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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... 
    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
  • $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... 
    Risk
    Full time
    Work experience placement

    PMA Companies

    Long Beach, CA
    4 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
    4 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
    4 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
    1 day ago
  • $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... 
    Risk
    Full time
    Local area

    Irvine

    Newport Coast, CA
    2 days 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
    2 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
  • $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
    4 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
    3 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
    1 day ago
  • $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... 
    Risk
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Work from home
    Visa sponsorship

    Zurich Insurance Company Ltd.

    Anaheim, CA
    46 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
    5 days ago
  •  ...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... 
    Risk
    Work experience placement
    Work at office
    Local area
    Shift work

    The People Brand

    Irvine, CA
    16 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
    24 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
  •  ...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
    1 day ago
  • $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... 
    Risk
    Work at office
    Remote work

    The Oncology Institute of Hope and Innovation

    Cerritos, CA
    14 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... 
    Risk
    Full time
    Work from home
    2 days per week

    Mosaic Health

    Cerritos, CA
    1 day 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

    Irvine, CA
    18 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... 
    Risk
    Remote work

    Totex Manufacturing Inc

    Torrance, CA
    a 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... 
    Risk
    Full time
    Worldwide
    Flexible hours

    PIMCO

    Newport Beach, CA
    15 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... 
    Risk
    Work experience placement
    Work at office
    Local area
    Shift work

    Boot Barn

    Irvine, CA
    2 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... 
    Risk
    Contract work

    TAD PGS, Inc

    Los Alamitos, CA
    16 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... 
    Risk
    Work at office

    Hoxton Circle

    El Segundo, CA
    10 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... 
    Risk
    Weekly pay
    Full time
    Local area
    Immediate start

    Caliber Collision

    Cerritos, CA
    3 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

    Irvine, CA
    11 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... 
    Risk
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Local area

    Optum

    Cypress, CA
    2 days ago
  • $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... 
    Risk
    Hourly pay
    Temporary work
    Local area

    The Coffee Bean and Tea Leaf

    Santa Ana, CA
    25 days ago