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$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$71.3k - $82.6k
...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskWork experience placementRemote work- ...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
$245.9k - $319.67k
...monitoring of and approves expenditures; directs and implements adjustments as necessary. · Develops, directs, and coordinates the... ...agency-wide administrative practices, and general principles of risk management related to the functions of the assigned area. · Organizational...RiskContract workTemporary workFor contractorsLocal areaFlexible hoursAlameda County Transportation Commission
Oakland, CA14 hours ago- The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses... ...related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education...RiskWork at office
- Strategy Consultant IV, Medicare Advantage Prospective Risk Adjustment Operations 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...Risk
- ...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...RiskFor subcontractorRemote workHome officeFlexible hours
- ...insurance, labor relations, Equal Employment Opportunity (EEO), risk management, and quality control programs and protocols. Ensures... ...close vision, distance vision, depth perception and ability to adjust focus. Work Environment The work environment...RiskContract workFor subcontractorWork at officeRelocation
W. M. Lyles Co.
Oakland, CA6 hours agonew - ...tailored solutions based on industry-leading practices. Our services encompass a broad spectrum of Enterprise Service Solutions including Risk Management, Compliance, Business Process, IT Effectiveness, Engineering, Environmental, Sustainability, and Human Capital. We assist...RiskFull timeContract workWork at office
ProSidian Consulting
Berkeley, CA2 days ago - ...software, electrical and mechanical engineers, coders, product managers, project managers, and... ..., and change orders; report status, risks, and issues to senior management. ~ Team... ...and implement mitigation strategies; adjust plans as needed. Project Contracting &...RiskFor contractorsFor subcontractorRemote workWork from homeWorldwideHome officeFlexible hours
Terabase Energy
San Francisco, CA14 hours ago - ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Pacific Region PRIMARY PURPOSE : To investigate losses... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
Sedgwick Law
San Francisco, CA16 hours ago - 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
$95k - $120k
...instructional activities. Monitors enrollments in all courses and adjusts sections to optimize enrollments. Projects future enrollment... ...activities such as event planning, basic fundraising processes, risk management planning, website design, accounting and payroll, and...RiskFull timeUniversity of California Berkeley
Berkeley, CA16 hours ago$184k - $268k
...responsibilities, offering even greater scope to shape Canva's risk and control landscape. What you'll do: As Canva scales,... ...apply, please tell us the pronouns you use and any reasonable adjustments you may need during the interview process. Please note that interviews...RiskWork at officeLocal areaFlexible hoursCanva
San Francisco, CA2 days 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
- 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, Consultant, will report to the Manager of Risk Adjustment...Risk
$23.5 - $24.5 per hour
...current Revenue Cycle experience CPC (Certified Professional Coder) certification is required Requires ability to multitask while... ...and regulations and areas of scrutiny for potential areas of risk for fraud and abuse in regards to coding and documentation Must...RiskHourly payFull timePart timeWork at officeLocal areaRemote workFlexible hoursWorkit Health
Lafayette, CA16 hours ago$21.16 - $25 per hour
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskHourly payFull timeTemporary workApprenticeshipWork experience placementSummer workWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd.
San Francisco, CA6 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$123.64k - $154.62k
...walk down meetings. Create, maintain and update Primavera P6 schedules. Document, monitor and communicate project milestones and risks with appropriate stakeholders. Participate in project status meetings, collect progress data and revise project plan as needed....RiskWork at officeRemote workPG&E Corporation
Oakland, CA4 days ago- ...high-net-worth clients, delivering comprehensive wealth strategies that encompass investments, estate planning, tax efficiency, and risk management. This role also involves accessing family office resources, collaborating with internal teams to ensure seamless client service...RiskWork at officeRemote work
$75.9k - $137.3k
...UC Riverside's Environmental Health, Safety & Risk Management is recruiting for an Institutional Biosafety Committee Administrator/Associate Biosafety Officer. The full salary range for the Institutional Biosafety Committee Administrator/Associate Biosafety Officer is...RiskLocal areaWork visaUniversity of California , Riverside
Oakland, CA3 days ago$197.5k - $366.9k
...submissions for the CD and CVP Long Range Plan, including annual adjustments as necessary Develop and maintain strong working... ...out project controls functions to optimize value and minimize risk on a portfolio of projects combined exceeding $6Bil Accountable...RiskFull timeWork at officeLocal areaRelocation- ...delegate shift assignments including communicating expectations and adjusting as needed Supervise, provide leadership, and coach team... ...guidelines and procedures Immediately report all human resources and risk management concerns to your General Manager and District...RiskTemporary workLocal areaImmediate startFlexible hoursShift workNight shift
Zaxby's
Concord, CA21 days ago - ...growth and acquiring new business. The candidate will also oversee risk management and relationship management while directing... ...Track and analyze the effectiveness of acquisition strategies and adjust as needed for optimal results. Business Line Ownership:...Risk
Korn Ferry Executive Search
San Francisco, CA4 days ago $175k - $200k
...with a key broker set in a designated territory, with a focus on risk management accounts and cross?sell growth. Build and maintain... ...and reviews with our key brokers to monitor results and adjust strategies as needed. Generate a robust new business pipeline...RiskTemporary workLocal areaFlexible hoursMSIG USA
San Francisco, CA14 hours ago$105k - $125k
...persuasiveness, advising, and counseling. Advanced knowledge of administrative operational activities (event planning, fundraising processes, risk management, website design, accounting and payroll, contracts and grants regulations). Strong customer service and problem-...RiskFull timeTemporary workUniversity of California, Berkeley
Berkeley, CA2 days ago- Overview 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...RiskFull timePart timeWork at officeLocal areaRemote workWork from homeHome office1 day per week
$220k - $250k
...Location: UCOP - Franklin Building Department Overview The Office of Risk Services is responsible for developing and implementing... ...tort law, insurance coverage, claims administration and claims adjusting practices. Skills and Abilities Required Qualifications Ability...RiskContract workTemporary workWork at officeLocal area$40 - $48.76 per hour
...CAPA management, Change Control, Audit & Observation management, Risk Management, etc.). Expertise in cGMP and regulatory requirements... ...written, verbal, and presentation skills with the ability to adjust presentation style for various audiences. Builds partnerships internally...RiskFull timeWork at office
