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

Hybrid Quality & Risk Advisor - HEDIS/Risk Expert

Clever Care Health Plan

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 at the Huntington Beach office and requires strong data reconciliation, education, and collaborative cross-functional work. #J-18808-Ljbffr Clever Care Health Plan

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Hybrid Quality & Risk Advisor - HEDIS/Risk Expert in Huntington Beach, CA vacancy
  •  ...years of experience in litigation and familiarity with legal software, preferably in the healthcare sector. The position requires a hybrid work schedule. Join us to impact our growth while maintaining confidentiality and superior organizational standards. #J-18808-... 
    Suggested

    Helton Law Group, APC

    Costa Mesa, CA
    1 day ago
  • $109k - $146k

     ...of experience in pricing and/or reserving, completed a minimum of 5 actuarial exams and be proficient with SQL or Python. Predicting modeling experience is a plus. (#58757) Compensation: ~ Salary range of $109-146K Location: ~ Costa Mesa, CA / Hybrid... 
    Suggested

    DW Simpson

    Costa Mesa, CA
    11 days ago
  • $97.7k - $130.3k

     ...American is seeking a Principal Risk Analyst to serve as a senior risk expert and strategic partner in...  .... * This is a hybrid position requiring in-office...  ...matter expert and strategic advisor on enterprise and...  ...commitment to data integrity and quality. IDEALLY, YOU'LL ALSO... 
    Suggested
    Full time
    Work at office
    Local area
    3 days per week

    First American Financial Corporation

    Santa Ana, CA
    6 days ago
  • $152.37k - $186.23k

     ...Beach, CA, Omaha, NE or Charlotte, NC. This role follows a hybrid schedule of four days in the office (on-site) . If you are not currently...  ...management early line-of-sight into emerging opportunities or risks. Oversee renewal rate analysis, drawing insights to inform... 
    Suggested
    Work at office
    Relocation package
    Flexible hours

    Pacific Life

    Newport Beach, CA
    4 days ago
  • $152.37k - $186.23k

     ...in Newport Beach, CA, Omaha, NE, or Charlotte, NC. This role is hybrid with four office days per week. If you are not currently located...  ...back-office function, but as a strategic lever used to manage risk, support growth, and enable business decisions. This opportunity... 
    Suggested
    Work at office
    Relocation package
    Flexible hours

    Pacific Life

    Newport Beach, CA
    2 days ago
  • $152.37k - $186.23k

     ...Beach, CA, Omaha, NE or Charlotte, NC.** This role follows a **hybrid schedule of four days in the office (on-site)**. If you are not...  ...portfolio evolution from renewal rate decisions* Develop current market risk insights with regards to product portfolio with emphasis on... 
    Work at office
    Relocation package
    Flexible hours

    Pacific Asset Management

    Newport Beach, CA
    1 day ago
  • $167.67k - $204.93k

     ...Beach, CA or Omaha, NE. This role follows a hybrid schedule of four days in the office (on‑...  ...Pricing and Product Development, Risk Management, Modeling and Sales within the...  ...risk management developments. Provide expert‑level analysis and insights, including high... 
    Work at office
    Relocation
    Relocation package

    Pacific Life

    Newport Beach, CA
    1 day ago
  • $125k - $175k

     ...Enterprise Risk AnalystDenver, CO or Long Beach, CA or Washington, DC or SF Bay AreaSpace is a warfighting domain. True Anomaly seeks...  ...to vendor and supply chain risk.Familiarity with Agile/Scrum and hybrid project delivery models.CompensationBase Salary: Denver - $105,0... 
    Permanent employment
    Contract work
    Work at office

    True Anomaly

    Long Beach, CA
    1 day ago
  • $64.3k - $85.7k

     ...information, please visit What We Do First American is seeking a Risk Analyst to help strengthen our risk management and control...  ...and evolving risk management function. WHAT YOU'LL DO This is a hybrid position requiring in-office attendance three days per week: Monday... 
    Work at office
    Local area
    3 days per week

    First American

    Santa Ana, CA
    2 days ago
  • $32.5 - $36 per hour

     ...join our dynamic team as dedicated year-round TurboTax Retail Experts in one of our TurboTax Retail or Flagship locations across the...  ...needs. As a TurboTax - Retail Expert, you will serve as a trusted advisor, empowering customers to achieve positive financial outcomes... 
    Local area

    Intuit

    Long Beach, CA
    25 days ago
  • $80k - $105k

     ...Personal Risk Specialist The Personal Risk Specialist is an outside sales position focused on serving the unique insurance needs...  ...production staff. Establish a relationship as a trusted partner and advisor to clients and prospects. Develop and support cross-selling... 
    Temporary work
    Work at office
    Local area
    Flexible hours
    Afternoon shift

    USI Insurance Services

    Irvine, CA
    14 hours ago
  • $19 per hour

     ...Human Resources Expert Starting Hourly Rate / Salario por Hora Inicial: $19.00 USD per hour Working at Target means helping all...  ...your leader in following company compliance policies that mitigate risk to the team member experience. ~ Demonstrate a culture of... 
    Hourly pay
    Work at office
    Local area
    Flexible hours
    Shift work
    Night shift
    Day shift

    Target

    Irvine, CA
    4 days ago
  • $164.78k - $314.96k

     ...support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with...  ...are seeking a credentialed Actuary Lead to join the Climate Risk and Exposure Analytics team at USAA . This role serves as the analytical... 
    H1b
    Work at office
    Remote work
    Relocation package

    USAA

    Fountain Valley, CA
    4 days ago
  •  ...responsible for the strategic oversight, development, and execution of Quality Improvement and Risk Adjustment programs within a managed care environment. This role ensures optimal performance in HEDIS, STAR ratings, and Burden of Illness (BOI) accuracy by integrating... 
    HEDIS
    Flexible hours

    Advanced Medical Management

    Long Beach, CA
    9 days ago
  •  ...We are hiring for a HR Project Manager (Hybrid) with 10+ years of HR and Project Management experience. You will have an opportunity to...  ...programs and compliance tracking, including WVPP and behavioral risk management activities, training, investigations, and documentation... 
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Ultimate Staffing Services

    Irvine, CA
    26 days ago
  • $28.4 per hour

     ...experience that is memorable and unique. Our Guest Environment Experts are skilled in a wide range of housekeeping functions with responsibility...  ...and procedures, maintaining confidentiality, upholding quality standards, and ensuring your uniform, personal appearance, and... 
    Hourly pay
    Full time
    Local area

    Marriott International Inc

    Newport Beach, CA
    2 days ago
  • $20.2 per hour

     ...experience that is memorable and unique. Our Guest Experience Experts take the initiative to deliver a wide range of services that guide...  ...confidentiality, protecting company assets, upholding quality standards, and ensuring your uniform, personal appearance, and... 
    Hourly pay
    Part time
    Work experience placement
    Local area
    Remote work
    Flexible hours
    Weekend work

    Marriott

    Costa Mesa, CA
    5 days ago
  •  ...connection, and community. Join us and be part of a team that's changing lives every day! JOB SUMMARY The Sales and Service Expert (SSE) delivers an outstanding and well-rounded sales and service experience to all guests and members through a compelling approach... 
    Work experience placement
    Work at office
    Local area

    24 Hour Fitness

    Huntington Beach, CA
    1 day ago
  • $27.21 per hour

     ...experience that is memorable and unique. Our Guest Environment Experts are skilled in a wide range of housekeeping functions with responsibility...  ...and procedures, maintaining confidentiality, upholding quality standards, and ensuring your uniform, personal appearance, and... 
    Hourly pay
    Full time
    Work experience placement
    Local area

    Marriott International Inc

    Costa Mesa, CA
    3 days ago
  • $100k - $150k

     ...Risk Advisor Why join M&G: We continue to win awards and achieve honors for our culture, industry expertise, and services: ~ Central...  ...oriented You drive towards results without sacrificing quality You excel in reaching goals while remaining accountable to... 
    Work experience placement
    Work at office
    Remote work
    Flexible hours
    2 days per week
    3 days per week

    Morris & Garritano

    Irvine, CA
    14 hours ago
  • $212k - $318k

     ...Group (AFG) provides our clients with high-quality actuarial services aligned to their...  ...Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments...  ...@marsh.com. Marsh is committed to hybrid work, which includes the flexibility of working... 
    Minimum wage
    Work at office
    Local area
    Remote work
    Flexible hours
    3 days per week
    1 day per week

    Mercer Company

    Irvine, CA
    1 day ago
  •  ...productivity, staffing, patient experience, financial performance, quality, risk adjustment, care gap closure, utilization, and total cost of...  ...Visits, HCC documentation and chronic-condition reassessment, HEDIS/Stars care gap closure, preventive screenings, medication... 
    HEDIS
    Local area
    Flexible hours

    Advanced Medical Management

    Long Beach, CA
    10 days ago
  • Freelance Makeup Artist Charlotte Tilbury is currently recruiting Freelance Makeup Artists to join the team. This position will be part of the Charlotte Tilbury Freelance Makeup Artist team. As a member of the Charlotte Tilbury Freelance Makeup Artist team you will ...
    Freelance

    Charlotte Tilbury

    Costa Mesa, CA
    1 day ago
  •  ...Reasons To Work With Our Client : Business-First: Be a strategic advisor, not just an attorney. Strong Clients: Work with startups to...  ...and complex negotiations . Advise business clients on  risk, compliance, and strategy . Draft, structure, and negotiate... 
    Full time

    ExpertHiring

    Irvine, CA
    13 days ago
  •  ...Beach, CA, Charlotte, NC, or Omaha, NE. This opportunity follows a hybrid schedule of 4 days in the office (on-site). If you are not...  ...Actuarial Rotation Program Perform analyses to assess and manage risk associated with insurance and other financial products & instruments... 
    Full time
    Work at office
    Relocation
    Relocation package
    Flexible hours

    Pacific Life Insurance Company

    Newport Beach, CA
    4 days ago
  •  ...Newport Beach, CA; Omaha, NE; or Charlotte, NC. This role follows a hybrid schedule of four days in the office (on-site). If you are not...  ...(CMD).How you’ll help move us forward:Balance product profit, risk, and market competitiveness; help develop and test creative solutions... 
    Full time
    Work at office
    Immediate start
    Relocation package
    Flexible hours

    Pacific Life Insurance Company

    Newport Beach, CA
    6 days ago
  •  ...Job TitleQuality AuditorJob DescriptionTop Skills: This is NOT a quality engineer, this person is more of a quality tech with functional...  ...and share this information with leaders/managers. It is a hybrid qual tech with functional skills. They will be both on the floor... 
    Hourly pay
    Work at office

    Performix Business Services LLC

    Costa Mesa, CA
    1 day ago
  •  ...This is NOT a quality engineer, this person is more of a quality tech with functional skills who has performed AUDITS on the line, can...  ...report and share this information with leaders/managers. It is a hybrid qual tech with functional skills. They will be both on the... 
    Hourly pay
    Work at office

    Performix

    Costa Mesa, CA
    5 days ago
  •  ...made bookkeeping their specialty and is exceptionally good at it. This position is 100% on-site in Orange County. Remote and hybrid work are not available. What You'll Do As a Senior Full-Charge Bookkeeper, you will be responsible for managing the day-to-... 
    Immediate start
    Remote work

    BOOKKEEPING ENTERPRISES

    Tustin, CA
    28 days ago
  •  ...scaling our data platform, delivering high-quality data products, and enabling insights that...  ...being met. ~ Maintain continued expert knowledge of industry data sets (ICD, CPT...  ...~ Lead the Affinitē care gap solution: HEDIS, CMS Core Measures, Quality measures, custom... 
    HEDIS

    MedReview LLC

    Newport Beach, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Hybrid Quality & Risk Advisor - HEDIS/Risk Expert. Be the first to apply!