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- ...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
- 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
- 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
- . 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, CA2 days 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
- ...Strategic Risk Manager and Risk Initiatives Join to apply for the Strategic Risk Manager and Risk Initiatives role at First Horizon... ...skills, ability to multi-task and manage workflow, prioritize, adjust to changes, and follow-up. Must possess analytical, problem solving...RiskFull timeWork at office
First Horizon Bank
Los Angeles, CA5 days ago - ...overseeing the development of actuarial models, pricing strategies, and risk management, with a focus on the financial health of the company... ...data analytics tools. Experience with value-based care, risk adjustment, and population health management models is essential. The role...RiskTemporary work
- ...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
- ...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
- ...in cybersecurity, capable of aligning security strategies with risk management objectives, driving workflow best practices, and implementing... ...and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be below any...RiskMinimum wageFull timePart timeWork at officeLocal area
- ...radiators, etc. Rewire electrical systems Replace, realign and adjust brakes and suspension components Diagnose and repair... ...training, and specialized skills. Constellis provides end-to-end risk management and comprehensive security solutions to safeguard people...RiskTemporary workLocal areaWorldwideFlexible hoursWeekend workMonday to Friday
Centerra Group
Los Angeles, CA5 days ago - ...Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the... ...data through Summary Reports. Provide education and training for coders and other healthcare professionals in both one on one and group...RiskWork at officeRemote workShift work
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...Most Loved Workplace® Forbes Best-in-State Employer Property Desk Adjuster - California License Required! **PRIMARY PURPOSE** : To handle... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal area
- ...Most Loved Workplace® Forbes Best-in-State Employer Auto Claims Adjuster **PRIMARY PURPOSE** : To analyze and process complex auto and commercial... ...resolution. + Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage. + Communicates...RiskWork at officeLocal area
- ...challenges, ensuring alignment of business objectives with CNB's risk appetite and established limits. WHAT WILL YOU DO? *... ...strategies, initiatives, organizational planning and business model adjustments. * Act as the business teams' liaison for all business line risk...RiskWork at office
- ...Workplaces in Financial Services & Insurance Regional General Adjuster - Pacific Region PRIMARY PURPOSE : To handle losses or... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...Management Security Emergency Management Life Insurance Risk Management Warren Township Workers' Compensation... ...entertainment industry. The role requires the ability to establish and adjust short and long-term strategic goals, operational priorities, and...RiskTemporary work
- ...posture across the organization. Candidates for the CISO position at the company should have a strong background in information security, risk management, and compliance. The role requires a strategic thinker who can effectively communicate security policies and procedures...Risk
- ...team focused on active portfolio exposure management. The team will work with LOBs and specialty partners to develop options to de-risk and reduce exposures to better manage risks and returns. Responsibilities include facilitating profitable growth, risk management, and...RiskFull time
BMO U.S.
Los Angeles, CA19 hours ago - ...Workplaces in Financial Services & Insurance Executive General Adjuster - Pacific Region PRIMARY PURPOSE : To investigate claims... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaFlexible hours
- ...constructively and balance business objectives with associated risks, ensuring alignment of business strategies with CNB's risk appetite... ..., initiatives, organizational planning and business model adjustments. * Act as the business teams' liaison for all business line risk...RiskWork at office
- ...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship
- ...Best Workplaces in Financial Services & Insurance Regional General Adjuster, Field - Large Loss Property (Sacramento, CA) As an adjuster at... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork from homeFlexible hours
- ...fraud prevention. The ideal candidate for the Senior Manager, Risk Strategy and Analytics position will be based in PST or able to... ...regular reviews of fraud rules and risk strategy performance, making adjustments to optimize efficiency and effectiveness. Collaborate in the...RiskLocal areaShift workWeekend work
