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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,... 
    Risk
    Hourly pay
    Work experience placement
    Work at office
    Local area

    Stanford Health Care

    Newark, CA
    1 day ago
  • 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...
    Risk
    Local area

    Stanford Health Care - ValleyCare

    Newark, CA
    14 hours ago
  • $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... 
    Risk
    Remote job
    Full time
    Work experience placement
    Work at office
    Shift work

    Kaiser Permanente

    Oakland, CA
    more 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.... 
    Risk
    Work at office
    Local area

    AIG

    San Lorenzo, CA
    1 day ago
  • $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... 
    Risk
    Local area
    Relocation package
    Flexible hours

    Tiburcio Vásquez Health Center, Inc.

    Hayward, CA
    4 days ago
  •  ...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... 
    Risk
    Work experience placement
    Remote work

    Kaiser Permanente

    Oakland, CA
    14 hours ago
  •  ...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... 
    Risk
    Local area
    Immediate start
    Remote work

    Cornerstone Staffing Solutions - Corporate Recruitment

    Pleasanton, CA
    9 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

    Kaiser Permanente

    Oakland, CA
    14 hours ago
  • $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... 
    Risk
    Zero hours contract
    Work at office
    Immediate start
    Shift work

    Magnet Medical

    Castro Valley, CA
    2 hours agonew
  • 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... 
    Risk
    Remote work

    Kaiser Permanente

    Oakland, CA
    8 hours agonew
  •  ...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... 
    Risk
    Contract work
    Work at office
    Flexible hours

    Wille Electric Supply Co

    San Leandro, CA
    23 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... 
    Risk
    Full time
    Work experience placement

    Kaiser Permanente

    Pleasanton, CA
    1 day ago
  • $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... 
    Risk
    Full time
    For contractors
    Work at office
    Local area

    Community Health Center Network Inc

    San Leandro, CA
    23 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... 
    Risk
    Local area
    Afternoon shift

    American Golf

    San Leandro, CA
    15 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... 
    Risk
    Full time
    Shift work
    Night shift

    Genie Healthcare

    San Leandro, CA
    8 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

    Blue Shield of CA

    Oakland, CA
    3 days ago
  •  ...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

    Ghirardelli Chocolate

    San Leandro, CA
    1 day ago
  • 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

    Blue Shield of CA

    Oakland, CA
    14 hours ago
  •  ...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... 
    Risk
    Full time
    Work at office
    Remote work

    Community Health Center Network Inc

    San Leandro, CA
    10 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

    Blue Shield of CA

    Oakland, CA
    3 days ago
  • $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... 
    Risk
    Contract work
    Local area
    Flexible hours

    Exelixis

    Alameda, CA
    3 days ago
  • $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... 
    Risk
    Full time
    Worldwide

    Qualys

    Foster, CA
    23 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... 
    Risk
    Work at office

    E-Frontiers

    Hayward, CA
    27 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... 
    Risk
    Full time

    Pacific Gas and Electric Company

    Oakland, CA
    3 days ago
  •  ...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... 
    Risk
    Work at office

    Actalent

    Hayward, CA
    10 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... 
    Risk
    For contractors

    EPE Industries USA Inc

    Hayward, CA
    28 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

    Servpro

    San Leandro, CA
    1 day ago
  • $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... 
    Risk
    Work at office
    Flexible hours

    Arcus Biosciences

    Hayward, CA
    3 days ago
  • $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,... 
    Risk
    Remote job
    Hourly pay

    PriMed Management Consulting Services, Inc.

    San Ramon, CA
    5 days ago
  • $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... 
    Risk
    Contract work
    Flexible hours

    Solutus Legal Search, LLC

    Hayward, CA
    3 days ago