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$44.13 - $57.36 per hour
...Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies,...RiskHourly payWork experience placementWork at officeLocal area- University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring...RiskLocal area
$166.1k - $214.94k
...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...RiskRemote jobFull timeWork experience placementWork at officeShift workKaiser Permanente
Oakland, CAmore than 2 months ago- Overview At AIG, we are reimagining the way we help customers to manage risk. Join us as a Financial Lines & Casualty Complex Claims Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team....RiskWork at officeLocal area
$330k - $375k
...behavioral health, Enhanced Care Management (ECM), Street Health, and risk management (compliance, credentialing, and privileging). In... ..., including: Preventive and chronic disease management Risk adjustment, cost, and value-based performance Access, utilization, and patient...RiskLocal areaRelocation packageFlexible hours- ...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
- ...Job Description Job Description The Senior Risk Analyst plays a vital role in the administration of the company’s workers’ compensation... ...claims management systems, Excel, and data reporting tools. Adjuster license and/or professional designation is a plus. If this...RiskLocal areaImmediate startRemote work
Cornerstone Staffing Solutions - Corporate Recruitment
Pleasanton, CA9 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
$2,659 per week
...results, ensuring patient comfort and safety during the procedure. Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. Verify patient identity and medical history to...RiskZero hours contractWork at officeImmediate startShift work- 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
- ...position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to... ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The...RiskContract workWork at officeFlexible hours
Wille Electric Supply Co
San Leandro, CA23 days ago - Join to apply for the Senior IT Consultant - Risk Adjustment, CMS, MAOs, ACA, ESBRs role at Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications...RiskFull timeWork experience placement
$33.87 - $40.8 per hour
...organization. Conduct variance analysis to identify trends, risks, and opportunities. Responsible for fielding and resolving vendor... ...required by this job include close vision and ability to adjust focus. WORKING CONDITIONS AND ENVIRONMENT The work environment...RiskFull timeFor contractorsWork at officeLocal areaCommunity Health Center Network Inc
San Leandro, CA23 days ago$20 per hour
...Install and repair irrigation systems as needed • Monitor and adjust chemical applications for fertilizers, pesticides, and herbicides... ...parts, toxic or caustic chemicals, fumes or airborne particles, risk of electrical shock, or sharp objects. The noise level in the...RiskLocal areaAfternoon shiftAmerican Golf
San Leandro, CA15 days ago- ...years of recent experience (must have occurred within the last two (2) years) in Labor and Delivery is preferred\nOne (1) year of high-risk labor and delivery experience within the last two (2) years\nHigh Risk OB experience preferred\n17190936 About Genie Healthcare...RiskFull timeShift workNight shift
Genie Healthcare
San Leandro, CA8 days ago - 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
- ...to reflect changes from our recent SAP implementation Manage, together with our IT project team, the implementation of a Government, Risk, and Compliance Tool to provide for reliable and proactive controls over segregation of duties within our ERP system Oversee...Risk
- 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
- ...performance updates to senior leadership, including trend analysis, risk mitigation strategies, and program improvements. · Responsible... ...required by this job include close vision and ability to adjust focus. WORKING CONDITIONS AND ENVIRONMENT The work environment...RiskFull timeWork at officeRemote work
Community Health Center Network Inc
San Leandro, CA10 days ago - 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
$226k - $321.5k
...signal detection/management, and contributes to the overall benefit-risk management of Exelixis products. Essential Duties And... ...take into account the candidate’s geographic region, which will adjust the pay depending on the specific work location. The base pay offered...RiskContract workLocal areaFlexible hours$185k - $210k
...readability by refining some sections and ensuring consistent formatting. Here is a refined version: Director, Product Management, VMDR - Risk-Based Vulnerability Management Apply locations: Foster City Time type: Full time Posted on: Posted 2 Days Ago Job...RiskFull timeWorldwideQualys
Foster, CA23 days ago- ...project phases: Preconstruction: scheduling, budget tracking, contracts, and permitting support. Construction: procurement, risk tracking, quality, and safety oversight. Closeout: coordinating deliverables and ensuring project completion. Track project costs...RiskWork at office
E-Frontiers
Hayward, CA27 days ago $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- ...milestone reviews, and product presentations; clearly communicate risks, technical rationale, and options. • Mentor Chemist I/II/III... ...request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a...RiskWork at office
Actalent
Hayward, CA10 days ago - ...Thrives Here At EPE Industries USA, our most successful reps are hungry, independent, and persistent. They see commission-only not as a risk, but as an opportunity for unlimited income and growth. If you’re ready to take control of your career, build your income without...RiskFor contractors
EPE Industries USA Inc
Hayward, CA28 days ago - ...control measures to ensure the safety of occupants and workers. Follow and oversee safe work practices and adherence to safety and risk management guidelines at all times. Document a detailed and accurate job file to support the services provided. Manage and control...Risk
$185k - $195k
...Quality Management Reviews. Oversee the performance and effectiveness of the Quality Management System programs as well as Quality Risk Management, Training, Documentation and Records Management, and Data Integrity. Monitor the state of control of Arcus Quality Management...RiskWork at officeFlexible hours$28 - $32 per hour
...visible and fast-growing Medicare Advantage claims for the full risk line of business. Under the leadership of the HPCS Supervisor,... ...Ambulance, etc. **Essential Responsibilities*** Adjudicating and/or adjusting claims, specifically for the full risk line of business,...RiskRemote jobHourly pay$220k - $250k
...commercial matters, including regulatory complexities. Support corporate governance, compliance initiatives, employment matters, and risk management. Partner cross-functionally to align legal and business strategies. Design, refine, and implement contract management...RiskContract workFlexible hours
