Average salary: $55,000 /yearly
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- $193k - $242k ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk
- 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 ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- ...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
- $78.5k - $163.6k Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy...Risk
- $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
- ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient... ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental...RiskFull timeWork at officeImmediate startRelocationMonday to FridayFlexible hours
- ...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
- ...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...RiskRemote jobImmediate start
- 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...RiskWork at office
- $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
- ...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
- ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC...RiskWork at office
- ..., 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
- ...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
- ...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
- ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance... ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,...RiskWork at officeHome office
- $70k - $80k ...facility managers, property management companies, insurance agents, adjusters and consultants Qualifications: ~3+ years experience in... ...technology and procedures ~ Knowledge of industry safety and risk management best practices to minimize workplace injuries and...RiskWeekly payInterim roleWork at officeImmediate startWorldwide
- ...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
- $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 area
- ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and... ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director....RiskContract workTemporary workMonday to FridayShift workWeekend work
- $111.41k - $189.74k ...Control Manager for U.S. Mortgage Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass... ...strategies, initiatives, organizational planning, and business model adjustments. Act as the business teams’ liaison for business line risk...RiskWork at office
- $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 office
- ...COMPLIANCE ~ Reviews the schedule of all filings and reported information, providing accountability for accuracy and timeliness. RISK MANAGEMENT ~ Understand and mitigate key elements of the Client's risk profile. ~ Monitor all open legal issues involving the Client...RiskWork at office
- ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift workNight shift
- $199.35k - $246.98k ...each year. DESIRED QUALIFICATIONS The ideal candidate for Chief Risk Officer is a dynamic, results-driven leader with a proven track... ...company is required. Experience in the investigation and adjustment of workers' compensation claims and general liability claims in...Risk
- DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) Metro’s mission is to provide a world-class transportation system that enhances the... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County...RiskContract workFor contractors
- $140k - $220k ...Conduct depositions and appear at mandatory settlement conferences, hearings and trials Strategize with claims adjusters, in-house counsel and risk managers to advance favorable outcomes Negotiate resolutions and draft settlement agreements that protect client...RiskLocal area


