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$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$25 - $27 per hour
...Job Description Job Title: Junior Quality Improvement Coder Target Compensation Range: $25.00 - $27.00/hour, depending on... ...providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor. Conduct internal reviews of documentation and...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...RiskRemote jobImmediate start
$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...RiskPart time- ...documentation does not support continued stay. Assesses readmission risk based on established Hospital criteria. Planning:... ...interdisciplinary team throughout the patient's stay to re-assess and adjust the plan for care progression and transition according to the...RiskFull time
$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...RiskWork at officeMonday to Friday$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$40.04 - $52.83 per hour
...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: $40.04 - $52.83 Hourly #J-18808-Ljbffr UCLA Outpatient...RiskHourly pay$83k - $88k
...supports enforcement of Environmental Health & Safety policies and risk management on construction projects in Southern California.... ...vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile, and the...RiskPermanent employmentFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startRemote workLong distanceFlexible hours- ...Risk Manager Job Duties: Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...RiskPart time
$40.04 - $52.83 per hour
...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: $40.04 - $52.83 Hourly Qualifications Current Certified...RiskHourly payWork experience placementLocal area- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workPart timeWork experience placement
- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workWork experience placement
$150.5k - $225k
...Construction Risk Dispute Resolution Manager At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeContract workPart time$81.63k - $146.7k
...Property Mid Loss Adjuster The Property Mid Loss Adjuster applies broad knowledge of current company policy, applicable regulatory standards... ..., we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are...RiskPart timeWork at officeLocal area- ...budgets, forecasts, and cost controls, participating in EAC reviews, risk workshops, and change management, while analyzing variances and... ...to Complete (ETC) amounts as required for PBA (Project Budget Adjustments), change orders, and other financial adjustments. • Manage...RiskContract workWork at office
- ...HR/Risk Assistant To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining... ...-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentPart timeWork at officeShift workNight shift
- ..., 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...RiskFull time
- ...Guarantee all codes, laws, ordinances, policies, procedures, risk management, safety precautions, rules, regulations and emergency... ...operate a motor vehicle in the United States. Remain Flexible and adjust to situations as they occur. Excellent communication and...RiskContract workPart timeFor contractorsWork at officeLocal areaImmediate startFlexible hoursNight shift
$22 - $23 per hour
...Description Job Description Description Job Title: Medical Coder Department: Billing - SoCal About the Role: We are... ...years coding experience You're great for the role if: Have risk adjustment experience Additional experience with specific knowledge of...RiskWork at office$201k - $241.2k
...deductible and commercial accounts. OSP Program claims, and runoff risk management claims. The position manages two direct reports and... ...work we offer is challenging, diverse, and impactful. Our Adjusters and Managers are empowered to exercise their independent...RiskTemporary workPart timeWork at officeLocal area- Overview Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk...Risk
$135k - $190k
...and quality assurance procedures. Minimizes our exposure to risk on project. Provide safety and quality control management.... ...distance vision, peripheral vision, depth perception and ability to adjust focus. Company Benefits Package In addition to offering...RiskContract workPart timeFor subcontractorLocal areaRelocation package- Overview Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV...Risk
- ...corrective actions to maintain project schedule and budget. ~ Risk Management: Identify, assess, and develop mitigation... ...ensuring adherence to budget constraints and making necessary adjustments as needed. ~ Quality Assurance: Implement quality control...Risk
- ...Providing superior service delivery and support to the LOB clients and Corporate sector clients in the region. Primary third party risk management lead in any regulatory matters, including exams and meetings, in the region. Develop and manage a third party risk management...RiskPart time
- ...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...RiskFull timeContract workFor subcontractorWork at officeLocal areaMonday to FridayAfternoon shift
- ...Responsibilities Lead the environmental compliance & permitting for the construction operations. Identify, assess and reduce environmental risks to the company. Update environmental plans. Perform and oversee field inspections and monitoring (water quality, underwater noise...RiskFull timePart timeLocal areaRemote workHome officeWeekend work
- ...including, but not limited to: patient safety, quality & regulatory, throughput, cycle time, financial stewardship, patient experience, risk management, and employee engagement Maintains current knowledge of health care delivery trends and evidence-based solutions for...RiskFull timeWork at office
- PacSun - 3450 E Miraloma Ave [Store Supervisor] As an Assistant Store Manager at PacSun, you'll: Assist the Store Manager in leading a customer focused, top-line sales driven, profitable and productive store location; Prioritize and delegate tasks to meet all operational...RiskPart timeImmediate start