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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- ...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
- ...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
$58.53k - $87.8k
CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those... ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to...RiskLocal area$91.19k - $155.27k
Claims Manager, Insurance & Risk Management Build your career while building NYC schools! The New York City School Construction Authority... ..., Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel. Data Analytics &...RiskFor contractorsWork at office- ...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 workApprenticeship
ALIGN PRECISION
Walnut, CA24 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, CA3 days ago $2,583 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskZero hours contractShift work$23 - $28 per hour
...Health Department) Assist service delivery staff in completing/adjusting documentation Organize and prepare records/files for visits and... ...(Restricted Party Screening) Corporate Compliance Coordinator, Risk Management, Full time, Days Client Development Lead, Validation...RiskHourly payFull timeContract workTemporary workWork at officeFlexible hours$26 - $30 per hour
...position requires coordinating and leading performance improvement and risk management activities across the organization to ensure quality... ...implement strategies to address them; track effectiveness and adjust as needed. Lead quality improvement teams and collaborate with...RiskPart timeWork at office- Risk Manager job responsibilities : Leads the identification, communication, measurement, and management of company-wide risk. Manages... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
- ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
- 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
$90k - $130k
...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities...RiskFull timeFor contractorsWork at officeLocal areaPacific Industrial Electric
Brea, CA4 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...RiskMonday to Friday
Barker Management Inc
Anaheim, CA14 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, CA15 days ago $110k - $125k
Join to apply for the Senior Claim Adjuster role at Davies North America Department: Claims Administration & Adjusting Location: Santa Ana... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskTemporary workWork experience placement$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...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA2 days ago$172.36k - $258.55k
...and innovation alongside the Alignment Health community. Job Responsibilities Cross‑functional collaboration: Work closely with Risk Adjustment Operations, Finance, DTS, Compliance, and other departments to ensure accurate data for financial risk modeling. Data...Risk- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Orange, CA1 day ago $172.36k - $258.55k
...responsible for managing and overseeing the development of RADV risk exposure models extrapolation impact analysis and audit... ...functional collaboration : Working closely with other departments (Risk Adjustment Operations Finance DTS Compliance etc.) to ensure accurate data...RiskFull time- ...support and optimizing warehouse logistics efficiency (24-hour and 48-hour processing rates), resolving exceptions, and mitigating risks. · Negotiate carrier contracts, rates, and service level agreements (SLAs) to drive efficiency and cost savings. · Manage local...RiskHourly paySeasonal workLocal areaOverseas
PP Warehouse Inc
Walnut, CA6 days ago $75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week- ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care...RiskFlexible hours
Transtreme
Pasadena, CA14 days ago $100k - $125k
...change orders Manage and review monthly job projections and adjust priorities based upon job requirements and resource availability... ...required Manage and negotiate issues, proactively communicating risks and conflicts with client and project management team Manage...RiskFull timeWork at officeLocal areaDSE Electric Inc.
San Dimas, CA27 days ago- ...Risk Analyst (WC) The Risk Analyst (WC) investigates basic to moderate level of Worker's Compensation claims. This position works... ...after claims have occurred. Communicates regularly with claim adjusters, outside defense counsel, and insurance broker. Collects pertinent...RiskPermanent employmentFull timeLocal area
