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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
- ...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
- ...results, ensuring patient comfort and safety during the procedure. Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. Verify patient identity and medical history to...RiskZero hours contractWork at officeImmediate startShift 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
- ...success in driving effective implementations, on budget and on-time ~ Strong understanding of enterprise-level portfolio management, risk mitigation, and governance. ~ Expertise in Agile frameworks (Scrum, SAFe, Kanban) and Waterfall methodologies (PMBOK, PRINCE2)....RiskFlexible hours
- ...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
- ...mission is to protect our clients. To do this, we provide enterprise risk management services and programs specifically designed for each... ...of small objects and operating office equipment. Ability to adjust focus between close and distance vision. Maintain composure in dealing...RiskFull timeTemporary workWork at officeLocal areaFlexible hoursShift workMonday to Friday
- ...capabilities of WB Games operations . + Lead the identification of key risk indictors (KRI's) for WB Games operations, driving the... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal area
- ...value by providing the board and management with independent, risk-based, value add, objective assurance, advice, insight, and foresight... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workLocal area
- ...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 office
- ...Summary Under minimal direction of the Director, Risk & Loss Advisors, and taking into consideration the client’s readiness and ability... ...pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions....RiskWork at officeLong distanceNight shiftAfternoon shift
- ...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
- ...stakeholders. + Maintain clear communication with Specialty & General Contractors regarding installation, testing, and adjustments. Technical & Risk Management + Uphold technical principles to ensure quality and successful project deliverables. + Advise Attraction leadership...RiskFull timeContract workFor contractorsFor subcontractorLocal area
- ...value by providing the board and management with independent, risk-based, value add, objective assurance, advice, insight, and foresight... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal areaShift work3 days per week
- ...all departments to guide project planning, resource allocation, risk management, and change adoption. You'll serve as a trusted advisor... ...leads to shape and refine their annual plans, helping them adjust as business needs evolve. Keep teams focused on what matters...RiskTemporary workFor contractorsLocal areaRemote workHome officeFlexible hoursMonday to Friday
- ...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 General Executive Adjuster (Remote in California with travel) **PRIMARY PURPOSE** : To investigate... ...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
- ...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
- ...mission is to protect our clients. To do this, we provide enterprise risk management services and programs specifically designed for each... ...navigation devices and/or maps to determine the desired route. Adjust routes as necessary to ensure Executives arrive on-time; provide...RiskFull timeTemporary workWork at officeLocal areaFlexible hoursMonday to Friday
- ...relationships and help customers succeed financially + Resolve low to moderately complex issues regarding the customer and employee experience, risk, and growth of the team and the business to meet Branch Network business objectives + Identify opportunities for making banking...RiskTraineeshipWork experience placementInterim roleWork at officeImmediate startSaturday
- ...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