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- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
$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$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time$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...RiskWork experience placementRemote 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
MedPOINT Management
Los Angeles, CA1 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...RiskWork at office
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
- ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. * Design and maintain compliant... ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support * Draft, review...RiskContract workFor contractorsFlexible hours
SwiftX Inc.
Ontario, CA4 days 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, CA8 days ago- ...dimensions using measuring instruments. Installs, aligns, secures, and adjusts cutting tools and work pieces. Monitors the feed and speed of... ...may exclude individuals who pose a direct threat or significant risk to the health or safety to themselves or others. The...RiskContract workApprenticeship
ALIGN PRECISION
Walnut, CA25 days 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 hours$98.3k - $185.1k
...Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with extensive experience in power... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Los Angeles, CA5 hours agonew$18 per hour
...sink, air bubbles, etc. # If patterns are unacceptable, minor adjustments to the technique may be necessary. # Disassembly/Assembly of... ...exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements...RiskContract workNight shiftWeekend workAfternoon shiftMiller Castings INC
Whittier, CA5 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, CA4 days ago $2,500 - $2,700 per week
...Manage and monitor therapeutic drug levels and clinical dosing adjustments. Support interdisciplinary teams with medication therapy management... .... Experience in: Anticoagulants, Antibiotics, and High-Risk Medications Pharmacokinetic, Renal, and Geriatric Dosing...RiskPart timeLocal areaShift workNight shiftPride Health
Whittier, CA8 hours ago$90k - $130k
...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities...RiskFull timeFor contractorsFor subcontractorWork at officeLocal areaPacific Industrial Electric
Brea, CA5 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, CA18 days ago - ...energy guest experiences align with THE ONE GROUP’s brand identity Oversee all business operations, including marketing strategies, risk management, and corporate mandates Maintain daily reports and communicate key updates to the General Manager Team Development...RiskHourly payLocal area
STK Topanga
Los Angeles, CA5 days ago $110k - $130k
...implementation of investment ideas, pacing plans, policies, and risk management systems; Providing high quality and forward-looking... ...programmatic joint ventures that will provide superior risk- adjusted investment returns; Developing and implementing asset monitoring...RiskWork at officeRemote work3 days per weekRCLCO
Los Angeles, CA15 days ago- ...all closeout binders ~ Attend and participate in WEO Quarterly Risk Management (QRM) Trainings ~ Participate in WEO networking... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Performing this job requires use of hands to finger, handle...RiskPermanent employmentContract workTemporary workFor subcontractorWork at office
W.E. O'Neil Construction
Los Angeles, CA16 days ago - ...and members, identifying areas for improvement. # Evaluate all risk exposures and collaborate with teammates on the best paths to... ...enhancements to processes, systems, and outcomes. # Tracks progress, adjusts plans as needed, and ensures measurable results. # KEY...RiskTemporary workWork at officeWork visaShift workRotating shift
CENIC
La Mirada, CA5 days ago - ...manages the daily operations of the City’s Human Resources and Risk Management programs and services; oversees the day to day activities... ...monitoring and approving expenditures and making budget adjustments as necessary. Oversees special human resource programs including...RiskContract workWork at officeLocal areaImmediate start
$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- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Los Angeles, CA11 days ago - Risk Manager Job Duties : Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
- ...ACD program criteria to determine eligibility and identify high-risk individuals needing enhanced support. Educate families on... ...information to coordinate care effectively. Continuously monitor and adjust CCPs to reflect evolving needs, treatments, and available...RiskFull time
TEEMA
Los Angeles, CA28 days ago - ...and peripheral vision as well as depth perception and ability to adjust focus. The employee is frequently required to use hands or... ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements...RiskContract workWork at office
INSECTA PEST SOLUTIONS
West Covina, CA28 days ago - ...solutions for threat detection, response, and monitoring. Ensure compliance with corporate and regulatory standards through proactive risk management and patch governance. Manage the full lifecycle of infrastructure and cloud projects, ensuring delivery on time,...RiskContract workInterim role
Platinum Resource Group
City of Industry, CA5 days ago $300k - $350k
...Line Extension Section 3 Stations project. This includes the overall management of design, construction, testing, schedule, budget, risk, quality management, environmental compliance, safety and contract administration for the Project. Supervisory responsibilities include...RiskContract workLos Angeles, CAmore than 2 months ago
