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$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$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- ...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
To Help Everyone Health & Wellness Centers
Los Angeles, CA11 days ago $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
- ...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
$103.5k - $127.4k
Liability Claims Adjuster ($103,500 - $127,400) Date: Sep 9, 2025 Property: 550 NEWPORT CTR (0003) Location: Newport Beach, CA, 92660 The Liability Claims Adjuster plays a critical role in our risk management process by conducting thorough investigations of third-party...RiskFull timeLocal 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 hoursRegal Medical Group
Los Angeles, CA8 days ago- ...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
MedPOINT Management
Los Angeles, CAa month ago $86k - $172k
Yamaha has an excellent opportunity for a Risk Manager II to join our Financial Services team in Cypress, CA . The Risk Manager II... ...risk initiatives like scorecard development, strategy design and adjustments. Perform quantitative analysis and monitor company's credit,...RiskHourly payTemporary workWork experience placementLocal area- ...HR/Risk Assistant To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining... ...-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentWork at officeShift workNight shift
$50k - $90k
...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within... ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in...RiskFull timeTemporary workWork at officeGlobal Aerospace, Inc.
Los Angeles, CA7 days ago$79.04k - $126.88k
...ERM Data Analyst assists in the execution of F&M’s Enterprise Risk Management (ERM) data management goals. This role emphasizes data... ...calibration of Verafin FRAML models by recommending parameters adjustments backed by statistical evidence. Document tuning rationale and...RiskFull timeContract workImmediate start- ...retirement plans, and generous paid leave. Discover more about what we offer by visiting our Benefits page. A Day In The Life The Risk Finance Manager under the direction of the Director, Risk Analytics & Business Intelligence will participate in managing the risk...RiskWork at office
The Friedkin Group
Cypress, CA1 day ago $89.9k - $160.6k
...financial modeling tools, spreadsheets and information acquisition tools Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding Experience in interpreting and reviewing financial modeling results to evaluate financial impact...RiskRemote jobMinimum wageFull timeContract workWork experience placementLocal area$45k - $60k
...the 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. - Conduct...RiskWork experience placementWork at officeMonday to Friday- ..., 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
InterDent Service Corporation
El Segundo, CA23 days ago - ...and monitoring submitted codes on claim/encounters for Medicare Risk Adjustment. How will you make an impact & Requirements Location:... ...setting or large group practice. Current Certified Professional Coder certification (CPC, CPC-H, CCS, or CCS-P) required. Additional...RiskFull timeWork from home2 days per week3 days per week
- ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of... ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA28 days ago $90.16k - $112.7k
...and monitor submitted codes on claims/encounters for Medicare Risk Adjustment. Location & Work Arrangement Location: Must reside in Los Angeles... ...large group practice setting. Current Certified Professional Coder (CPC, CPC-H, CCS, or CCS-P) certification required. Experience...RiskFull timeWork from home2 days per week- ...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 work
Totex Manufacturing Inc
Torrance, CAa month ago $85k - $120k
...Monitoring student progress regularly through data-driven assessments, adjusting therapy plans to align with developmental milestones and... ...Instruction Student Development Working With At-Risk Students Record Keeping & Reporting Communication Decision...RiskFull timeWork at officeRelocation packageFlexible hoursNight shiftSpectrum Center Schools and Programs
Buena Park, CAa month ago$137.5k - $195k
...s largest providers of traditional and nontraditional solutions for companies that need financing and investors who seek strong risk-adjusted returns. Since 1971, our people have shaped our organization through a high-performance inclusive culture, in which we celebrate...RiskFull timeWorldwideFlexible hoursPIMCO
Newport Beach, CA14 days ago- ...deadlines are met without compromising on quality or safety. Risk Management: Identify potential risks or challenges during... .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA3 days ago - ...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 work
Boot Barn
Irvine, CA1 day ago $100k - $120k
...General Manager to perform all-purpose duties, which may include, but is not limited to the overall operation of their center, including risk management, teammate development, client metrics, production, and administration. This individual will also recruit, recognize, and...RiskWeekly payFull timeLocal areaImmediate startCaliber Collision
Cerritos, CA2 days ago- Overview 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...RiskContract workLocal areaImmediate start
$110.2k - $188.8k
...work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Lead the end-to-end risk adjustment strategy and execution, including data capture, gap closure, and CMS submission processes, ensuring accuracy, compliance, and...RiskRemote jobMinimum wageFull timeWork experience placementLocal area- ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
$103.5k - $133.9k
...Provide technical support for cost control (specifically with the risk and opportunity log). Assist with specific sections of the... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA3 days ago
