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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... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    14 hours 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
  • $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... 
    Risk
    Full time
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    3 days ago
  • $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... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    2 days 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
  • $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
  •  ...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
  •  ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 days ago
  • Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    14 hours 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
  • $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
  •  ...staff mix, hire, train, and develop staff. Develop and monitor departmental policies and procedures. Resolve human resource and risk management issues. Promote a culture of safety, ensuring adherence to standards and guidelines Basic Qualifications:... 
    Risk
    Immediate start
    Relocation package
    Shift work

    Career Match Pro

    South Gate, CA
    13 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... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    7 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
  •  ...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is...  ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. Ability to anticipate and articulate... 
    Risk
    Contract work
    Seasonal work

    True Religion

    Gardena, CA
    2 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
  •  ...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
  •  ...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
  •  ...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
  •  ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for community... 
    Risk
    Flexible hours

    Charles Schwab

    Huntington Park, CA
    14 hours 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
  •  ...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
  • Overview Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment... 
    Risk
    Contract work
    Local area
    Immediate start

    Molina Healthcare

    Long Beach, CA
    1 day ago
  • $130k - $150k

     ...Project Manager, Healthcare, Hospital Projects, Compliance, HCAI, OSHPD, Budgeting, Scheduling, Quality Control, Safety Management, Risk Management, Contract Administration, Vendor Management, Procurement, Renovation, Subcontractor Coordination Pay and Benefits The... 
    Risk
    Weekly pay
    Contract work
    Temporary work
    Work at office

    Aerotek

    Carson, CA
    3 days 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
  • 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... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    3 days ago
  •  ...Friday. Job Summary This position works very closely with the Risk Manager & the VP of HR. This position supports Risk Management...  .... Be a liaison between injured employees and insurance adjusters, to ensure employees are taken care of. -High level of confidentiality... 
    Risk
    Monday to Friday

    Barker Management Inc

    Anaheim, CA
    14 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
  •  ...simulations to ensure that the program works as intended and/or making adjustments to optimize efficiency & precision. - Diagnosing and...  ...operations comply with safety standards and regulations, minimizing risks associated with CNC machine operations. - Perform other... 
    Risk

    Fadco Metal Products, Inc.

    Temple City, CA
    15 days ago