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$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
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork 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$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- ...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
- ...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
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$26.75 - $40.5 per hour
...division. Learn more about the career areas and business divisions at wellsfargojobs.com. In this role you will: Lead and supervise risk and the operations of teller functions to deliver exceptional customer service and colleague experience, and ensure timely...RiskWork experience placementWork at officeWells Fargo
Whittier, CA3 days ago- ...National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-... ...Your Role on the Team Position Summary: The Outpatient Coder II assigns and sequences ICD-10, CPT, and HCPCS codes through...RiskMonday to Friday
University of California
Irvine, CA4 days ago $75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week$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 hoursSedgwick
Orange, CA1 day ago- ...activities and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead... ..., implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities comply...RiskFull timeFor subcontractorWork at officeLocal area
$2,500 - $2,700 per week
...Manage and monitor therapeutic drug levels and clinical dosing adjustments. Support interdisciplinary teams with medication therapy management... .... Experience in: Anticoagulants, Antibiotics, and High-Risk Medications Pharmacokinetic, Renal, and Geriatric Dosing...RiskLocal areaShift workNight shiftPride Health
Whittier, CA15 days ago- ...challenging situations. You are a relationship-builder and strategic partner, collaborating with sales, insurance brokers, adjusters, and risk management teams to support client satisfaction and business growth. Your leadership fosters team development, performance, and...RiskFor subcontractorLocal area
$121.19k - $162.42k
...The City of South Pasadena is seeking a seasoned and innovative Risk Manager to lead the City's comprehensive risk management,... ...impacting risk management, ensuring timely policy and program adjustments. • Oversee the City's workplace safety program, coordinating...RiskFull timeFor contractorsWork at officeLocal areaImmediate startCity of South Pasadena, CA
South Pasadena, CA1 day ago$115k - $155k
...reviews and quality assurance procedures. Minimizes our exposure to risk on project. Provide safety and quality control management... ...distance vision, peripheral vision, depth perception and ability to adjust focus. Company Benefits Package In addition to offering a...RiskContract workFor subcontractorLocal areaRelocation package- ...wealth services including Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning. Adeptness in adapting to changes in market and business conditions. Pursuit of community engagement...Risk
Charles Schwab
Brea, CA1 day ago $150k - $180k
...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 workTrue Religion Brand Jeans
Gardena, CA1 day ago$132.4k - $245.9k
..., etc.). Strong understanding of IT governance, compliance, and risk management. Excellent communication, stakeholder management, and... ...organizational needs. The disclosed reasonable estimate has not been adjusted for the applicable geographic differential associated with the...RiskFull timeContract work$225k - $250k
...management agreements Collaborate closely with clients, developers, project managers, and internal teams Provide guidance on risk mitigation and legal compliance in development projects Support broader real estate transactions including acquisitions, dispositions...RiskWork at officeDirect Counsel
Irvine, CA3 days ago$80k - $95k
...cost-effectiveness, quality, and on-time delivery. Sourcing Risk Management : Proactively identify, assess, and mitigate potential... ...vision, peripheral vision, depth perception and ability to adjust focus Manual dexterity required using hands to finger; handle...RiskWork experience placementWork at officeLocal areaShift workBoot Barn
Irvine, CA4 days ago$96.4k - $123.2k
...mindset with analytical and creative problem-solving capabilities. Safety Commitment: Strong adherence to safety protocols and risk management practices. Communication : Excellent verbal and written communication skills, organizational ability, and attention to...RiskWork at officeLocal areaCEMEX
La Mirada, CA13 hours ago$45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA1 day ago- ...crucial role in enhancing the quality of data submissions for CMS Risk Adjustment and Quality Incentive programs. The successful candidate will... .... The ideal candidate will be a Certified Professional Coder (CPC) with at least three years of experience in medical group...RiskHourly payFull timeShift work
$89.9k - $160.6k
...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...~ Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding ~ Experience in interpreting...RiskMinimum wageFull timeContract workWork experience placementLocal areaRemote workUnitedHealth Group
Cypress, CA4 days ago$115k - $125k
...brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee... ...market conditions and carrier underwriting appetites with ability to adjust strategy to protect future interests. Experience in reviewing...RiskContract workThe Baldwin Group
Tustin, CA4 days ago- ...Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Celebration, Ownership. These values are the core of who... ...assistive devices; etc. Assesses patient's progress and adjust treatments accordingly in the clinical record per regulatory and...RiskFull timeReliefFlexible hours
Ensign Therapy
Fullerton, CA13 hours ago - Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality...RiskContract workLocal areaImmediate start
