Get new jobs by email
  • 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

    Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or... 
    Risk
    Full time
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    3 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
  •  ...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
  • $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
  • $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
  • $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
  •  ...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
  • $50k - $90k

     ...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within...  ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    7 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
  • $120k - $160k

     ...standardized work plans and methods are adhered to, safety and risk management policies are followed, daily and weekly schedule and...  ...salary ranges are made in good faith. CSI reserves the right to adjust ranges depending on the selected candidate's qualifications. Amazing... 
    Risk
    Weekly pay
    Temporary work
    Immediate start

    MYR Group

    Santa Fe Springs, CA
    6 days ago
  •  .... This role requires strong leadership, strategic planning, and risk management skills. Essential Functions: Plans, organizes and manages...  ...vision, peripheral vision, depth perception, and the ability to adjust focus. If you are an experienced Project Manager with a strong... 
    Risk
    Contract work

    New Heights Career Services

    Santa Fe Springs, CA
    5 days 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
  •  ..., 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
  •  ...outcomes and assign follow-ups to ensure technical alignment and risk mitigation. Issue Resolution: Maintain a live project issue...  ...consistent, data-driven updates to executive and technical stakeholders; adjust strategies and timelines as needed based on risk and performance... 
    Risk
    Remote work

    Totex Manufacturing Inc

    Torrance, CA
    a month 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
  • $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
  •  ...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
  • Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    3 days ago
  • $90k - $130k

     ...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 activities... 
    Risk
    Full time
    For contractors
    Work at office
    Local area

    Pacific Industrial Electric

    Brea, CA
    4 days ago
  • $135k - $170k

     ...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -...  ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to... 
    Risk
    Full time
    Temporary work
    Part time
    Work at office
    Local area

    Aon

    Los Angeles, CA
    1 day ago