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  • Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C...  ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    1 day ago
  • $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... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health

    Alhambra, CA
    4 days ago
  • $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... 
    Risk
    Full time
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    4 days ago
  • $135k - $150k

    About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

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

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    12 days ago
  •  ...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... 
    Risk
    Full time
    Contract work
    Remote work
    Flexible hours

    HireTalent - Staffing & Recruiting Firm

    Duarte, CA
    4 days ago
  • $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... 
    Risk
    Hourly pay
    Full time
    Casual work
    Work at office
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours

    Regal Medical Group

    Los Angeles, CA
    9 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, CA
    a month ago
  •  ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. * Design and maintain compliant...  ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support * Draft, review... 
    Risk
    Contract work
    For contractors
    Flexible hours

    SwiftX Inc.

    Ontario, CA
    4 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    8 days ago
  •  ...dimensions using measuring instruments. Installs, aligns, secures, and adjusts cutting tools and work pieces. Monitors the feed and speed of...  ...may exclude individuals who pose a direct threat or significant risk to the health or safety to themselves or others. The... 
    Risk
    Contract work
    Apprenticeship

    ALIGN PRECISION

    Walnut, CA
    25 days ago
  •  ...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... 
    Risk
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    Nautilus General Contractors

    Los Angeles, CA
    29 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... 
    Risk
    For contractors
    Work at office
    Local area

    Powerful Solar

    Los Angeles, CA
    4 days ago
  •  ...manages the daily operations of the City’s Human Resources and Risk Management programs and services; oversees the day to day activities...  ...monitoring and approving expenditures and making budget adjustments as necessary. Oversees special human resource programs including... 
    Risk
    Contract work
    Work at office
    Local area
    Immediate start

    City of West Covina

    West Covina, CA
    4 days 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. -... 
    Risk
    Work experience placement
    Work at office
    Monday to Friday

    Humina Resource

    Cypress, CA
    2 days ago
  • $300k - $350k

     ...Line Extension Section 3 Stations project. This includes the overall management of design, construction, testing, schedule, budget, risk, quality management, environmental compliance, safety and contract administration for the Project. Supervisory responsibilities include... 
    Risk
    Contract work
    Los Angeles, CA
    more than 2 months ago
  • $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... 
    Risk
    Contract work
    For contractors
    Apprenticeship
    Internship
    Work at office
    Weekend work

    The Boldt Company

    Whittier, CA
    3 days ago
  • $90k - $130k

     ...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular...  ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities... 
    Risk
    Full time
    For contractors
    Work at office
    Local area

    Pacific Industrial Electric

    Brea, CA
    5 days ago
  • Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    4 days ago
  • $70k - $80k

    Workers Compensation Claims Adjuster | Dedicated Account | Hybrid - Orange, CA By joining Sedgwick, you'll be part of something truly meaningful...  ..., Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the... 
    Risk
    Contract work
    Work at office
    Local area
    Flexible hours

    Hispanic Alliance for Career Enhancement

    Orange, CA
    4 days ago
  •  ...Friday. Job Summary This position works very closely with the Risk Manager & the VP of HR. This position supports Risk Management...  .... Be a liaison between injured employees and insurance adjusters, to ensure employees are taken care of. -High level of confidentiality... 
    Risk
    Monday to Friday

    Barker Management Inc

    Anaheim, CA
    15 days ago
  •  ...Job Description Job Description Description: The Conflicts Attorney plays a critical role in supporting the firm’s risk management and legal ethics compliance. This position is responsible for conducting high-level conflicts research and analysis to identify and... 
    Risk
    Work at office
    Local area

    KAHANA & FELD LLP

    Los Angeles, CA
    18 days ago
  •  ...simulations to ensure that the program works as intended and/or making adjustments to optimize efficiency & precision. - Diagnosing and...  ...operations comply with safety standards and regulations, minimizing risks associated with CNC machine operations. - Perform other... 
    Risk

    Fadco Metal Products, Inc.

    Temple City, CA
    16 days ago
  •  ...and peripheral vision as well as depth perception and ability to adjust focus. The employee is frequently required to use hands or...  ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements... 
    Risk
    Contract work
    Work at office

    INSECTA PEST SOLUTIONS

    West Covina, CA
    2 days ago
  •  ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record...  ...the Claim Payment Integrity  Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure... 
    Risk
    Work at office
    Local area

    Catalyst Clinical Coding and Analytics

    Los Angeles, CA
    11 days ago
  •  ...staff mix, hire, train, and develop staff. Develop and monitor departmental policies and procedures. Resolve human resource and risk management issues. Promote a culture of safety, ensuring adherence to standards and guidelines Basic Qualifications:... 
    Risk
    Immediate start
    Relocation package
    Shift work

    Career Match Pro

    South Gate, CA
    14 days ago
  • $172.36k - $258.55k

     ...and innovation alongside the Alignment Health community. Job Responsibilities Cross‑functional collaboration: Work closely with Risk Adjustment Operations, Finance, DTS, Compliance, and other departments to ensure accurate data for financial risk modeling. Data... 
    Risk

    Alignment Health

    Orange, CA
    2 days ago
  • $91.19k - $155.27k

    Claims Manager, Insurance & Risk Management Build your career while building NYC schools! The New York City School Construction Authority...  ..., Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel. Data Analytics &... 
    Risk
    For contractors
    Work at office

    Wells Media Group

    Diamond Bar, CA
    4 days ago
  • $101.23k - $172.36k

    Overview: BUSINESS CONTROLS LEAD WHAT IS THE OPPORTUNITY? 1LOD operational risk support responsible for ongoing day to day risk activities. The primary responsibility for this role is identifying, assessing, monitoring, and reporting all key risks. Assists operations... 
    Risk
    Full time
    Work at office
    Remote work

    City National Bank

    City of Industry, CA
    more than 2 months ago
  • $199.35k - $246.98k

    Join to apply for the Chief Risk Officer role at Los Angeles Unified School District Base pay range $199,350.00/yr - $246,975.00/yr...  ...insurance company is required. Experience in the investigation and adjustment of workers\' compensation claims and general liability claims... 
    Risk
    Full time

    Los Angeles Unified School District

    Los Angeles, CA
    4 days ago