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$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...Risk$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...RiskAstiva Health, Inc
Orange, CA14 days ago- ...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 employmentWork at officeShift workNight shift
Xperience Restaurant Group
Cypress, CA4 days ago $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$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 officeMonday to Friday$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 FridayHumina Resource
Cypress, CA2 days ago- ...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
Davies Public Affairs
Santa Ana, CA1 day ago $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 workJacobs Solutions
Los Angeles, CA4 days ago$165k - $225k
...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...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 workFlexible hoursSedgwick Law
Long Beach, CA2 days ago- ...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
CMP Services
Los Angeles, CA3 days ago $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...RiskWork at officeLocal areaMercury General
Los Angeles, CA8 hours ago- ...role on the Enterprise Fraud Management team. The role requires Fraud subject matter expertise, accountability for a specific Fraud Risk portfolio (e.g., a product like credit cards, or a channel like digital platforms); understanding the fraud risks and controls in the...RiskWork experience placementWork at officeRemote work
City National Bank
Los Angeles, CA7 days ago $80k - $95k
...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 workBoot Barn
Irvine, CA14 days ago- ...We're actively seeking a talented Director to join our Model Risk Management (MRM) team Newport Beach, California, Omaha, Nebraska... ...with evolving generative AI tools and techniques. Experienced coder in languages such as Python and SQL. Deep familiarity with modern...RiskRelocation packageFlexible hours
- ...Beach, CA, or Omaha NE. As a Senior Actuary you’ll manage life products currently sold to ensure that the marketability, profit, and risk balance continues throughout the product’s lifetime, and products continue to meet the pricing guidelines. You will be collaborating...RiskWork experience placementFlexible hours
Pacific Life
Newport Beach, CAa month ago - ...real estate-related cases. This individual will work closely with our property management and executive teams to proactively mitigate risks, ensure compliance with applicable laws, and protect the company’s legal interests. Key Responsibilities Represent the...RiskFull timeContract workFor contractorsLocal area
Friendly Franchisees Corporation/Silver Star Real Estate LLC
La Palma, CA27 days ago $40.8 - $52.89 per hour
...issuing settlement funds. Creates check requests and requests settlement monies from Accounts Payables. Follows-up with insurance adjusters and provides information needed to expedite settlement or insurance recovery. Coordinates agreed scope/estimate of damages with...RiskHourly payContract workFor contractorsWork at officeWestern National Group
Irvine, CA1 day ago- ...a positive impact on the future – including your own. We are actively seeking a talented Actuary & Director to join our Model Risk Management team in Newport Beach, CA; Omaha, NE; or Toronto. This role is onsite. Relocation assistance will be provided. As an...RiskRelocation packageFlexible hours
Pacific Life
Newport Beach, CA11 days ago - ...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
Hyundai Autoever America
Fountain Valley, CA12 days ago - ...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
- ..., 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
InterDent Service Corporation
El Segundo, CA3 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...RiskRemote work
Totex Manufacturing Inc
Torrance, CA6 days ago - ...critical motions, including summary judgment and class certification. Provide strategic counsel to corporate clients on litigation risk, settlement negotiations, and compliance with California employment law. Collaborate closely with the firm's trial partners,...RiskFull time
Ellis Farms Recruiting
Santa Ana, CA1 day ago $50k - $75k
...insurance solutions. Conduct policy reviews and recommend coverage adjustments. Assist with renewals, cross-selling, and upselling to... ...About Our Agency Our mission is to help people manage the risks of everyday life, recover from the unexpected and realize their...RiskFor contractorsWork at officeRemote workFlexible hoursJim Barr - State Farm Agent
Cerritos, CA3 days ago$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...RiskSafran Passenger Innovations
Brea, CA14 days ago$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 hoursPIMCO Ltd. - Pacific Investment Management Company
Newport Beach, CA3 days ago- ...enforcement and adherence of company, Environmental Health & Safety, and risk management policies and procedures on construction project.... ...vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile, and the...RiskPermanent employmentContract workTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startRemote workLong distanceFlexible hours
Turner Construction
Anaheim, CA8 hours ago $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- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and... ...posted salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time
Skyryse
El Segundo, CA3 days ago $130k - $150k
...employer and welcomes everyone to our team. If you need reasonable adjustments at any point in the application or interview process, please... ...effective team communication and collaboration. Perform risk management to minimize project risks. Able to quickly identify...RiskWork at officeSeamount
Los Angeles, CA17 days ago
