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- $193k - $242k ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk
- $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 ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday
- $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
- ...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
- ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC...RiskWork at office
- ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the... ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
- ...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
- ..., 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 mitigation...RiskFull time
- $78.5k - $163.6k 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...Risk
- ...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
- ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and... ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director....RiskContract workTemporary workMonday to FridayShift workWeekend work
- ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for...RiskZero hours contractShift workNight shift
- $140k - $220k ...Conduct depositions and appear at mandatory settlement conferences, hearings and trials Strategize with claims adjusters, in-house counsel and risk managers to advance favorable outcomes Negotiate resolutions and draft settlement agreements that protect client...RiskLocal area
- ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient... ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental...RiskFull timeWork at officeImmediate startRelocationMonday to FridayFlexible hours
- $75k ...Bellwether is privately held and has offices in Los Angeles, Newport Beach, Salt Lake City, London and Dallas. We are seeking a Risk Management Analyst to expand the risk management team and get exposure on a variety of real estate and constructions risks. The Analyst...RiskLocal area
- $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
- ...Gibraltar Protection, Inc. About Us Gibraltar Protection, Inc. (GPI Security Services) is a California-based security and risk-management company providing professional protection services across commercial, industrial, aviation, and government environments....Risk
- $91.2k - $170.3k ...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,...RiskFull timeWork 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
- ...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is... ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. Ability to anticipate and articulate...RiskContract workSeasonal work
- $136.85k - $185.15k ...contracts • Experience in implementing and/or auditing of CMMI, AS9100, MIL-STD, and other software standards • Familiarity with Risk Management Framework (RFM) • Familiarity with TOR standards Travel: No travel is anticipated for this position. Drug...RiskPermanent employmentInterim roleRelocationVisa sponsorshipWork visaFlexible hoursShift workDay shift
- ...142,400.00 Job Purpose American Honda Finance Corporation is currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the Manager of Risk and Analysis. The Assistant Manager-Residual Risk manages...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
- $73.3k - $110k Join to apply for the Pricing Risk Analyst role at American Honda Motor Company, Inc. Join to apply for the Pricing Risk Analyst role... ..., CA $195,995.00-$364,003.00 3 weeks ago Manager of Risk Adjustment & Documentation Los Angeles, CA $110,000.00-$130,000.00 2 weeks...RiskFull timeTemporary workWork experience placementRelocation package
- $91.2k - $136.8k ...Demonstrate leadership, collaboration, business analysis, communication, project management, stakeholder management, change management, risk management, capture, and proposal-based capabilities. Establish and maintain proposal metrics, derive insights for leadership,...RiskFull timeWork at officeRelocation packageFlexible hoursShift work
- ...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
- ...accidents to Assistant Sales Director or Retail District Manager and Risk Management Specialist IMMEDIATELY. Accountable for oversight... ...: Mission-Driven Leadership - Analyzes sales trends and adjusts strategy to exceed weekly and monthly revenue goals. Executes markdown...RiskLocal areaImmediate startFlexible hoursAfternoon shift
- ...scalable procurement processes, supplier performance metrics, and risk management strategies. Develop demand forecasting and inventory... ...salary range reflects the potential base pay for this role, adjusted to account for varying geographic markets. Final compensation will...RiskFull time



