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- Overview Certified Coder - Risk Adjustment (Hybrid in SD) at Optum. Role involves chart review to code for diagnoses and quality, monitor performance, and participate in improvement initiatives with Provider Relations, health plans and providers. Responsibilities Generates...RiskWork at officeLocal area
$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- ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new... ...updates on litigated claims, serious injuries, and claims over the adjuster\'s authorization limits. Sets and manages reserve accounts, and...RiskWork at officeLocal areaImmediate start
$21.67 - $30.48 per hour
Join to apply for the Certified Coder/Billing Clerk role at Boutique Recruiting 1 day ago Be among the first 25 applicants Join to... ...Certified Medical Coder jobs in San Diego, CA . Certified Coder - Risk Adjustment (Hybrid in San Diego) Coding Auditor - Sharp Health Plan...RiskFull timeWork at officeDay shift$35k - $55k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...staff) When an order comes in, verifies rates are correct, adjusts for any additional premium, and expedites invoice at the direction...RiskWork at officeImmediate startNational Financial Partners
San Diego, CA4 days ago$115k - $130k
...guidance to project managers and operations teams on contract terms, risk mitigation, and regulatory compliance. Ensure contracts align... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Dudek is committed to creating a workplace where all...RiskContract workWork at officeLocal areaRemote workDudek
San Diego, CA10 days ago- Overview The SOX Risk & Compliance Office (SRCO) is a newly established function, in the Controllership, Assurance and Operations organization... .... Superior ability to clearly articulate a point of view and adjust communication style and content to suit audience needs. ability...RiskWork at office
$82.32k - $118.73k
...Conducts thorough inspections of jobs and recommends further work to adjusters or clients Tracks project plans and makes adjustment, as and... ...required. Understands basics of cost containment and risk management. Experience in effective communications, coaching...RiskFull timeContract workFor contractorsWork at officeLocal areaImmediate startWeekend workRestoration Management Company
San Diego, CA6 hours ago$82.32k - $118.73k
...Conduct thorough inspections of jobs and recommend further work to adjusters or clients. Track project plans and adjust as needed to stay... ...; Xactimate required. Understanding of cost containment and risk management basics. OSHA 10 certification (desired). Good...RiskFull timeContract workFor contractorsWork at officeLocal areaImmediate startWeekend workRestoration Management Company
San Diego, CA1 day ago- ...parent-child interaction, couples communication, stress reduction, adjustment to military lifestyles, Family Advocacy Program (FAP) case... ...required reporting protocols of child and domestic abuse, conduct risk and lethality assessments, develop safety and treatment plans,...RiskTemporary workLocal areaImmediate start
$135k - $150k
...goals. Manage and understand metrics daily, understanding where adjustments need to be made to accomplish goals. Communicate and... ...apply Knowledge, Skills and Abilities An expert in planning, risk management and change management Strong business acumen and...RiskFull timeRemote workBrightSpring Health Services
San Diego, CA7 days ago- ...our institutional clients needs. We manage over $35 billion in assets and believe in the philosophy of creating value and managing risk with active management, using robust quantitative analysis and qualitative insights. What do we value? Great People with Great...RiskTemporary workWork at officeLocal area
Chandler Asset Management
Coronado, 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
San Diego, CA11 days ago $89.4k - $166.6k
The Cyber Risk Practice Director provides strategic direction for MMA-West’s Cyber placements and leads delivery of Cyber resources... ...varying pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions. ·...RiskMinimum wageWork at officeLocal area$111.41k - $189.74k
Overview WHAT IS THE OPPORTUNITY? The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of existing credits...RiskFull time- We are seeking an IT SOX Risk Advisory Manager who thrives at the intersection of risk management, audit execution, and technology. This... .... Superior ability to clearly articulate a point of view and adjust communication style and content to suit audience needs. Ability...Risk
$115k - $130k
...guidance to project managers and operations teams on contract terms, risk mitigation, and regulatory compliance. Ensure contracts align... ...vision, peripheral vision, depth perception and the ability to adjust focus. Dudek is committed to creating a workplace where all...RiskContract workWork at officeLocal areaRemote work- ...to lead the design implementation and continuous improvement of risk methodologies frameworks and supporting tools for San Diego and... ...color vision peripheral vision depth perception and ability to adjust focus. The current base annual salary range for this role is currently...RiskFull timeApprenticeshipWork at officeImmediate start
- ...Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate... ...position patients, select and set technical factors, set up and adjust accessory equipment, and make and develop exposures. Work...RiskMinimum wagePermanent employmentFull timeContract workFor contractorsWork experience placementWork at officeLocal areaRemote work
International SOS Government Medical Services
San Diego, CA24 days ago $165k - $188.56k
...team's success in managing portfolio health, and the team's efforts to proactively address deteriorating loan performance, mitigating risk from market developments, complications in service delivery, and product adoption. Fosters strong, healthy working...RiskWestern Alliance Bank
San Diego, CA1 day ago- City of San Diego - Risk Management Department The Risk Management Department protects the City’s people, property, and resources through... ...' Compensation Claims Representative II positions investigate, adjust, administer, and settle workers' compensation cases; conduct pre...RiskFull time
- Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV data...Risk
$35k - $55k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...and recommendation letters under the direction of senior staff. Adjusts rates, processes premiums, and expedites invoices as directed....RiskWork at office- Overview The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment...Risk
$138.04k - $230.09k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range : $138,... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management ABOUT CORVEL CorVel, a certified Great Place to Work...RiskMinimum wageFull timeWork at officeLocal areaFlexible hours$85 - $105 per hour
...applicable standards. Manage cost, schedule, technical performance, and risk using disciplined project management practices. Translate... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability...RiskContract workTemporary workFor subcontractor$70k
...including personnel, leasing, maintenance, financial, administration & risk management. As an on-site leader, you will supervise all... ...improvement; identify trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts Monitor the timely receipt...RiskFor contractorsWork at officeNight shift- ...NAVFAC) Atlantic. Above salary does not include locality. Locality adjustment will be determined by duty station location once a selection... ...You will review project management data (e.g., cost, schedule, risks, quality assurance) to determine progress or shortfalls against...RiskFull timeTemporary workRemote work
- ...regular team meetings to monitor progress, address issues, and adjust plans as needed. Budget and Resource Management: Monitor and manage... ...and expenditures are approved. Identify and mitigate financial risks, providing regular budget updates to senior management. Ensure...RiskFor contractorsFor subcontractorWork at officeLocal areaFlexible hoursAfternoon shift
- ...contact for all contract-level program management activities. Manage, maintain, and perform quality data input into the U.S. Navy’s Risk Management Information - Streamlined Incident Reporting (RMI-SIR) system. Lead efforts in downloading, reviewing, and analyzing incident...RiskContract workTemporary workWork experience placementWork at office
