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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$70k - $85k
Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly...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- ...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
$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.
Anaheim, CA2 days ago$22.12 per hour
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskHourly payFull timeTemporary workApprenticeshipWork experience placementSummer workWork at officeLocal areaRemote workVisa sponsorship2 days per week3 days per weekZurich Insurance Company Ltd.
Los Angeles, CA7 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 workAfternoon shift
ALIGN PRECISION - ANAHEIM, INC.
Walnut, CA15 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
$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, CA2 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, CA17 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, CA18 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, CA7 days ago - ...(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, CA6 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, CA4 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
- ...crucial role in enhancing the quality of data submissions for CMS Risk Adjustment and Quality Incentive programs. The successful candidate will... .... The ideal candidate will be a Certified Professional Coder (CPC) with at least three years of experience in medical group...RiskHourly payFull timeShift work
$60.5k - $104.5k
...) Business Control Managers ("BCM"s) and Business Control Senior Analyst and or Lead for Consumer Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass understanding controls required for compliance with applicable regulations...RiskWork at officeRemote workCity National Bank
Los Angeles, CA1 day ago$88k - $118k
...execution of 2LOD governance and oversight of Information Technology Risk Management (ITRM) which includes IT and IS governance and... ...anticipation of audiences with varying IT knowledge; ability to adjust presentation details based on audience. Demonstrated ability to...RiskFull timeFlexible hours- Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation...RiskWork experience placement
$70k - $80k
Workers Compensation Claims Adjuster | Dedicated Account | Hybrid - Orange, CA By joining Sedgwick, you'll be part of something truly meaningful... ..., Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the...RiskContract workWork at officeLocal areaFlexible hours$2,803 per week
...through ongoing education and training Adhere to strict infection control protocols to protect immunocompromised patients and reduce risks Engage in quality improvement initiatives to enhance ICU patient outcomes and operational efficiency Perform other duties as...RiskTemporary workShift workFusion Medical Staffing
Baldwin Park, CA24 days ago- ...Job Description Job Description Risk Manager POSITION SUMMARY Under the direction of the Performance Improvement Director or Chief Nursing Officer, the Risk Manager is responsible for administrative, technical, and coordinating support to and for working...RiskWork at officeImmediate start
Mission Community Hospital
Los Angeles, CA16 days ago - ...expenditure projections. Ensure consistency in maintaining and adjusting budgets to align with project progress and changes. Change... ...earned value, cost per unit, and cost impact analysis. Risk Management: ~ Develop and maintain a risk register to...RiskContract workTemporary workFor contractorsWork experience placement
PM2CM
Rosemead, CA15 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, CA4 days ago
