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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...RiskDatavant
Los Angeles, CA23 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...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
- ...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
- ..., 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
InterDent Service Corporation
El Segundo, CA21 days ago $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- ...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
- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and... ...posted salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time
Skyryse
El Segundo, CA4 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, CA28 days ago - ...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
$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 areaJobot
El Segundo, CA27 days ago- ...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
Harbor Community Clinic
Los Angeles, CA12 days 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours$75k
...Bellwether is privately held and has offices in Los Angeles, Newport Beach, Salt Lake City, London and Dallas. We are seeking a Risk Management Analyst to expand the risk management team and get exposure on a variety of real estate and constructions risks. The Analyst...RiskLocal areaBellwether
El Segundo, CA13 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...RiskFull timeTemporary workWork at officeGlobal Aerospace, Inc.
Los Angeles, CA5 days ago$91.2k - $170.3k
...stakeholder relationships and internal reviews. # Lead and direct project teams to meet cost, schedule, and technical goals. # Support risk, issue, and opportunity development. Qualifications Basic Qualifications Bachelor's Degree + 5 years related experience,...RiskFull timeWork at officeThe Muse
Redondo Beach, CA21 days ago$136.85k - $185.15k
...contracts • Experience in implementing and/or auditing of CMMI, AS9100, MIL-STD, and other software standards • Familiarity with Risk Management Framework (RFM) • Familiarity with TOR standards Travel: No travel is anticipated for this position. Drug...RiskPermanent employmentInterim roleRelocationVisa sponsorshipWork visaFlexible hoursShift workDay shiftBOEING
El Segundo, CA17 days ago- ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the... ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
American Honda Finance Corp.
Torrance, CA17 days ago $91.2k - $136.8k
...Demonstrate leadership, collaboration, business analysis, communication, project management, stakeholder management, change management, risk management, capture, and proposal-based capabilities. Establish and maintain proposal metrics, derive insights for leadership,...RiskFull timeWork at officeRelocation packageFlexible hoursShift workNorthrop Grumman
Redondo Beach, CA3 days ago- ...culture across all levels of staff. Support talent development through training, performance feedback, and knowledge sharing. Risk Management & Incident Response Proactively assess and mitigate risks related to cargo theft, physical security breaches, and supply...RiskWork at office
Morrison Express
El Segundo, CA7 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...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA26 days ago - ...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
Activities, Recreation, and Care
Los Angeles, CAa month ago $45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA4 days ago- 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 and Quality...RiskContract workLocal areaImmediate start
- ...and technology upgrades. Support field marketing efforts to drive foot traffic, sales, and brand visibility. Conduct periodic risk assessments and implement solutions to mitigate liability and exposure. Financial Performance & Analysis In partnership with Asset...RiskTemporary workWork at officeLocal areaFlexible hours
CenterCal Properties
El Segundo, CA5 days 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...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA1 day ago - ...engagement, succession planning, and org design Identify trends, risks, and opportunities within the organization and develop solutions... ...problem-solving skills and the ability to be flexible and adjust direction when needed Proven ability to lead cross-functional projects...RiskFull timeWork at officeRelocationFlexible hoursShift work
$133.9k
...You’ll also be able to experiment with new possibilities, take risks, and collaborate with remarkable people. We’ll look for you to... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskLocal area$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 startWorldwideSERVPRO of Beverly Hills/Westwood
Los Angeles, CA9 days ago
