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$75k - $85k
...Risk Adjustment Coding Specialist II (SGV or IE, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeHome officeMonday to FridayAstrana Health, Inc.
Monterey Park, CA3 days ago$75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$71.3k - $82.6k
...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placementRemote workPMA Companies
Pasadena, CA3 days ago$78.5k - $163.6k
...Overview 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...RiskUniversity of California
Los Angeles, CA3 days ago- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time$70k - $85k
Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly...RiskFull time- ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary... ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient...RiskWork at office
$63.59k - $121.53k
...impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework,... ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskHourly payFull timeH1bLocal areaRelocationAfternoon shiftUSAA
Los Angeles, CA13 hours agonew- ...including procurement, employment, litigation, and marketing. Collaborate with internal stakeholders and outside counsel to manage risk and ensure legal compliance across business functions. What We're Looking For: ~ A JD from an ABA-accredited law school and...Risk
Larson Maddox
Covina, CA4 days ago $150.5k - $225k
...Overview Join to apply for the Construction Risk Dispute Resolution Manager role at Jacobs . Construction Risk Dispute Resolution... ...of their role. If you require further support or reasonable adjustments with regards to the recruitment process, please contact Careers...RiskFull timeContract workJacobs , LLP
Los Angeles, CA23 hours ago$30 - $33 per hour
...Thursday - Friday Remote Part B ~ Wednesday - Friday Onsite / Monday - Tuesday Remote 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours$140k - $180k
...case strategy and client deliverables. Participate in client meetings and communicate with clients regarding case status, legal risk, and compliance best practices. Stay current on evolving case law and regulatory developments in California and federal labor/employment...RiskWork at office2 days per weekCareer Consulting Partners
Los Angeles, CA19 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
$129.77k - $165.27k
...About This Role As a Risk Adjustment Data Scientist at myPlace Health, youll do more than work with numbersyoull help shape how we care for the communities we serve. In this role, youll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per weekMyplacehealth
Los Angeles, CA23 hours ago- ...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project...RiskFull timeFor subcontractorWork at officeLocal area
Pacific Industrial Electric
Brea, CA23 hours ago $86k - $100k
...skills and ability to resolve complex issues Demonstrates knowledge of the current regulatory environment; adheres to the Banks Risk Vision, and risk management policies and programs; recognizes and proactively addresses risk Must be able to work a flexible schedule...RiskWork experience placementFlexible hoursEast West Bank
El Monte, CA2 days ago$90k - $130k
...mitigate exposure to scope, schedule, budget, quality, and commercial risk. The Specialist may also identify improvement projects and... ...and elegant solutions. Please let us know if there are any adjustments we could make to the application process to make it easier and...RiskWork experience placementSummer workFlexible hoursBuroHappold
Los Angeles, CA23 hours ago- ...challenging situations. You are a relationship-builder and strategic partner, collaborating with sales, insurance brokers, adjusters, and risk management teams to support client satisfaction and business growth. Your leadership fosters team development, performance,...RiskFor subcontractorLocal area
EmergencyMD
Fullerton, CA4 days ago - ...quality problems. Lead and participate in problem solving activities, including root cause analysis, test method validations, and risk management related to design, manufacturing and supplier issues. Communicate significant issues or developments during quality...RiskPermanent employmentFull timeWork at officeLocal area
The Gill Corporation
El Monte, CA23 hours ago - .... This role requires strong leadership, strategic planning, and risk management skills. Essential Functions: Plans, organizes... ...vision, peripheral vision, depth perception, and the ability to adjust focus. If you are an experienced Project Manager with a strong...RiskContract workFor subcontractor
New Heights Career Services
Santa Fe Springs, CA2 days ago $92k - $106k
...quality problems. Lead and participate in problem solving activities, including root cause analysis, test method validations, and risk management related to design, manufacturing and supplier issues. Communicate significant issues or developments during quality...RiskPermanent employmentFull timeWork at officeLocal areaShift workDay shiftAfternoon shiftThe Gill Corporation
El Monte, CA23 hours ago- ...manages the daily operations of the City’s Human Resources and Risk Management programs and services; oversees the day to day activities... ...monitoring and approving expenditures and making budget adjustments as necessary. Oversees special human resource programs including...RiskContract workWork at officeLocal areaImmediate start
$89.9k - $160.6k
...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...~ Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding ~ Experience in interpreting...RiskMinimum wageFull timeContract workWork experience placementLocal areaRemote workUnitedHealth Group
Cypress, CA3 days ago- ...proposals with a keen eye for efficiency, recommending strategic adjustments as needed. Execution, Leadership, and Monitoring Lead... ...for consistent tracking and analysis. Proactive Risk Management ~ Anticipate and manage changes in project scope...RiskWork experience placementWork at officeWork from homeFlexible hours
P&P Optica
Ontario, CA4 days ago $64k - $103k
...willing to work West Coast hours. The Objective: The Conflicts Analyst II assists the Firm and its attorneys with compliance and risk management related to potential new business. What will I do? You will review, research and analyze new business and conflict...RiskTemporary workWork at officeRemote workFlexible hoursOrrick Herrington & Suttcliffe
Los Angeles, CA3 days ago- ...financial services products from concept to adoption. Define a strategic roadmap that addresses key priorities such as digital banking, risk management, compliance, and customer experience. Develop and maintain Product Management, Financial, Management, Product, Customer...Risk
Hyland
Los Angeles, CA23 hours ago $300k - $350k
...Line Extension Section 3 Stations project. This includes the overall management of design, construction, testing, schedule, budget, risk, quality management, environmental compliance, safety and contract administration for the Project. Supervisory responsibilities include...RiskContract workLos Angeles, CAmore than 2 months ago$114.4k - $195k
...Location US-CA-Ontario Job Category Legal, Compliance, and Risk Management Position Type Regular Full Time Req ID 42541 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State...RiskFull timeWork at officeLocal areaImmediate startState Farm Mutual Automobile Insurance Company
Ontario, CA4 days ago$59.29k - $90k
...Location US-CA-Ontario Job Category Legal, Compliance, and Risk Management Position Type Regular Full Time Req ID 42540 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State...RiskFull timeWork at officeImmediate startMonday to FridayState Farm Mutual Automobile Insurance Company
Ontario, CA3 days ago
