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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 The Director for Quality and Risk Adjustment is responsible for leading enterprise development of the Medicare Star Ratings and Enterprise Risk Adjustment strategies that ensure our risk adjusted and Star members are getting the right clinical and pharmacy...RiskPermanent employmentContract workTemporary workRemote work
- 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
- ...outcomes and assign follow-ups to ensure technical alignment and risk mitigation. Issue Resolution: Maintain a live project issue... ...consistent, data-driven updates to executive and technical stakeholders; adjust strategies and timelines as needed based on risk and performance...RiskRemote work
Totex Manufacturing Inc
Torrance, CA16 days ago - . 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
- ...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 - 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
- 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
- ...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 - ...Pacific DESCRIPTION THE PORT OF LONG BEACH IS SEEKING A CHIEF RISK OFFICER (RISK MANAGER) This is an at-will position) Salary... ...insurance markets Techniques and practices on claims, adjustments, and settlements Principles and practices of risk transfer,...RiskPermanent employmentFull timeTemporary workWork at office
City of Long Beach, CA
Long Beach, CA3 days ago - ...critical program milestones, managing critical design and process risks, and leading structured problem-solving for failures and system... ...’ Readjustment Assistance Act.. EEO Poster In order to adjust to changes in our business, it may become necessary to add, remove...RiskFull timeTemporary workWork at office
- ...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 - ...Overview The Vice President of Legal & Compliance is a senior executive leader responsible for overseeing all legal, regulatory, and risk management functions for a franchise-driven foodservice brand operating primarily within supermarket and grocery retail environments...RiskContract workWork at officeLocal area
Advanced Fresh Concepts Franchise Corporation
Torrance, CA18 days ago - ...across leadership, collaboration, business analysis, communication, project management, stakeholder management, change management, risk management, capture, and proposal-based capabilities. The role will also establish and maintain proposal metrics, drive insights...RiskFull timeWork at officeRelocationFlexible hoursShift work
Northrop Grumman Corporation
Redondo Beach, CA18 hours ago - ...Stakeholder Engagement Act as the primary point of contact for federal clients, providing regular updates on project progress, risks, and adjustments. Collaborate with Government officials, contractors, shipyard staff, and Navy personnel to resolve on-site challenges and...RiskFull timeFor contractorsWork at officeRemote workOverseas
- ...standards. In this role, you will focus on conducting technical and risk-based assessments of privacy controls across Amazon's products... ...the project lifecycle, reassess mitigation strategies, and adjust plans as needed. *Privacy Controls Assurance* - Design and execute...RiskLocal areaFlexible hours
- ...zones. Project Planning and Execution: Develop comprehensive project plans encompassing scope, milestones, resource allocation, risk, and contingency strategies. Coordinate with cross-functional teams including R&D, engineering, manufacturing, IT, and external...RiskFor contractors
US Tech Solutions
El Segundo, CA15 days ago - ...and provide visibility to cross-functional teams. Programmatic Risk Management: Identify and manage program risks (time,... ...scalable solutions ~ Experience communicating effectively, to adjust approach across stakeholders and teams and to navigate both technical...Risk
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
