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- ...Enterprise Risk Adjustment Analyst III Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated...Risk
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve...Risk
- ..., 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...RiskFull time
Interdent - Corporate
El Segundo, CA7 days ago - 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 through...Risk
- . Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: ~ Flexible, full time schedule ~ Stable and ongoing consulting...RiskRemote jobFull timeOngoing contractFlexible hoursSundayMonday to Friday
- ...As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: +...RiskWork at office3 days per week
- ...and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting...RiskTemporary workWork experience placementWork at officeLocal areaRemote work2 days per week1 day per weekMonday to Friday
- Join to apply for the Regional Professional Services Coder I role at Kaiser Permanente Join to apply for the Regional Professional... ...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles, CA $92,600.00-$202,200.00 2 weeks ago...RiskFull timeWork experience placementWork at officeLocal areaRemote work
- ...Description Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the... ..., particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
Ultimate Staffing
Los Angeles, CA18 days ago - nLogic is seeking a Risk Management Specialist to join our team in El Segundo, CA. You will join a Systems Engineering team defining... ...tools ~ Ability to multi-task, prioritize tasks, and quickly adjust in a rapidly changing environment ~ Demonstrated ability to...RiskContract workFor contractorsFor subcontractorWork at office
- ...AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. 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 monitoring...RiskHourly payFull timeCasual workWork at officeRelocation packageFlexible hours
- ...Accounting Controllership team has an immediate opening for a Risk and Controls Manager. This role supports and directly influences... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskPermanent employmentOngoing contractLocal areaImmediate startFlexible hours
- ...years of compliance program management, legal, governance, audit, risk/loss prevention, or equivalent experience - Bachelor's degree... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskWork at officeLocal area
- Title: Risk Management Specialist Belong. Connect. Grow. with KBR! KBR's National Security Solutions team provides high-end engineering... ...tools + Ability to multi-task, prioritize tasks, and quickly adjust in a rapidly changing environment + Demonstrated ability to coordinate...RiskContract workFor contractorsFor subcontractorWork at officeLocal areaFlexible hours
- ...best practices. + Manage document control, change control, and risk management processes. + Supervise quality assurance and quality... ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a...RiskWork at office
- ...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, or...RiskFull timeWork at office
The Muse
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, CA25 days ago - ...demonstrated ability to design and monitor an effective global risk-based internal control environment. We are currently looking for... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support...RiskOngoing contractLocal area
- ...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
- ...enterprise-wide cyber security strategy. This role leads multiple functional areas across security operations, engineering, governance, risk management, and compliance. Reporting directly to the Head of I/O & Cyber Security, the Senior Director will provide strategic...RiskFull time
Mattel
El Segundo, CA4 days ago
