Get new jobs by email
  • $193k - $242k

     ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution...  ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep... 
    Risk

    Datavant

    Los Angeles, CA
    24 days ago
  •  ...Description Summary We are seeking an experienced medical coder with a strong background in Hierarchical Condition Category (...  ...with CMS guidelines. This role will directly support our risk adjustment reporting and ensure coding accuracy for audit readiness. The... 
    Risk
    Temporary work
    Work at office

    Florence Health

    Hacienda Heights, CA
    6 days 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
    2 days ago
  • $75k - $85k

     ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    7 days ago
  • $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... 
    Risk
    Full time

    Astrana Health, Inc.

    Monterey Park, CA
    2 days ago
  •  ...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... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    2 days ago
  •  ...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... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    2 days ago
  • 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... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    4 days ago
  •  ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC... 
    Risk
    Work at office

    PIH Health

    Whittier, CA
    5 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
    10 days ago
  • $78.5k - $163.6k

    Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy... 
    Risk

    UCLA Health

    Los Angeles, CA
    1 day ago
  •  ...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).... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    5 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
    22 hours ago
  • $58.53k - $87.8k

    CMS HCC Coder (Finance) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those...  ...accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to... 
    Risk
    Local area

    Alignment Healthcare USA, LLC in

    Orange, CA
    2 days 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,... 
    Risk
    Hourly pay
    Temporary work
    Work experience placement
    Local area

    Yamaha Motor Corporation, USA

    Cypress, CA
    2 days ago
  • PURPOSE To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining organized...  ...-to-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled... 
    Risk
    Permanent employment
    Work at office
    Shift work
    Night shift

    Xperience Restaurant Group

    Cypress, CA
    6 days ago
  •  ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient...  ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental... 
    Risk
    Full time
    Work at office
    Immediate start
    Relocation
    Monday to Friday
    Flexible hours

    Harbor Community Clinic

    Los Angeles, CA
    13 days ago
  • $120k - $150k

    The Role OpenTable’s Finance team is hiring a Manager, Risk & Controls! This leadership role is responsible for overseeing the design...  ...where everyone feels welcome to be themselves. If you need adjustments during the application or interview process, or on the job, we’... 
    Risk
    Work at office
    Local area
    Flexible hours
    2 days per week

    OpenTable

    Norwalk, CA
    2 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
    7 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... 
    Risk
    Full time
    Contract work
    Immediate start

    Farmers & Merchants Bank

    Lakewood, CA
    4 days ago
  •  ...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... 
    Risk
    Work at office

    The Friedkin Group

    Cypress, CA
    54 minutes agonew
  • $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... 
    Risk
    Remote job
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Local area

    UnitedHealthcare

    Cypress, CA
    3 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
    29 days ago
  •  ...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... 
    Risk
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Relocation package

    American Honda Finance Corp.

    Torrance, CA
    18 days ago
  •  ..., 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... 
    Risk
    Full time

    InterDent Service Corporation

    El Segundo, CA
    23 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... 
    Risk
    Full time
    Work from home
    2 days per week
    3 days per week

    Mosaic Health, LLC.

    Cerritos, CA
    4 days ago
  • $80k

     ...communication and client management skills ~ Ability to assess risk and maximize settlement values. What to expect: Review...  ...plans for each case and negotiate directly with insurance adjusters on behalf of clients for the highest settlements possible. Work... 
    Risk
    Remote work

    Elite Sourcing

    Costa Mesa, CA
    a month 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... 
    Risk
    Full time
    Work from home
    2 days per week

    Mosaic Health

    Cerritos, CA
    4 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
    27 days ago
  •  ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance...  ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,... 
    Risk
    Work at office
    Home office

    Activities, Recreation, and Care

    Los Angeles, CA
    a month ago