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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$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
$103.5k - $127.4k
...Liability Claims Adjuster The Liability Claims Adjuster plays a critical role in our risk management process by conducting thorough investigations of all third-party claims while providing an exceptional customer service experience. This role will be tasked with gathering...RiskFull timeLocal area- ...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
$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, CA2 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,...RiskHourly payTemporary workWork experience placementLocal area- 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...RiskPermanent employmentWork at officeShift workNight shift
$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$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, CA46 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...RiskRemote jobMinimum wageFull timeContract workWork experience placementLocal area- ...cost-effectiveness, quality, and on-time delivery. 10% Sourcing Risk Management : Proactively identify, assess, and mitigate... ...distance 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
The People Brand
Irvine, CA16 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...RiskFull time
InterDent Service Corporation
El Segundo, CA24 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...RiskFull timeFor contractorsWork at officeLocal areaPacific Industrial Electric
Brea, CA5 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
$144k - $170k
...Strong knowledge of drug interactions, side effects, and dosing adjustments specific to cancer patients. Ability to interpret and apply... ...detail and accuracy in preparing, verifying, and dispensing high-risk medications. Effective communication and collaboration...RiskWork at officeRemote workThe Oncology Institute of Hope and Innovation
Cerritos, CA14 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- ...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...RiskWork at officeLocal area
KAHANA & FELD LLP
Irvine, CA18 days ago - ...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 $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, CA15 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, CA2 days ago $24 - $25 per hour
...service with updates regarding collection issues, processed account adjustments, and resolved account discrepancies. Processes customer... ...Maintains records of all delinquent accounts, bankruptcies, and credit risks. Prepares and files collections paperwork on approved...RiskContract workTAD PGS, Inc
Los Alamitos, CA16 days ago- ...Finance and support the department through a range of functions, including GAAP accounting, financial reporting, audit coordination, risk management, and regulatory compliance. Key Responsibilities Manage all accounting operations, including maintenance of the...RiskWork at office
Hoxton Circle
El Segundo, CA10 days 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, CA3 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...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Irvine, CA11 days ago $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$30 - $37 per hour
...priority. Contribute. General Manager to manage a profitable store by tracking sales and overseeing the day to day operations and risk management. Help the store with tasks, ideas and support store growth operationally. Be Creative. Visual merchandising and...RiskHourly payTemporary workLocal areaThe Coffee Bean and Tea Leaf
Santa Ana, CA25 days ago
