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- Overview Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is self-insured and self-administers the claims and benefits to industrially injured employees of the County...RiskPermanent employmentFull timeTemporary workImmediate startRemote work
$166.1k - $214.94k
...Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive...RiskRemote jobFull timeWork experience placementWork at officeShift workKaiser Permanente
Oakland, CAmore than 2 months ago- ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging...RiskFull timePart timeLocal areaFlexible hours
Encompass Health
Concord, CA3 days ago - ...listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions,... ...for the degree requirement. Certified Professional Coder from American Academy of Professional Coders OR Certified Coding...RiskWork experience placementRemote work
$28 - $32 per hour
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172 page is loaded## Full Risk Claims Specialist - Remote (Multiple... ...Ambulance, etc. **Essential Responsibilities*** Adjudicating and/or adjusting claims, specifically for the full risk line of business,...RiskRemote jobHourly pay- ...Job Description Job Description The Senior Risk Analyst plays a vital role in the administration of the company’s workers’ compensation... ...claims management systems, Excel, and data reporting tools. Adjuster license and/or professional designation is a plus. If this...RiskLocal areaImmediate startRemote work
Cornerstone Staffing Solutions - Corporate Recruitment
Pleasanton, CA10 days ago - Overview The Prospective Risk Adjustment Operations team is seeking a Strategy Consultant who supports the development, execution, and optimization of initiatives that drive prospective risk adjustment performance. This role will collaborate across teams to analyze data...Risk
- ...Director of Acacia Creek, and the Vice President of Clinical Services/ Risk Management. Essential Functions & Job Responsibilities 1.... ...Future Trends Analyze external market trends and proactively adjust strategies to remain competitive and aligned with organizational...RiskFull time
Masonic Homes of California
Union City, CA6 hours ago - Job Description Coast Medical Service is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...RiskZero hours contractImmediate startShift workNight shift
Coast Medical Service
San Ramon, CA6 days ago - Remote from CA. OR, WA, CO, GA, VA, MD, HI, Washington D.C. only Overview The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. This...RiskRemote work
- Job Description Olaro is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift: 1...RiskShift workNight shift
Olaro
San Ramon, CA5 days ago - ...software, electrical and mechanical engineers, coders, product managers, project managers, and... ...project planning, resource allocation, risk management, and client communications to... ...strategies to minimize impact. Adjust project plans as necessary to respond to...RiskRemote workHome officeFlexible hours
- ...over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen...RiskHourly payContract workLocal areaShift work
Eliassen Group
San Ramon, CA23 days ago - Join to apply for the Senior IT Consultant - Risk Adjustment, CMS, MAOs, ACA, ESBRs role at Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications...RiskFull timeWork experience placement
- Your Role 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, Experienced will report to the Manager of Risk Adjustment...Risk
- Overview At AIG, we are reimagining the way we help customers to manage risk. Join us as a Financial Lines & Casualty Complex Claims Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team....RiskWork at officeLocal area
$114.29k - $137.15k
...authorization forms. Effectively guides and documents the Donor Risk Assessment Interview. Assists with the bereavement support,... ...plans. Thrives in a fast-paced, dynamic environment and adjusts to new priorities as required. Education and Experience:...RiskRemote workDonor Network West
San Ramon, CA13 hours ago- Your Role The Risk Adjustment team is accountable for developing an end-to-end strategy and managing programs to ensure coding completeness and accuracy. The Director, Actuary will report to the Vice President of Risk Adjustment. In this role you will lead the risk adjustment...Risk
$330k - $375k
...behavioral health, Enhanced Care Management (ECM), Street Health, and risk management (compliance, credentialing, and privileging). In... ..., including: Preventive and chronic disease management Risk adjustment, cost, and value-based performance Access, utilization, and patient...RiskLocal areaRelocation packageFlexible hours$226k - $321.5k
...signal detection/management, and contributes to the overall benefit-risk management of Exelixis products. Essential Duties And... ...take into account the candidate’s geographic region, which will adjust the pay depending on the specific work location. The base pay offered...RiskContract workLocal areaFlexible hours$55 - $70 per hour
...schedule and verify schedule integrity and evaluate logic and float paths Document, monitor, and communicate project milestone, and risks with appropriate stakeholders Prepare and maintain companywide labor resource schedule and provide insights into capacity and demand...RiskContract workFor contractors$140k - $180k
...responsibilities be responsible for financial results, overseeing cost and risk management attract, recruit, develop and retain skilled talent... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskFlexible hours- 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
- ...projects and provides a single point of contact for those projects. Project duration is generally multi-year, requires significant risk management, and may include formal partnering agreements with outside or agency firms. QUALIFICATIONS Minimum: Bachelor’s degree from...RiskRelocation
$70k - $80k
...departmental goals and monthly projections Ensure cleanliness of club per Equinox’s company standard Ensure the club is following proper Risk Management and Loss Prevention procedures - monitor safety and security of club Help facilitate all other projects or...RiskFull timeFlexible hours$83.2k - $135k
...Independently lead cross functional teams keeping stakeholders engaged in the project with regular dashboard reporting, issues management and risk management. ~Create opportunities to bring cross-functional team members together, create team cohesion, and make disparate parts...RiskTemporary workFlexible hours$18.65 - $23.35 per hour
...inspections for dining room cleanliness and readiness and make necessary adjustments as appropriate to maintain quality standards. Maintain side... ...directional flow, organization, and supplies placement. Risk Management and General Safety Partner with community team to...RiskWork at officeLocal areaShift workSunrise Senior Living
Danville, CA5 days ago$18.65 - $23.35 per hour
...inspections for dining room cleanliness and readiness and make necessary adjustments as appropriate to maintain quality standards. Maintain side... ...directional flow, organization, and supplies placement. Risk Management and General Safety Partner with community team to...RiskWork at officeLocal areaShift workSunrise Senior Living
Danville, CA5 days ago$122k - $173.8k
...Ramon Note: This salary range is aligned with locality and may be adjusted based on internal equity, skills, education, and experience.... ...objectives, capacity, and value delivery metrics. Identify and mitigate risks through proactive risk management and ensure program resilience...RiskFull time- ...business processes quickly and to work well with business partners at different levels within the organization. *Strong ability to assess risk and apply management principles to technology applications/products and business functions. *Experience delivering technology and...RiskFlexible hours
