GenAI FDE... ..., cost, and model risk.Deliver production... ...build, deploy, and operate integrated/... ...AI, network, and hybrid cloud infrastructure... ...estimate has not been adjusted for the applicable...SeniorRiskLocal areaVisa sponsorship$112.5k - $135k
...financing and investors who seek strong risk-adjusted returns.Since 1971, our people have shaped... ...are seeking an experienced, hands-on, and operationally strong People Operations (POPs) leader to serve as the Americas Regional Lead / Manager. This role is responsible for...RiskFull timeLocal areaFlexible hours$146k - $194k
...Anduril’s family of systems is powered by Lattice OS, an AI-powered operating system that turns thousands of data streams into a realtime, 3D... ...using a third-party service provider to conduct pre-employment risk, integrity, and due diligence screening and assessing potential...SeniorRiskFull timeWork experience placementImmediate startRemote work$163.4k - $322.1k
...Transformation Technology Senior Manager - AI &... ...re-engineering operations and processes that... ...AI, network, and hybrid cloud infrastructure... ...Transformation Lead who drives strategic... ...engagement risk and on-going engagement... ...estimate has not been adjusted for the applicable...SeniorRiskLocal areaFlexible hours$135k - $205k
...Summary As a Senior GCP Architect (Lead Cloud Infrastructure... ...cloud modernization and operational planning, and... ...manage architecture risks, technical dependencies... ...intelligence, networks, and hybrid cloud infrastructure... ...has not been adjusted for the applicable...SeniorRiskLocal areaRemote work- ...Specialist to support the Private Assets Investment team. The role is hybrid (4 days/week) and involves providing broad administrative and... ...to the SVP and Deputy CIO. The ideal candidate has 5+ years of senior-level support experience, strong MS Office 365 skills, and...Senior
$105.4k - $207.8k
...enable our clients to operate with resilience, grow... ...6.Work you'll doAs a Senior Engineering... ...cloud, on-premises, and hybrid environmentsImplementing... ...monitoring, governance, and risk reduction.Leading application... ...estimate has not been adjusted for the applicable geographic...SeniorRiskLocal areaVisa sponsorship$116.2k - $229.1k
...Position Summary As a Senior Consultant Product... ...set by the Product Lead, run discovery and... ...users. You'll operate hands-on inside an... ...science, design, and risk, and mentor Consultants... ...work in a remote + hybrid model (typically 2-... ...has not been adjusted for the applicable...SeniorRiskContract workLocal areaRemote work- ...business by delivering risk management... ...environment, this role leads the delivery, growth... ...Services on the Cyber Operate team, you will be... ...across cloud, hybrid, and on-premises environments... ...has not been adjusted for the applicable... ...level employees to senior leaders, we believe...SeniorRiskContract workLocal areaVisa sponsorship
$155.6k - $306.8k
...financials, quality and risk management, methods and... ...ensure that our Firm operates efficiently, and our people... ...negotiation skills to lead an environment driven... ...estimate has not been adjusted for the applicable geographic... ...-level employees to senior leaders, we believe...SeniorRiskOngoing contractContract workLocal area$177.5k - $275.2k
...California is seeking a Senior Project Manager with... ...cost‑effective manner.Lead and be responsible for... ...scope, schedule, budget, risk, and quality management... ...At Stantec, we have a hybrid, flexible work schedule... ...you require reasonable adjustments to be made during the recruitment...SeniorRiskContract workWork at officeLocal areaFlexible hours$91k - $100k
...,000.00 Salary, This position operates on a hybrid work schedule. This position will... ...innovation. Job Summary The Senior Business Process Advisor, Quality & Risk Adjustment, serves as the primary... ...Senior Business Process Advisor leads requirements gathering, business...SeniorRiskFull timeWork at officeRemote work$116k - $216k
...CaliforniaJob SummaryThe Senior Relationship... ...and a strong risk management discipline... ...partners.Structures and leads credit and non-... ...maximizing risk adjusted returns on shareholder... ...in hiring and operational practices.Ensures... ...****@*****.***.#LI-Hybrid #J-18808-Ljbffr...SeniorRiskPermanent employmentInterim roleWork at officeFlexible hoursNight shift
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