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$70k
...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- Description The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk Adjustment strategies that ensure our risk adjusted and Star members are getting the right clinical and pharmacy...RiskPermanent employmentContract workTemporary workRemote work
- 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
- ...to Expect (Job Responsibilities): - Conduct research, analysis, and modeling of complex healthcare claims, pharmacy, lab, and Risk Adjustment submissions data - Develop and present reports on Risk Adjustment intervention performance and make data-driven recommendations...RiskImmediate startRemote work
- 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
- ...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
- . 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
- ...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
- ...Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the extent... ...regulations, particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
Ultimate Staffing
Los Angeles, CA1 day ago - ...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
- ...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
- ...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
South Gate, CA3 days ago - ...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
- ...Pacific DESCRIPTION THE PORT OF LONG BEACH IS SEEKING A CHIEF RISK OFFICER (RISK MANAGER) This is an at-will position) Salary Range... ...and global insurance markets Techniques and practices on claims, adjustments, and settlements Principles and practices of risk transfer,...RiskPermanent employmentFull timeTemporary workWork at officeFlexible hours
- ...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...RiskFull time
Charles Schwab
Lynwood, CA2 days ago - ...financial leadership role responsible for managing the organization's cash flow, banking relationships, investments, and financial risk. This position plays a critical role in ensuring the company has sufficient liquidity to meet its obligations, optimizes the return...RiskFull timeTemporary workWork at officeAfternoon shiftEarly shift
- ...develop team members to ensure a high performing restaurant team; leverage the support of the Restaurant Support Center; ensure all risk management issues are following company standards. Strong business acumen and ability to drive results through team collaboration to...RiskHourly payFull timeFlexible hoursShift workNight shiftDay shiftAfternoon shift
