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  • $71.3k - $82.6k

     ...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance...  ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure... 
    Risk
    Full time
    Work experience placement

    PMA Companies

    Long Beach, CA
    3 days ago
  • $75k - $85k

    Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment...  ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health

    Alhambra, CA
    3 days ago
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 days ago
  •  ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching...  ...to provider network regarding risk adjustment and coding updates related to risk adjustment...  ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS).... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    1 day ago
  •  ...South Los Angeles based FQHC looking for onsite Certified HCC coder . *This is not a remote position Conduct the necessary...  ...the diagnoses then code these diagnoses in ICD-10 for Medicare Risk Adjustments/Medicare Advantage. Evaluate medical information (Outpatient... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    11 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... 
    Risk
    Remote work

    Totex Manufacturing Inc

    Torrance, CA
    a month ago
  • $30 - $33 per hour

     ...Thursday - Friday Remote  Part B  ~ Wednesday - Friday Onsite / Monday - Tuesday Remote 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... 
    Risk
    Hourly pay
    Full time
    Casual work
    Work at office
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours

    Regal Medical Group

    Los Angeles, CA
    8 days ago
  •  ...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

    MedPOINT Management

    Los Angeles, CA
    a month ago
  •  ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care... 
    Risk
    Flexible hours

    Transtreme

    Long Beach, CA
    25 days ago
  •  ...scheduled for the procedure. • Reviews with the patient the risks and benefits of surgery/procedure per the Doctor’s orders, and...  ...to the billing department. • Collaborates with workers comp adjusters and case managers on workers comp requests for authorizations and... 
    Risk
    Contract work
    Temporary work
    Work at office

    A.P.R., Inc. (AlphaProTemps)

    Torrance, CA
    1 day ago
  • $50k - $90k

     ...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within...  ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    7 days ago
  •  ...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to provide strategic leadership on projects while also managing multiple,... 
    Risk
    Full time
    Work experience placement
    Remote work

    Molina Healthcare

    Long Beach, CA
    22 days ago
  • $129.77k - $165.27k

     ...Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we... 
    Risk
    Work at office
    Local area
    Remote work
    Monday to Friday
    2 days per week

    myPlace Health

    Compton, CA
    3 days ago
  •  ..., 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... 
    Risk
    Full time

    InterDent Service Corporation

    El Segundo, CA
    23 days ago
  • $73.3k - $110k

    Join to apply for the Pricing Risk Analyst role at American Honda Motor Company, Inc. Join to apply for the Pricing Risk Analyst role...  ..., CA $195,995.00-$364,003.00 3 weeks ago Manager of Risk Adjustment & Documentation Los Angeles, CA $110,000.00-$130,000.00 2 weeks... 
    Risk
    Full time
    Temporary work
    Work experience placement
    Relocation package

    American Honda Motor Company, Inc.

    Torrance, CA
    3 days ago
  • $95k - $140.6k

     ...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum Qualifications...  ...several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with... 
    Risk
    Permanent employment
    Full time
    Temporary work
    Flexible hours
    Weekend work
    Afternoon shift

    Vast

    Long Beach, CA
    2 hours agonew
  •  ...applicable laws, regulations, and industry standards. Implement and enforce best practices in design processes, sustainability, and risk management. Team Leadership and Development Lead and mentor design teams, fostering creativity, innovation, and professional... 
    Risk
    For contractors

    CTI Environmental, Inc.

    Long Beach, CA
    a month ago
  •  ...most exciting career opportunities from around the world for our jobseekers. Job DescriptionJob Description About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we... 
    Risk
    Temporary work
    Work at office
    Local area
    Remote work
    Worldwide
    Monday to Friday
    2 days per week

    Energy Jobline ZR

    Compton, CA
    4 days ago
  •  ...management includes estimating, scheduling, costing, planning and issue/risk management. KNOWLEDGE/SKILLS/ABILITIES Manage project scope, schedule, and budget, making necessary adjustments as needed Tracks and supports planned vs actual budget including all costs... 
    Risk
    Full time
    Work experience placement
    Night shift

    Molina Healthcare

    Long Beach, CA
    1 day ago
  •  ...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... 
    Risk
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    Nautilus General Contractors

    Los Angeles, CA
    28 days ago
  •  ...collaboration. Develop and implement strategic planning initiatives to align with organizational goals. Communicate project status, risks, and issues to stakeholders and senior management. Resolve conflicts and address any challenges that arise during project... 
    Risk
    Ongoing contract
    Local area
    Remote work
    Relocation

    CyberCoders

    Carson, CA
    3 days ago
  •  ...deadlines are met without compromising on quality or safety.   Risk Management: Identify potential risks or challenges during...  .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing... 
    Risk
    For contractors
    Work at office
    Local area

    Powerful Solar

    Los Angeles, CA
    3 days ago
  •  ...Job Summary Molina Risk & Quality Solutions (RQS) works with health plan risk & quality leaders to support implementation of best...  ...management responsibilities ~ Proven experience in risk adjustment, quality, and provider engagement. ~ Demonstrated ability to... 
    Risk
    Full time

    Molina Healthcare

    Long Beach, CA
    22 days ago
  • $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. -... 
    Risk
    Work experience placement
    Work at office
    Monday to Friday

    Humina Resource

    Cypress, CA
    1 day ago
  •  ...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... 
    Risk
    Temporary work

    Davies

    Santa Ana, CA
    8 hours ago
  • Overview The Director, Clinical Data Acquisition for Risk Adjustment is responsible for the implementation, monitoring, and oversight of all...  ...be preferred for specific roles) • Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested in... 
    Risk
    Immediate start

    Molina Healthcare

    Long Beach, CA
    1 day ago
  • $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... 
    Risk
    Contract work
    For contractors
    Apprenticeship
    Internship
    Work at office
    Weekend work

    The Boldt Company

    Whittier, CA
    3 days ago
  • $135k - $170k

     ...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -...  ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to... 
    Risk
    Full time
    Temporary work
    Part time
    Work at office
    Local area

    Aon

    Los Angeles, CA
    1 day ago
  •  ...Work with the teams to identify and mitigate impediments and risks to the program Delivery of Enterprise-wide digital transformation...  ...Responsible for tracking key project milestones and adjusting project plans and/or resources Coordinates communication with... 
    Risk

    Tentek, Inc.

    Torrance, CA
    28 days ago
  •  ...Job Description Job Description Description: The Conflicts Attorney plays a critical role in supporting the firm’s risk management and legal ethics compliance. This position is responsible for conducting high-level conflicts research and analysis to identify and... 
    Risk
    Work at office
    Local area

    KAHANA & FELD LLP

    Los Angeles, CA
    17 days ago