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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...RiskWork experience placementFlexible hours
$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...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...RiskWork experience placementRemote work- ...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
$98.3k - $185.1k
...Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with extensive experience in power... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Anaheim, CA21 hours ago$23 - $28 per hour
...Health Department) Assist service delivery staff in completing/adjusting documentation Organize and prepare records/files for visits and... ...(Restricted Party Screening) Corporate Compliance Coordinator, Risk Management, Full time, Days Client Development Lead, Validation...RiskHourly payFull timeContract workTemporary workWork at officeFlexible hours- ...(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...RiskContract workFor contractorsFlexible hours
SwiftX Inc.
Ontario, CA5 days ago - ...Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management and... ...to the Project Manager. Meet with Contractors as needed to adjust and correct performance issues. Review and provide feedback...RiskFor contractorsWork at officeLocal areaRemote work
PM2CM
Pomona, CA3 days ago $7,497 - $9,584 per month
...automation system, which adds a layer of complexity in monitoring and adjusting system performance. Balancing preventive maintenance, emergency... ...Policy. Driving records are monitored and evaluated by the Risk Management Department. The Risk Management Department evaluates...RiskFull timeFor contractorsApprenticeshipMonday to Friday$56.24k - $101.22k
...Internal Audit function, providing independent assurance, coordinating external audits, conducting investigations, and advising on risk management and compliance. Together, these functions promote efficiency, transparency, and integrity in support of the University’s...RiskFull timeFor contractorsWork at officeMonday to Friday- 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...RiskWork experience placement
$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 &...RiskFor contractorsWork at office- ...will also support the organization in navigating extra-contractual exposure, including bad faith allegations and complex litigation risks. This is a strategic position that blends legal expertise with claims operations, requiring sound judgment, strong analytical skills...RiskWork experience placement
Aspire General Insurance Company
Rancho Cucamonga, CA6 days ago - ...Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management... .... Monitor performance and recommend schedule changes, cost adjustments or resource additions including determining how changes will...RiskFor contractorsWork at officeRemote workRelocation
PM2CM
Pomona, CAa month ago - ...of contracts at a given time work diligently in a fast paced environment. This role is critical for ensuring compliance, mitigating risk, and driving client satisfaction and business outcomes. This is part of a new growing team and has the potential for long term growth...RiskContract work
Matlen Silver
San Dimas, CA8 days ago - .... Key Responsibilities Lead contract negotiations across multiple business lines, ensuring alignment with corporate standards and risk guardrails. Review, draft, and interpret complex contractual language, identifying risks, obligations, and opportunities. Collaborate...RiskContract workLocal area
$175k - $249k
...business needs and ensure contractual terms support organizational goals. Provide legal advice regarding contract interpretation, risk allocation, indemnification, insurance, warranties, and data security. Support the development and maintenance of contract...RiskContract workLocal areaJobot
Ontario, CA24 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$76.21k - $117.66k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $76,... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for...RiskMinimum wageFull timeLocal areaRemote workFlexible hoursNight shiftCorVel Healthcare Corporation
Rancho Cucamonga, CA9 days ago$23.75 - $25 per hour
...this job include close vision, distance vision, and the ability to adjust focus. The physical demands described here are representative of... ...can perform the essential functions of the job without imposing risk of substantial harm to the health or safety of themselves or...RiskFull timeCasual workRemote workWeekend workDay shiftAfternoon shiftHarvey Mudd College
Claremont, CA2 days ago- ...administration and investment accounting? Join a dynamic team in Claremont, where you’ll work closely with finance, administration, and risk management teams, as well as third-party administrators and brokers, to ensure accurate and timeous fund reporting. In this small...RiskTraineeship
- ...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 timeWork at officeLocal area
$95k - $105k
...emotional support. Provide patient education regarding medications, risks, benefits, and reasonable outcome expectations. Communicates... ...of the organization or business unit. This department has an adjusted holiday schedule in which certain holidays are worked due to...RiskFull timeLocal areaMonday to FridayAfternoon shiftThe Claremont Colleges Services (TCCS)
Claremont, CA2 days ago$1,752 per week
...or healthcare team. Provide pain management interventions and adjust care based on patient response and comfort level. Telemetry... ...necessary. Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskFor contractorsZero hours contractImmediate startShift work$138.04k - $230.09k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range : $138,0... ...found on our CorVel website : CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up...RiskMinimum wageFull timeWork at officeLocal areaFlexible hours- ...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...RiskLocal area
- ...responsible providing input to work estimates Understanding of risk management and able to manage risk within the capability... ...every step of the way, so if you require any accommodations or adjustments, we encourage you to reach out. We understand that everyone’s...RiskLive in
$110k - $115k
...The Baldwin Group is an award‑winning, entrepreneur‑led insurance brokerage firm delivering expertly crafted Commercial Insurance, Risk Management, Employee Benefits, and other services. The company is known for a highly differentiated culture that clients view as an...RiskFull timeContract workWork at officeLocal area- ...Personal Home and Commercial Multi-Peril (CMP) underwriting operations at DB Insurance. In this key leadership role, you’ll manage risk evaluation, pricing, and approval for a wide range of residential risks—including HOAs, condominiums, and homeowners. Collaborating...RiskFull timeCasual workWork at officeMonday to Friday
DB Insurance Co., Ltd.
Anaheim, CA23 days ago $97.5k - $117k
...and quality to define project plans, track milestones, and manage risks. Duties and Responsibilities Lead project planning for mid-... ...collaboratively Develop comprehensive project documentation; proactively adjust schedules as needed Lead risk identification efforts; execute...Risk
