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$192.15k - $240.19k
...Medical Director, Risk Adjustment The Medical Director, Risk Adjustment will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. This physician expert will guide providers in accurate and complete documentation of patient...Risk$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$200k - $280k
...Medical Director, Risk Adjustment Los Angeles, CA (Hybrid) Compensation: $200,000 $280,000 per year + Bonus Schedule: Full-Time | Hybrid (Onsite & Remote) Overview: Were seeking a Medical Director, Risk Adjustment to lead and advance our clinical risk adjustment...RiskFull timeRemote work- ...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
- ...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
- 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
$110k - $135k
...management of client. Proactive development and execution of client risk management strategy. Knowledge of full portfolio of P&C... ...vision abilities required by this job include ability to adjust focus when using computers tablets or other electronic devices....RiskWork experience placement- ...American Honda Finance Corporation is currently seeking an Assistant Manager of Credit/ Pricing for our Risk and Analysis department.u 00 A 0u 00 A 0 This position will report to the Manager of Risk and Analysis.u 00 A 0 The Assistant Manager-Resi Manager, Risk, Assistant...Risk
- ...Risk Manager Job Duties: Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
$63.14k - $77.51k
...Supervisor, to plan, organize, direct, and coordinate a comprehensive risk management program, to include administration of a risk... ...negotiations and recommend settlement of liability claims with adjusters, attorneys and claimants; • Work with City Attorney's office...RiskFull timeContract workFor contractorsWork experience placementWork at officeLocal area$47.6 - $62.78 per hour
...Terminology. + Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director. +... ...may include computer operation using (Excel, Word, MS Office, 3M Coder), data entry and retrieval Note, may on occasion travel to our other...RiskLocal area$161k - $236k
...Posting Date 11/07/2025 601 Hawaii St, El Segundo, California, 90245-4814, United States of America The Sr Director of Enterprise Risk Management (ERM) and Business Continuity Management (BCM) is a strategic leader responsible for developing, implementing, and...RiskMinimum wage$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 hours$110k - $161k
...they lead. They are driven, strong communicators, relationship builders, and find fulfillment in challenging work. The Sr. Manager, Risk leads a key function within Enterprise Risk Services (ERS), supporting DaVita's mission by delivering strategic risk management...RiskMinimum wageWork at officeNight shiftWeekend work$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$86k - $172k
...Yamaha has an excellent opportunity for a Risk Manager II to join our Financial Services team in Cypress, CA . The Risk Manager... ...initiatives like scorecard development, strategy design and adjustments. Perform quantitative analysis and monitor company's credit, collateral...RiskHourly payTemporary workWork experience placementLocal area- ...personnel, 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
$99k - $176k
...Job Description OPERATIONAL RISK FRAUD OVERSIGHT MANAGER II WHAT IS THE OPPORTUNITY? Operational Risk Management (ORM) is responsible for providing independent and objective oversight of the management of risks arising from City National Bank's business processes...RiskRemote work- ...42,400.00 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 workWorldwideRelocation package
- ...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
$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 payH1bLocal areaRelocationAfternoon shift$1,263 per week
...that may indicate a need for intervention. Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. Provide post-surgical care for patients...RiskZero hours contractShift workNight shift- ...successful candidate will be instrumental in the analysis and structuring of complex investments to achieve optimal tax efficiency and risk management across both U.S. and international jurisdictions. This pivotal role involves close collaboration with legal, compliance,...Risk
- ...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
$37.96 - $60.64 per hour
...supporting remediation of regulatory, internal audit, and self-identified issues. Analyze, evaluate and periodically review current risk management practices relating to RNDIP activities across the organization, including activities at network affiliates. Collaborate...RiskHourly payWork at officeRemote work- ...Investing Financial Services Investment Management Investing Employee Management Financial Advisers Asset Management Risk Analysis Finance Funds Financial Services Insurance Life Insurance Specialties retirement solutions life...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 workWorldwide

