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$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...RiskFull timeWork experience placement- ...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
$103.5k - $127.4k
...Liability Claims Adjuster The Liability Claims Adjuster plays a critical role in our risk management process by conducting thorough investigations of all third-party claims while providing an exceptional customer service experience. This role will be tasked with gathering...RiskFull timeLocal area- ...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
- ...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
- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workWork experience placement
$103.17k - $158.87k
...implement corrective actions to maintain project schedule and budget. Risk Management: Identify, assess, and develop mitigation strategies... ...ensuring adherence to budget constraints and making necessary adjustments as needed. Quality Assurance: Implement quality control...Risk$102.4k - $204.1k
...help shape the future of our industry. Job Description Technology Risk and Controls Manager Joining our Consulting Technology Audit... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskLocal areaRemote workWorldwide$26 - $30 per hour
...develop team members to ensure a high performing restaurant team; leverage the support of the Restaurant Support Center; ensure all risk management issues are following company standards. Strong business acumen and ability to drive results through team collaboration...RiskHourly payFull timeShift workFar West Services, LLC
Garden Grove, CA23 days ago- ...providing financial advice with a focus on client experience and risk management. Job Responsibilities Acquire manage and retain a... ...Regularly review processes and strategies with manager, making adjustments as needed Identify and pursue potential new business clients...RiskFull timeWork experience placement
$84.7k - $168.9k
...data components of implementing and/or validating Financial Crime Risk and other regulatory & compliance systems. Our Financial Crime... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location...RiskWork at officeLocal areaWorldwide- ...monitoring of and approves expenditures; directs and implements adjustments as necessary. Selects, trains, motivates, and directs... ...City-wide administrative practices, and general principles of risk management related to the functions of the assigned area. Organizational...RiskContract workFor contractorsWork at officeLocal area
$137.5k - $195k
...s largest providers of traditional and nontraditional solutions for companies that need financing and investors who seek strong risk-adjusted returns. Since 1971, our people have shaped our organization through a high-performance inclusive culture, in which we celebrate...RiskFull timeWorldwideFlexible hoursPIMCO
Newport Beach, CA15 days ago$115k - $200k
VP Enterprise Risk Management & Compliance (ERMC) - Vice President Financial Partners Credit Union Purpose of Job The Vice President, Enterprise Risk Management & Compliance (ERMC), is responsible for directing and overseeing the Credit Union’s ERMC program under the...RiskFull timeLocal area$182k - $309k
...engineering mindset - the ability to understand and assess technical concept. Identifying system dependencies, interfaces, technical risks and the impact of key architectural decisions with the engineering team. # Execution focused - digging into the details, charting...RiskFull timeContract workSlope
Costa Mesa, CA23 days ago$75k - $130k
...third line of defense coverage of credit and fraud activities and risks, including the end‑to‑end design and effectiveness of the... ...and business risks and issues, taking actions to assure required adjustments to risk assessments, audit plans, and audit programs. Maintain...RiskWork experience placementWork at officeWork from homeVisa sponsorshipWork visaMonday to Friday- Overview 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...RiskContract workLocal areaImmediate start
$95k - $115k
...financial performance and prepare regular reports for senior leadership and the board of directors. Implement financial controls and risk management strategies to safeguard the organization's assets. Support fundraising efforts, donor relations, and special events,...RiskFull timeWork at officeImmediate startBoys & Girls Clubs of America
Huntington Beach, CA15 days ago- ...teams/individuals to achieve assigned deliverables and determine risk for stakeholders Refine project management process to... ...completed and delivered on-time Continually update timeline adjustments, activities, risks, open issues and distribute to stakeholders...RiskContract work
WOTM - Partners Professional
Fountain Valley, CA1 day ago $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 contractorsApprenticeshipFor subcontractorInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA3 days ago$146k - $194k
...critical in driving efficiency, managing schedules, mitigating risks, and ensuring that projects are delivered on time, within scope,... ...Demonstrated ability to operate in high-pressure situations and adjust to changing priorities Strong technical, analytical and quantitative...RiskFull timeWork at officeRelocation package$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 contractorsFor subcontractorWork at officeLocal areaPacific Industrial Electric
Brea, CA4 days ago$70k - $80k
Workers Compensation Claims Adjuster | Dedicated Account | Hybrid - Orange, CA By joining Sedgwick, you'll be part of something truly meaningful... ..., Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the...RiskContract workWork at officeLocal areaFlexible hours- ...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 $325k
...accordance with relevant regulations and laws. The TSS Santa Ana Head will steer key business activities and ensures full alignment to DB's risk management framework and all relevant global regulatory and compliance requirements. Furthermore, the position holder also maintains...RiskFull timeTemporary workWork at officeWork from homeDeutsche Bank
Santa Ana, CA19 days ago- ...National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-... ...Your Role on the Team Position Summary: The Lead Outpatient Coder codes and abstracts data elements from patient records according...RiskMonday to Friday
$168k - $252k
...aligned to mission objectives. Develop and implement effective processes, tools, and metrics for program planning, scope management, risk management, and overall program execution. Foster a Team of Teams culture amongst Anduril, external customers, and industry...RiskFull timeContract workWork experience placementLocal areaRelocation packageAnduril Industries
Costa Mesa, CA24 days ago- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Irvine, CA10 days ago
