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$75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time$70k - $85k
Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly...RiskFull time$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
- ...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
- ...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
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$26.75 - $40.5 per hour
...division. Learn more about the career areas and business divisions at wellsfargojobs.com. In this role you will: Lead and supervise risk and the operations of teller functions to deliver exceptional customer service and colleague experience, and ensure timely...RiskWork experience placementWork at officeWells Fargo
Whittier, CA2 days ago$63.59k - $121.53k
...impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework,... ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskHourly payFull timeH1bLocal areaRelocationAfternoon shiftUSAA
Los Angeles, CA4 hours agonew$184k - $246k
...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
Los Angeles, CA2 days ago$165k - $225k
...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hoursSedgwick
Long Beach, CA14 hours 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$2,500 - $2,700 per week
...Manage and monitor therapeutic drug levels and clinical dosing adjustments. Support interdisciplinary teams with medication therapy management... .... Experience in: Anticoagulants, Antibiotics, and High-Risk Medications Pharmacokinetic, Renal, and Geriatric Dosing...RiskLocal areaShift workNight shiftPride Health
Whittier, CA14 days ago$129.77k - $165.27k
...About This Role As a Risk Adjustment Data Scientist at myPlace Health, youll do more than work with numbersyoull help shape how we care for the communities we serve. In this role, youll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per weekMyplacehealth
Los Angeles, CA14 hours 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
$140k - $180k
...case strategy and client deliverables. Participate in client meetings and communicate with clients regarding case status, legal risk, and compliance best practices. Stay current on evolving case law and regulatory developments in California and federal labor/employment...RiskWork at office2 days per weekCareer Consulting Partners
Los Angeles, CA19 days ago$121.19k - $162.42k
...The City of South Pasadena is seeking a seasoned and innovative Risk Manager to lead the City's comprehensive risk management,... ...impacting risk management, ensuring timely policy and program adjustments. • Oversee the City's workplace safety program, coordinating...RiskFull timeFor contractorsWork at officeLocal areaImmediate startCity of South Pasadena, CA
South Pasadena, CA14 hours ago$127.05k - $190.53k
...Job Type: Regular Employee Job Number: 2400969 Cabinet: RISK, CORPORATE SAFETY AND ASSET MANAGEMENT Cost Center: 5310 -... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County Counsel...RiskFull timeContract workTemporary workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayLos Angeles Metro
Los Angeles, CA17 hours ago$95k - $140.6k
...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum... ...balancing several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shiftVast
Long Beach, CA14 hours ago- ...manages the daily operations of the City’s Human Resources and Risk Management programs and services; oversees the day to day activities... ...monitoring and approving expenditures and making budget adjustments as necessary. Oversees special human resource programs including...RiskContract workWork at officeLocal areaImmediate start
$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, CA14 hours ago$96.4k - $123.2k
...mindset with analytical and creative problem-solving capabilities. Safety Commitment: Strong adherence to safety protocols and risk management practices. Communication : Excellent verbal and written communication skills, organizational ability, and attention to...RiskWork at officeLocal areaCEMEX
La Mirada, CA4 days ago- ...crucial role in enhancing the quality of data submissions for CMS Risk Adjustment and Quality Incentive programs. The successful candidate will... .... The ideal candidate will be a Certified Professional Coder (CPC) with at least three years of experience in medical group...RiskHourly payFull timeShift work
$89.9k - $160.6k
...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...~ Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding ~ Experience in interpreting...RiskMinimum wageFull timeContract workWork experience placementLocal areaRemote workUnitedHealth Group
Cypress, CA3 days ago$115k - $125k
...brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee... ...market conditions and carrier underwriting appetites with ability to adjust strategy to protect future interests. Experience in reviewing...RiskContract workThe Baldwin Group
Tustin, CA3 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
