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  • $193k - $242k

     ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution...  ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep... 
    Risk

    Datavant

    Los Angeles, CA
    25 days ago
  • Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C...  ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    5 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... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health

    Alhambra, CA
    3 days ago
  • $75k - $85k

     ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    8 days ago
  •  ...Description Summary We are seeking an experienced medical coder with a strong background in Hierarchical Condition Category (...  ...with CMS guidelines. This role will directly support our risk adjustment reporting and ensure coding accuracy for audit readiness. The... 
    Risk
    Temporary work
    Work at office

    Florence Health

    Hacienda Heights, CA
    7 days ago
  • $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... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    7 days ago
  • $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... 
    Risk
    Full time

    Astrana Health, Inc.

    Monterey Park, CA
    3 days ago
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 days ago
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 days ago
  • Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    5 days ago
  •  ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC... 
    Risk
    Work at office

    PIH Health

    Whittier, CA
    6 days ago
  •  ...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... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    11 days ago
  • $78.5k - $163.6k

    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... 
    Risk

    UCLA Health

    Los Angeles, CA
    2 days ago
  •  ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching...  ...to provider network regarding risk adjustment and coding updates related to risk adjustment...  ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS).... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    6 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... 
    Risk
    Full time
    Contract work
    Remote work
    Flexible hours

    HireTalent - Staffing & Recruiting Firm

    Duarte, CA
    3 days ago
  •  ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient...  ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental... 
    Risk
    Full time
    Work at office
    Immediate start
    Relocation
    Monday to Friday
    Flexible hours

    Harbor Community Clinic

    Los Angeles, CA
    14 days 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... 
    Risk
    Hourly pay
    Full time
    Casual work
    Work at office
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours

    Regal Medical Group

    Los Angeles, CA
    8 days ago
  • $145k - $165k

     ...Great opportunity within the Southeastern Los Angeles area, around Commerce, CA, for a Nurse Practitioner to focus on geriatric, high-risk patients for a private group. ~ Board Certified Nurse Practitioner (NP) ~2+ yrs exp as NP required - Primary Care, Family Med,... 
    Risk

    GO Staffing

    Commerce, CA
    4 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

    MedPOINT Management

    Los Angeles, CA
    a month ago
  •  ...staff mix, hire, train, and develop staff. Develop and monitor departmental policies and procedures. Resolve human resource and risk management issues. Promote a culture of safety, ensuring adherence to standards and guidelines Basic Qualifications:... 
    Risk
    Immediate start
    Relocation package
    Shift work

    Career Match Pro

    South Gate, CA
    13 days ago
  •  ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the...  ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager... 
    Risk
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Relocation package

    American Honda Finance Corp.

    Torrance, CA
    19 days ago
  •  ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation... 
    Risk
    Full time

    InterDent Service Corporation

    El Segundo, CA
    23 days ago
  •  ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for community... 
    Risk
    Flexible hours

    Charles Schwab

    Maywood, CA
    2 days ago
  •  ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of...  ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a... 
    Risk
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    Nautilus General Contractors

    Los Angeles, CA
    28 days ago
  •  ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance...  ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,... 
    Risk
    Work at office
    Home office

    Activities, Recreation, and Care

    Los Angeles, CA
    a month ago
  • $45k - $60k

     ...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -... 
    Risk
    Work experience placement
    Work at office
    Monday to Friday

    Humina Resource

    Cypress, CA
    1 day ago
  • Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality... 
    Risk
    Contract work
    Local area
    Immediate start

    Molina Healthcare

    Long Beach, CA
    6 days ago
  • $97.5k - $117k

     ...and quality to define project plans, track milestones, and manage risks. Duties and Responsibilities: Lead project planning for...  ...Develop comprehensive project documentation; proactively adjust schedules as needed Lead risk identification efforts; execute... 
    Risk

    Safran Passenger Innovations

    Brea, CA
    8 days ago
  • $70k - $80k

     ...facility managers, property management companies, insurance agents, adjusters and consultants Qualifications: ~3+ years experience in...  ...technology and procedures ~ Knowledge of industry safety and risk management best practices to minimize workplace injuries and... 
    Risk
    Weekly pay
    Interim role
    Work at office
    Immediate start
    Worldwide

    SERVPRO of Beverly Hills/Westwood

    Los Angeles, CA
    11 days ago
  •  ...deadlines are met without compromising on quality or safety.   Risk Management: Identify potential risks or challenges during...  .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing... 
    Risk
    For contractors
    Work at office
    Local area

    Powerful Solar

    Los Angeles, CA
    3 days ago