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- 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 models...RiskWork experience placementLocal area
$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
$98.3k - $185.1k
...Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with extensive experience in power... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Oakland, CA4 hours ago- ...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 workWork at officeRelocation
W. M. Lyles Co.
Oakland, CA19 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
- 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
- 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
- ...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
- 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
- ...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 &...RiskFull timeFor contractorsRemote workWork from homeWorldwideHome officeFlexible hours
Terabase Energy
San Francisco, CA24 days ago - ...Description Central Garden & Pet is looking for a Director of Risk Management in our Walnut Creek, CA office. This position is a... ...Third Party Administrators (TPAs), including contract negotiation, adjuster oversight across 30+ states, and monitoring aggregate claim...RiskContract workWork at officeWorldwideFlexible hours3 days per week
Central Garden & Pet
Walnut Creek, CA17 days 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 - 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
- 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
$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- ...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
- ...manage changes to service scope, schedule, and costs. Reports and escalates staffing issues to management as needed. Performs risk management and reports variances and concerns as appropriate. Collaborates with other managers to direct compliance issues to appropriate...RiskWork at officeLocal area
Roots Community Health Center
Oakland, CA18 days ago - ...enforce service-level standards consistent with both property management best practices and ownership’s expectations. Compliance & Risk Management Ensure building operations and vendors meet all applicable regulatory, environmental, and safety standards. Serve...RiskWork at officeImmediate start
TMG Partners
Oakland, CA18 days ago - ...95% or higher. Conduct market surveys and recommend pricing adjustments. Oversee marketing initiatives, outreach programs, and resident... ..., and maintenance KPIs. Communicate operational issues, risks, and achievements to leadership promptly. Support corporate...RiskWork at officeLocal areaWeekend workAfternoon shift
Arthaus Properties
Oakland, CA5 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$110k - $125k
...program-level planning, prioritization, resource allocation, and risk management. The Project Supervisor partners with construction,... ...performance and project updates to upper management, making adjustments as needed to meet targets Supervisory responsibilities may include...RiskAfternoon shiftRace Communications
Pleasant Hill, CA23 days ago- ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash... ...employee handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Take necessary action to minimize...RiskLocal areaShift work
Burger King - 3459 - Martell
San Leandro, CA18 days ago - ...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, CAmore than 2 months 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 hours agonew$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- ...Perform variance analyses, identify trends, and recommend budget adjustments. Analyze financial data to identify opportunities across the... ...of banking relationships, JV financial reporting, and risk identification for real estate projects. Assist in preparing...RiskWork at officeRemote work
Robert Half
Oakland, CA2 days ago $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$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 hours
