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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...RiskFull timeWork experience placement$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...RiskWork at officeMonday to Friday- ...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...RiskRemote jobImmediate start
- ...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)....RiskWork at office
- ...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...RiskWork at office
To Help Everyone Health & Wellness Centers
Los Angeles, CA11 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, CAa 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hoursRegal Medical Group
Los Angeles, CA8 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, CAa 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...RiskFlexible hours
Transtreme
Long Beach, CA25 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...RiskContract workTemporary workWork at office
A.P.R., Inc. (AlphaProTemps)
Torrance, CA1 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...RiskFull timeTemporary workWork at officeGlobal Aerospace, Inc.
Los Angeles, CA7 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,...RiskFull timeWork experience placementRemote work
Molina Healthcare
Long Beach, CA22 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...RiskWork at officeLocal areaRemote workMonday to Friday2 days per week- ..., 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, CA23 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...RiskFull timeTemporary workWork experience placementRelocation package$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...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shift- ...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...RiskFor contractors
CTI Environmental, Inc.
Long Beach, CAa 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...RiskTemporary workWork at officeLocal areaRemote workWorldwideMonday to Friday2 days per week
- ...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...RiskFull timeWork experience placementNight shift
- ...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...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA28 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...RiskOngoing contractLocal areaRemote workRelocation
CyberCoders
Carson, CA3 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...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA3 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...RiskFull time
Molina Healthcare
Long Beach, CA22 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. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA1 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...RiskTemporary work
- 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...RiskImmediate start
$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 workThe Boldt Company
Whittier, CA3 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...RiskFull timeTemporary workPart timeWork at officeLocal areaAon
Los Angeles, CA1 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, CA28 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...RiskWork at officeLocal area
KAHANA & FELD LLP
Los Angeles, CA17 days ago
