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- ...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...RiskTemporary workWork at office
- $75k - $85k ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeHome officeMonday to Friday
- $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...RiskFull time
- ...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...RiskWork at office
- $103.5k - $127.4k Liability Claims Adjuster ($103,500 - $127,400) Date: Sep 9, 2025 Property: 550 NEWPORT CTR (0003) Location: Newport Beach, CA, 92660 The Liability Claims Adjuster plays a critical role in our risk management process by conducting thorough investigations of third-party...RiskFull timeLocal area
- $58.53k - $87.8k CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those... ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to...RiskLocal area
- $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
- ...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 a...RiskContract workLocal areaRelocation package
- $75k - $105k ...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week
- ...activities and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead... ..., implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities comply...RiskFull timeWork at officeLocal area
- ...challenging situations. You are a relationship-builder and strategic partner, collaborating with sales, insurance brokers, adjusters, and risk management teams to support client satisfaction and business growth. Your leadership fosters team development, performance, and...RiskLocal area
- $132.4k - $245.9k ..., etc.). Strong understanding of IT governance, compliance, and risk management. Excellent communication, stakeholder management, and... ...organizational needs. The disclosed reasonable estimate has not been adjusted for the applicable geographic differential associated with the...RiskContract work
- $30 - $37 per hour ...priority. Contribute. General Manager to manage a profitable store by tracking sales and overseeing the day to day operations and risk management. Help the store with tasks, ideas and support store growth operationally. Be Creative. Visual merchandising and...RiskHourly payTemporary workLocal area
- ...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
- $80k ...communication and client management skills ~ Ability to assess risk and maximize settlement values. What to expect: Review... ...plans for each case and negotiate directly with insurance adjusters on behalf of clients for the highest settlements possible. Work...RiskRemote work
- $175k - $249k ...business needs and ensure contractual terms support organizational goals. Provide legal advice regarding contract interpretation, risk allocation, indemnification, insurance, warranties, and data security. Support the development and maintenance of contract...RiskContract workLocal area
- $137.5k - $195k ...s largest providers of traditional and nontraditional solutions for companies that need financing and investors who seek strong risk-adjusted returns. Since 1971, our people have shaped our organization through a high-performance inclusive culture, in which we celebrate...RiskFull timeWorldwideFlexible hours
- ...cost-effectiveness, quality, and on-time delivery. Sourcing Risk Management : Proactively identify, assess, and mitigate potential... ...vision, peripheral vision, depth perception and ability to adjust focus Manual dexterity required using hands to finger; handle...RiskWork experience placementWork at officeLocal areaShift work
- ...to DSP operations, ensuring service reliability. Implement best practices to enhance DSP productivity and cost-effectiveness. Risk Management & Compliance Ensure all DSPs comply with safety, legal, and operational regulations. Investigate and resolve delivery...RiskFull timeContract workCurrently hiringH1bLocal area
- $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. -...RiskWork experience placementWork at officeMonday to Friday
- ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
- $54.31 - $71.64 per hour ...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...visit Responsibilities: Position Summary: The Lead Outpatient Coder codes and abstracts data elements from patient records according...RiskFull timeMonday to Friday
- $110k - $125k Join to apply for the Senior Claim Adjuster role at Davies North America Department: Claims Administration & Adjusting Location: Santa Ana... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskTemporary workWork experience placement
- $103.5k - $133.9k ...Provide technical support for cost control (specifically with the risk and opportunity log). Assist with specific sections of the... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend work
- $110k - $140k ...Risk Manager, The Rinks The Rinks aims to provide a great experience for employees and guests alike! Join the team and become part... ...Participate in claims management reviews with insurance adjusters, defense counsel, and insurance brokers Ensure compliance with...RiskContract workWork experience placement
- $45.33 - $59.81 per hour ...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...Health, visit Responsibilities: Position Summary: The Outpatient Coder II assigns and sequences ICD-10, CPT, and HCPCS codes through...RiskFull timeMonday to Friday
- ...are of sufficient quality to support diagnosis. \n ~ Repeat or adjust scans as necessary to improve image quality or ensure... ...patients. \n ~ Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work
- $172.36k - $258.55k ...and innovation alongside the Alignment Health community. Job Responsibilities Cross‑functional collaboration: Work closely with Risk Adjustment Operations, Finance, DTS, Compliance, and other departments to ensure accurate data for financial risk modeling. Data...Risk
- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
- $46.67k - $65.67k ...established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses. Create and document a minimum of one... ...at Pinnacle Claims Management by 2x Get notified about new Coder jobs in Irvine, CA. #J-18808-Ljbffr Pinnacle Claims ManagementRiskFull timeWork at officeRemote work



