Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Risk Adjustment Ops & Quality Improvement Lead

Clever Care Health Plan

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 quality outcomes, coding accuracy, and member experience. Responsibilities include cross-functional program execution, analytics-driven interventions, provider performance management, and vendor oversight to ensure regulatory #J-18808-Ljbffr Clever Care Health Plan

Vacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Senior Risk Adjustment Ops & Quality Improvement Lead in Huntington Beach, CA vacancy
  • $176k - $288k

    Senior Civil Discipline Lead Design a career and build your future... Because it matters! McMillen...  ...by reporting staff meets company risk management and quality standards Ensure QA/QC compliance...  ..., depth perception and ability to adjust focus. Compensation Package: Pay... 
    Quality
    Senior
    Risk
    Visa sponsorship
    Relocation package
    Night shift

    McMillen

    Newport Beach, CA
    11 hours ago
  • 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... 
    Quality
    Senior
    Risk

    Paycom

    Huntington Beach, CA
    11 hours ago
  •  ...clients approach risk management and benefits...  ...process improvement efforts resulting...  ...Strategizes, plans, and leads large-scale, complex...  ...solutions, and adjusting workflows to meet...  ...Partners closely with senior management in the...  ...comprehensive, high quality employee programs... 
    Quality
    Senior
    Risk
    Temporary work
    Work experience placement
    Work at office
    Local area
    Immediate start

    Alliant Insurance Services

    Irvine, CA
    3 days ago
  • $146k - $194k

     ...criticality, and the quality of the people we...  ...are looking for a Senior Recruiter to join our...  ...HRIS implementation lead, and closing a...  ...availability across People Ops disciplines...  ...Identify and implement improvements to recruiting processes...  ...pre-employment risk, integrity, and due... 
    Quality
    Senior
    Risk
    Full time
    Work experience placement
    Immediate start

    Anduril

    Costa Mesa, CA
    a month ago
  • $40 - $52 per hour

     ...security. The Role As a Lead Final Integration...  ...and meet engineering, quality, and operational requirements...  ...and continuous improvement. Uphold all safety, quality...  ..., wiring, fastening, adjustment, and system...  ...equipment. Identify build risks, non-conformances, and... 
    Quality
    Risk
    Permanent employment
    Work experience placement
    Work at office
    Local area
    Weekend work

    Mach Industries Inc.

    Huntington Beach, CA
    1 hour ago
  • Lead Business Analyst (Customer Engagement) Job Category...  ..., and continuous improvement. The position, reporting...  ..., timelines, and risks for assigned initiatives...  ...Establish standards for data quality, ownership, and...  ...perception and ability to adjust focus. Always practice... 
    Quality
    Risk
    Full time
    Work at office

    Clean Energy Fuels

    Newport Beach, CA
    2 days ago
  • $55k - $78k

     ...application process. Sr. Ops Associate Full Time G3...  ...on-site execution lead for NSO activities under...  ...operations. Monitor execution quality during the opening...  ...to help identify improvement opportunities. Ensure...  ...Regional Manager. 5. Risk Management & Issue Escalation... 
    Quality
    Senior
    Risk
    Full time
    Immediate start
    Shift work

    TOUS les JOURS International

    Buena Park, CA
    11 hours ago
  • $90k - $100k

     ...monthly deliverables to senior management. Ensure...  ...in the development or adjustment of Key Performance Indicators...  ...process. Continuously improve, automate, and simplify...  ...the following behaviors: Quality: Consistently produces...  ...and takes appropriate risks. Keeps up to date with... 
    Quality
    Senior
    Risk
    Work at office
    Local area

    Clean Energy

    Newport Beach, CA
    2 days ago
  • $87k - $112.5k

    ## Associate / Senior Associate, Corporate ActionsApply...  ...who seek strong risk-adjusted returns.Since 1971, our...  ...You If the following qualities resonate with you, we...  ...and enjoys continuous improvement· You are an analytical...  ...securities, class actions)· Lead design, development,... 
    Quality
    Senior
    Risk
    Full time
    Flexible hours

    PIMCO Europe Ltd.

    Newport Beach, CA
    3 days ago
  •  ...on patient safety and quality. This position is located...  ...Summary The Quality Lead I provides quality oversight...  ...to assess quality risks, resolve operational issues...  ...estimate has not been adjusted for the applicable...  ...practices for continuous improvement of healthcare products... 
    Quality
    Risk
    Monday to Friday

    B. Braun US Pharmaceutical Manufacturing LLC

    Irvine, CA
    4 days ago
  •  ...professional to be embedded in Production, driving end-to-end improvements across Supply Chain, Manufacturing, Planning, and related teams...  ...HRIS, build actionable insights, and shape scalable processes that enhance quality, cost, and delivery. #J-18808-Ljbffr Anduril-1
    Quality
    Senior

    Anduril-1

    Costa Mesa, CA
    2 days ago
  •  ...Senior Project ManagerWe're looking for a Senior Project...  ..., and the challenge of leading both successful...  ...people.You'll lead tenant improvement projects from preconstruction...  ...planningProject risk identification and problem...  ...successful, profitable, high-quality projectsWith Your Team.... 
    Quality
    Senior
    Risk
    For subcontractor

    Futran Tech Solutions Pvt. Ltd.

    Costa Mesa, CA
    1 day ago
  • $165k - $230k

     ...employee is expected to lead from where they...  ...for safety, quality, schedule, and financial...  ...Partners with the Senior Superintendent as...  ...plans, manages risk, and ensures alignment...  ..., and continuous improvement across all project...  ..., and schedule adjustments, in coordination with... 
    Quality
    Senior
    Risk
    For contractors
    Flexible hours

    DPR Construction

    Newport Coast, CA
    1 day ago
  •  ...Operations Analyst to join our Loan Administration team. This onsite role focuses on construction loan servicing, risk management, and process improvement within a four‑day onsite, one‑day remote schedule. Responsibilities include setting up, monitoring, and releasing... 
    Senior
    Risk
    For contractors
    Remote work

    Pacific Life

    Newport Beach, CA
    1 day ago
  • $110k - $160k

     ...Do Reporting to the Lead Estimator, the Senior Project Estimator is...  ...identifies cost and schedule risks, and prepares...  ...role in proposal quality, cost accuracy, and...  ...Assist in the continuous improvement of estimating tools,...  ...orders and scope adjustments. Participate in project... 
    Quality
    Senior
    Risk
    Contract work
    For subcontractor
    Work at office

    Rising Edge Group

    Newport Beach, CA
    11 hours ago
  • $109.24k - $150.21k

     ...OEMs and supports leading U.S. aerospace and...  ...Engineering, Manufacturing, Quality, Program...  ...delivery, capacity, and risk while contributing...  ...to continuous improvement of sourcing...  ...development initiatives and senior-level supplier...  ...In order to adjust to changes in our... 
    Quality
    Senior
    Risk
    Temporary work
    For contractors
    Relocation

    Divergent

    Costa Mesa, CA
    16 days ago
  • $155k - $169.99k

     ...at the intersection of quality engineering strategy and...  ...device development. As Senior Manager, Quality...  ...AIMD). You will not only lead the QE team in verification...  ...with root cause rigor Risk Management & CAPA...  ...lifecycle Continuous Improvement Define and lead the... 
    Quality
    Senior
    Risk
    Relocation package
    Day shift

    BiVACOR Inc

    Huntington Beach, CA
    a month ago
  • Sr. Analyst, PDC Ops We are searching for an experienced...  ...MOBIS, we are a top leading automotive parts...  ...validate, and analyze data, improve report design, and...  ...metric definitions, data quality checks, and overall usability...  ...gaps, and process risks early, and escalates critical... 
    Quality
    Senior
    Risk
    Hourly pay
    Full time
    Work at office
    Night shift

    Hyundai MOBIS

    Fountain Valley, CA
    2 days ago
  • Audit Senior - Public Accounting Position Overview We are seeking...  .... The Audit Senior will lead audit engagements, manage...  ...relationships, and ensure high-quality, timely delivery of audit...  ..., identify areas of risk, and recommend improvements to strengthen client processes... 
    Quality
    Senior
    Risk
    Flexible hours

    CyberCoders

    Costa Mesa, CA
    2 days ago
  • $175k - $264k

     ...second year in a row. The Regional Lead is responsible for leading and...  ..., and continuous improvement Client Engagement & Market Growth...  ...on project execution to ensure quality, efficiency, and client satisfaction...  ...submittals are done at the risk of the recruiter. #J-18808-Ljbffr... 
    Quality
    Risk
    Work at office
    Local area
    Flexible hours

    BKF Engineers

    Newport Beach, CA
    1 hour ago
  • $130k - $143k

     ...experienced Fund Group Lead you will have the...  ...team. We drive quality and control across...  ...- Providing senior-level QA across recurring...  ...cycle time and improve accuracy, and continuously...  ...and audit risks, drive organizational...  ...has not been adjusted for the applicable... 
    Quality
    Risk
    Local area

    Deloitte

    Costa Mesa, CA
    3 days ago
  • $120k - $170k

     ...Overview We are seeking a Senior Producer to drive the...  ...on time and at the quality bar we've set. This role...  ...cycles. Identify schedule risks early and drive...  ..., escalating blockers, adjusting scope where needed, and...  ...Community teams to ensure live ops content including patch... 
    Quality
    Senior
    Risk
    Seasonal work

    NCSOFT

    Irvine, CA
    11 hours ago
  •  ...independently manages complex and high-risk care management cases by applying...  ...care plans, and support quality outcomes aligned with benefit and...  ...informed decision makingContinuously improve outcomes by anticipating barriers and adjusting plans of care based on... 
    Quality
    Senior
    Risk
    Full time
    Contract work
    Part time
    Work at office
    Local area
    Work from home
    Home office
    Afternoon shift
    2 days per week

    Blue Shield Of California

    Long Beach, CA
    11 hours ago
  •  ...communication of project status, risks, and changes. Team...  ...stand‑ups and retrospectives. Quality Assurance: Ensure that all deliverables...  ...and driving continuous improvement. Resource Management: Coordinate...  ...not required). Ability to lead vendor teams by defining... 
    Quality
    Senior
    Risk

    FPT Americas

    Costa Mesa, CA
    4 days ago
  •  ...Senior Project ManagerWe're looking for a Senior Project...  ..., and the challenge of leading both successful...  ...people.You'll lead tenant improvement projects from preconstruction...  ...planningProject risk identification and problem...  ...successful, profitable, high-quality projectsWith Your Team.... 
    Quality
    Senior
    Risk
    Full time
    Contract work
    For subcontractor

    HBC Company Inc

    Costa Mesa, CA
    2 days ago
  • $205k - $240k

     ...investors who seek strong risk-adjusted returns.Since 1971,...  ...retail channels to lead business opportunities...  ...professionals, including senior strategists and junior...  ...acquisition, to improving marketing content and...  ...efficiency, but to improve the quality, speed, and... 
    Quality
    Risk
    Full time
    Work experience placement
    Flexible hours

    Pimco

    Newport Beach, CA
    11 hours ago
  • $191k - $253k

     ...the Job We are looking for a Senior Software Engineer to build new products...  ...assumptions, gather feedback, and improve the product. Build high-quality full-stack product experiences...  ...Communicate progress, trade-offs, risks, and results clearly to technical partners... 
    Quality
    Senior
    Risk
    Full time
    Work experience placement
    Immediate start

    Anduril

    Costa Mesa, CA
    1 day ago
  • $72.8k - $80k

     ...innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for...  ...diagnosis validation, provider documentation improvement, and risk adjustment compliance. The...  ...oversight, provider education, and continuous quality improvement efforts aimed at enhancing... 
    Quality
    Risk
    Work at office
    Remote work

    Clever Care Health Plan

    Huntington Beach, CA
    3 days ago
  • $115k - $125k

     ...Senior Validation Engineer - Lead Hands-On GMP Validation for Critical Pharmaceutical...  ...focused on delivering high-quality products within a highly regulated...  ..., compliance, continuous improvement, and maintaining...  ...activities as required Conduct risk-based assessments and... 
    Quality
    Senior
    Risk
    Local area

    Jobot

    Costa Mesa, CA
    11 hours ago
  • $200k - $225k

     ...Senior Project ManagerAt JRM Construction, we build...  ...trusted relationships. As a leading employee-owned...  ...to deliver outstanding quality and a positive client...  ...teamwork, continuous improvement, and genuine care for...  ...and mitigate project risks, including delays, scope... 
    Quality
    Senior
    Risk
    Contract work
    Work experience placement
    For subcontractor
    Work at office

    JRM Construction Management

    Costa Mesa, CA
    11 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Risk Adjustment Ops & Quality Improvement Lead. Be the first to apply!