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...Department: Quality - Risk Adjustment Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeMonday to FridayAstrana Health
Monterey Park, CA16 days ago- . Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: ~ Flexible, full time schedule ~ Stable and ongoing consulting...RiskRemote jobFull timeOngoing contractFlexible hoursSundayMonday to Friday
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve...Risk
- ...Enterprise Risk Adjustment Analyst III Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated...Risk
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through...Risk
- ...As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: +...RiskWork at office3 days per week
- ...and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting...RiskTemporary workWork experience placementWork at officeLocal areaRemote work2 days per week1 day per weekMonday to Friday
- Join to apply for the Regional Professional Services Coder I role at Kaiser Permanente Join to apply for the Regional Professional... ...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles, CA $92,600.00-$202,200.00 2 weeks ago...RiskFull timeWork experience placementWork at officeLocal areaRemote work
- ...Description Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the... ..., particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
Ultimate Staffing
Los Angeles, CA22 days ago - ...Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Adjuster Workers Compensation **PRIMARY PURPOSE** **:** To analyze mid-... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskContract workWork at officeLocal areaFlexible hours
- Overview: The lead data management consultant in Medicare/ACA/Medicaid risk adjustment will serve as an analytical resource to internal/external customers. This position functions both as a risk adjustment consultant and as a high-level data analyst, utilizing data mining...RiskWork experience placementLocal area
- Governance, Risk, and Compliance Associate - Asset Management Consulting Join to apply for the Governance, Risk, and Compliance Associate... ...regulatory compliance. Monitor regulatory updates and help adjust internal procedures as needed. Investment Compliance and Surveillance...RiskFull timeWork at officeRemote workFlexible hoursShift work
- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hours
- ...Best Workplaces in Financial Services & Insurance Property Field Adjuster Sr. - Greater Los Angeles, CA As an adjuster at Sedgwick, you'll... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hours
- ...and help customers succeed financially Resolve low to moderately complex issues regarding the customer and employee experience, risk, and growth of the team and the business to meet Branch Network business objectives Identify opportunities for making banking easier...RiskTraineeshipWork experience placementInterim roleWork at officeImmediate startRelocation packageSaturday
- ...Credit Portfolio Risk Management The Credit Portfolio Risk Management in Senior Credit Supervision is responsible for conducting... ...integrity and discretion. Able to remain calm under pressure and adjust methods to fit changing circumstances. Compensation The...RiskWork at office
- ...AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. We are looking for HCC Risk Adjustment Auditors/Coders to join our team ! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring...RiskHourly payFull timeCasual workWork at officeRelocation packageFlexible hours
- Senior Construction Risk Engineering Consultant 121060 Zurich is currently looking for a Senior Risk Engineering Consultant for the Construction... ...salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorship
- .... As needed, performs analysis of audit results for Medicare Risk adjustment, and clinician documentation to achieve compliance with all regulatory... ...encompass: internal practitioners, contracted practitioners, coders, internal facilities as well as contracted facilities. This...RiskFull timeTraineeshipLocal areaRemote workFlexible hoursShift work
- ...people the confidence to reach further. Overview We are seeking a proactive and detail-oriented professional to join our Enterprise Risk Management team, focusing on technology and cyber risk. This role is responsible for developing and implementing risk management...Risk
- ...absolute integrity. East West Bank gives people the confidence to reach further. Overview The Director of Information Technology Risk will be responsible for providing strategic leadership, expert guidance, credible challenge, and effective oversight of Information...RiskFull time
East West Bank
Pasadena, CA7 days ago - ...and track project progress, milestones, and deadlines using P6, adjusting schedules as needed to ensure project timelines are adhered to.... ...tracked and monitored in tandem with scheduling milestones. Risk Management: Identify scheduling and cost risks from the owner'...RiskTemporary work
Enhanced Staffing, Inc.
Glendale, CA3 days ago - ...Job Description Job Description The Hospital Claims Adjuster is responsible for the adjusting of hospital risk claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospitals/IPAs. Research, reviews, and contacts...Risk
- ...consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and... ...metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting...RiskFull timeTemporary workWork experience placementRemote workFlexible hours
- ...Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation... ...that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary. Assesses and...RiskContract workSaturdayAfternoon shift
Blue Shield of California
Monterey Park, CA2 days ago - ...policy, and standards providing periodic operational / compliance / risk KPIs associated to overall platform performance and IAM... ...written communication and presentation skills with the ability to adjust presentation details based on target audience. Extensive knowledge...RiskFull timeFlexible hours
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31/hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...Join to apply for the Risk Analyst role at Panda Restaurant Group . Summary of Job Description The Risk Analyst investigates claims from basic to moderate levels, including Workers Compensation, General Liability, and other product lines. This role involves...RiskFull timeWorldwide
- ...across our enterprise portfolio. Youll serve as a trusted partner to Risk Management, Automation, and Vulnerability Management teams.... ...and reside in the state of California. The work mode can be adjusted based on business needs. Qualified applications with arrest or...RiskLocal areaRemote workRelocation
