Medicare Risk Adjustment Chart Retrieval Specialist
Clever Care Health Plan
Clever Care Health Plan in California is seeking a Risk Adjustment Coordinator, Chart Retrieval, to oversee end-to-end medical record retrieval for the Medicare Advantage program. You will engage PCP offices, hospitals, and IPAs to collect complete records needed for HCC validation and audits. Responsibilities include confirming record completeness, coordinating secure data transfer, and maintaining accurate logs while upholding HIPAA standards. #J-18808-Ljbffr Clever Care Health Plan
$22.69 - $26.44 per hour
...Southern California’s fastest-growing Medicare Advantage plans with an incredible... ...and innovation.Job SummaryThe Risk Adjustment Coordinator, Chart Retrieval is responsible for obtaining complete... ...IPAs, medical groups, hospitals, specialists, and other record custodians by...RiskWork at officeImmediate startRemote work$72.8k - $80k
...California's fastest-growing Medicare Advantage plans with... ...Job Summary The Risk Adjustment Coding Auditor is... ..., RADV preparedness, chart review validation,... ...documentation quality, chart retrieval processes, provider... ...), Certified Coding Specialist (CCS), Certified...RiskWork at officeRemote work$127k - $160k
...healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year... ...diversity and innovation.Job SummaryThe Senior Manager, Risk Adjustment Operations and Performance Improvement leads the operational...RiskWork at officeRemote work- 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...Risk
$17.15 - $19.15 per hour
...Description What to expect when you work here As a Receiving Specialist, you will be responsible for managing the store's backroom... ..., and advertisements set forth by the Marketing Team Take Risks; Wear a Helmet: It never hurts to try something new. We are...RiskHourly payPart timeImmediate startShift workNight shiftAfternoon shift$35 - $38 per hour
...banking operations? We're seeking a Treasury Specialist to play a critical role in delivering... ...efficiently while maintaining strong risk and compliance standards. If you thrive... ...account analysis pricing setup, maintenance, adjustments, and proforma reviews. + Monitor ECR...RiskContract workTemporary workRemote work- ...Behavioral Health Services - Mental Health Specialist Salary may be negotiable within the... ...experiencing homelessness or who are at risk of homelessness and experiencing mild to... ...effectively in writing and orally, adjusting communication styles to fit audience accordingly...RiskInternshipWork at officeImmediate startWeekend workAfternoon shift
$25 - $27 per hour
...profitable sales by mitigating shortage risks, preventing theft and fraud to ensure product... ...career. The role of an Assets Protection Specialist can provide you with the skills and... ...positive and respectful attitude ~ Adjust to business and guest needs to deliver an...RiskHourly payFull timeTemporary workWork experience placementLocal areaFlexible hoursShift workNight shiftDay shift$120.3k - $180.45k
...contingency capabilities to ensure alignment with demand forecasts and growth plans. Support sourcing decisions with robust capacity and risk evaluations as sourcing strategies mature. Risk Assessment & Mitigation Identify, assess, and mitigate supply chain risks, including...RiskPart timeWork experience placementCurrently hiringFlexible hours- ...Enrollment and Eligibility. The Eligibility Specialist II requires the ability to process... ...possible solutions to save time, reduce risk, and/or reduce expenses. Create and document... ...helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude...RiskWork at office
- Clever Care Health Plan seeks a Senior Manager to lead Medicare Advantage RAF, Stars, HEDIS, and CAHPS operations, improving quality, coding accuracy, and member experience. You will oversee daily program operations, vendor oversight, and cross-functional collaboration...Risk
- ...Hill is looking for a Senior Recreation Specialist for the Community Services Division to join... ...requiring simple, but continuous adjustments, such as operating a motor vehicle. Ability... ...may cause discomfort and where there is a risk of injury, requiring minimal recovery....RiskPart timeWork experience placementWork at officeWeekend workAfternoon shift
$24 per hour
...ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or... ...patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/...Hourly payFull timeWork experience placementWork at office$41.69 - $76.47 per hour
...be built. Purpose The CNC Machining Specialist is a technical expert responsible for defining... ...operations. Identify process risks and implement improvements to ensure safe... ...Assistance Act. EEO Poster In order to adjust to changes in our business, it may become...RiskTemporary workShift work$203.76k - $249.04k
...re actively seeking a talented Director of Product and Pricing Risk to join the Workforce Benefits Product and Pricing organization... ...business and renewal results, evaluate emerging trends, and recommend adjustments to pricing approaches, profitability targets, and portfolio...RiskTemporary workWork from homeRelocation packageFlexible hours1 day per week$152.37k - $186.23k
...performance metrics to identify profitability trends and any needed adjustments. Assess the impact of non-guaranteed elements (e.g., credited... ...management early line-of-sight into emerging opportunities or risks. Oversee renewal rate analysis, drawing insights to inform rate...RiskWork at officeRelocation packageFlexible hours$23 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by... ...carry out job responsibilities in a manner that minimizes the risk of injury to themselves, other associates, vendors, customers,...RiskLocal area$85.8k - $98k
...for our clients' most critical EHS, Supply Chain, and Digital risks and opportunities to achieve greater resilience, impact, and future... ...and motivated Environmental Health and Safety (EHS) Consulting Specialist to join our dynamic EHS team in Irvine, CA. This position is...RiskTemporary workLive in$93k - $160.3k
...collaborative team environment. Position Summary The Loss Control Specialist role is an individual contributor and reports to the Loss... ...Measurement Systems Negotiation Results Driven Risk Management Self-Starter Mentoring People As an energy...RiskFull timeLocal area$85.2k - $117.15k
...EHS Specialist (Solventum) At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy... ...material approval, and management of change Conduct risk assessments and support implementation of corrective actions to...RiskH1bLocal areaRelocation packageFlexible hours$70k - $75k
...Resolution SpecialistThe Resolution Specialist is responsible for researching, analyzing, and resolving escalated customer concerns, order... ....Monitor non-installation orders proactively to identify risks and delays.Maintain documentation within SAP of investigations....RiskFull timeWork at officeFlexible hours$22.52 - $23.71 per hour
...and retirement benefits. JOB SUMMARY AND PURPOSE The Outreach Specialist is responsible is responsible for promoting the program throughout... ...as needed Outreach to community partners, to promote at risk youth programs and resolve homelessness. Other duties as required...RiskHourly payPermanent employmentWork experience placementLocal areaImmediate start$19 - $27 per hour
...Member Specialist Sam's Club #6613 7480 Carson Blvd Long Beach, CA 90808-2362 5 open positions R-2475946 $19.00 - $27.00/hr* Part time... ...Excellence: Displays curiosity and a desire to learn; takes calculated risks; and demonstrates courage and resilience. Strive for...RiskHourly payMinimum wageFull timeTemporary workPart timeShift work$52k - $56k
...information systems and advanced technologies. Summary The EHS Specialist supports the Environmental, Health, & Safety (EHS) Planning... ...Support Collaborate with EHS Operations, Human Resources, Risk Management, and site leadership to support various ESG and KPI...RiskTemporary workSummer workWork at officeLocal areaFlexible hours$77.11k - $100.23k
...initiating internal and external transfers, ensuring compliance with investment policy, supporting banking relationships, and financial risk management. Priority Two – 15% Support implementation of new bank technologies, products and services Priority Three – 15%...RiskWork experience placement- Clever Care Health Plan in Huntington Beach, CA is seeking a Quality/Risk Advisor to manage relationships with MSOs/IPAs and provider partners while supporting HEDIS/Stars, CAHPS, and risk adjustment KPIs. This full-time role offers a hybrid schedule with three days onsite...RiskFull timeWork at office
$150k
About The Role: As a CBRE Quality & Risk Management (QRM) Director, you will manage a team responsible for the implementation and delivery... ...skillsets of our people. At CBRE, you have the opportunity to chart your own course and realize your potential. We welcome all...RiskWork at officeVisa sponsorshipFlexible hours$85k - $95k
R10097166 Field Sourcing Specialist (Open) Location: Long Beach, CA - Management - Regional Office How will you CONTRIBUTE and GROW? We are... ...strategy and plant operations, you will proactively manage risk and vendor performance, lead sourcing for high-stakes plant turnarounds...RiskFull timeTemporary workFor contractorsWork at officeWeekend work- ...partners with credit, operations, and product specialists to ensure each client receives holistic,... ...goals. Oversee portfolio health and risk management, including credit quality, loan... ...job include close vision and ability to adjust focus Why CalPrivate Bank? This isn’t just...Risk
$84.05k - $105.06k
Maintenance CMMS Specialist Date: Aug 27, 2026 Location:Garden Grove, CA,... ...including asset history, PM additions, risk assessments, and turnover documentation.... ...recruitment process, so if you require reasonable adjustments at any stage during our recruitment...RiskFor contractors
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