Get new jobs by email
- 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
$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$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$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...RiskFull time- ...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...RiskWork at office
- ...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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours
$63.59k - $121.53k
...impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework,... ...assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskHourly payFull timeH1bLocal areaImmediate startRelocationAfternoon shiftUSAA
Los Angeles, CA4 hours agonew- ...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
- ..., 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, CA19 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...RiskWork experience placement
$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...RiskContract workLos Angeles, CAmore than 2 months ago- ...meetings, mitigation of denials, have a strong understanding of the preauthorization process, the revenue cycle, reducing financial risk, be able to liaise with providers/staff, and work with payers while having regulatory awareness. About the Role The UM Denials...RiskImmediate start
Imperial Health Plan of California, Inc.
Pasadena, CA23 days ago - ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and... ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director....RiskContract workTemporary workMonday to FridayShift workWeekend work
- ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for...RiskZero hours contractShift workNight shift
Magnet Medical
West Hollywood, CA21 days ago - ...Control Manager for U.S. Mortgage Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass... ...strategies, initiatives, organizational planning, and business model adjustments. Act as the business teams’ liaison for business line risk...RiskWork at office
$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...RiskFull timeTemporary workWork at office$140k - $220k
...Conduct depositions and appear at mandatory settlement conferences, hearings and trials Strategize with claims adjusters, in-house counsel and risk managers to advance favorable outcomes Negotiate resolutions and draft settlement agreements that protect client...RiskLocal areaJobot
El Segundo, CA25 days ago$199.35k - $246.98k
...each year. DESIRED QUALIFICATIONS The ideal candidate for Chief Risk Officer is a dynamic, results-driven leader with a proven track... ...company is required. Experience in the investigation and adjustment of workers' compensation claims and general liability claims in...Risk- DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) Metro’s mission is to provide a world-class transportation system that enhances the... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County...RiskContract workFor contractors
- ...Drive infrastructure strategy, manage vendor relationships, and oversee governance processes—focusing on continuous improvement, risk mitigation, and alignment with business and regulatory priorities. Experience managing infrastructure from a service delivery,...RiskRelocation
Living Talent
Los Angeles, CA6 days ago $150.5k - $225k
Construction Risk Dispute Resolution Manager At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical... ...even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeContract work- ...in the Facility Management Maintenance Manual. Safety and Risk Management Partner with leadership team to ensure community... ...Maintain the plumbing system which includes monitoring and adjusting the resident accessible domestic hot water system to ensure code...RiskFor contractorsWork at officeLocal areaFlexible hoursShift workWeekend workAfternoon shift
- Overview DIRECTOR, RISK MANAGEMENT (GENERAL LIABILITY CLAIMS ADMINISTRATION) at Los Angeles Metro. This role directs and manages the... ...departments to administer programs and achieve agency goals. Investigate, adjust, and settle claims in collaboration with affected Division staff...RiskContract workFor contractorsWork at officeLocal area
- ...OPERATIONAL RISK FRAUD OVERSIGHT MANAGER II WHAT IS THE OPPORTUNITY? Operational Risk Management (ORM) is responsible for providing independent and objective oversight of the management of risks arising from City National Bank's business processes, people, systems...RiskRemote work
City National Bank
Los Angeles, CA1 day ago $50 per hour
...Business Banking WHAT IS THE OPPORTUNITY? The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of...RiskHourly payFull timeRemote work$129.77k - $165.27k
About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we serve. In this role, you’ll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per week$100k - $140k
...available at the Bank. This person must possess fraud monitoring and risk management expertise to identify points of exposure and... ...and trends of fraudulent activity. Forecast staffing needs and adjust fraud strategies based on feedback and data analysis. Define and...RiskFull timeWork at office- ...Passionate Patient Safety Program Manager! This role is critical in promoting a culture of safety, identifying and mitigating potential risks, and ensuring compliance with regulatory requirements. About the Role The Patient Safety Program Manager will work...RiskPart time
Dignity Health
Los Angeles, CA7 days ago $120k - $170k
...performance management . Maintain and track baseline schedules ; ensure adherence to project milestones and critical path. Identify risks, develop mitigation strategies, and maintain control of project scope and change management. Provide leadership and mentorship to...RiskFull timeContract workFor contractorsRelocation packageLos Angeles, CA18 days ago
