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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... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    1 day 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
    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
  • $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... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    3 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
    3 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
    7 days ago
  •  ...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
    4 days ago
  • $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,... 
    Risk
    Hourly pay
    Full time
    H1b
    Local area
    Immediate start
    Relocation
    Afternoon shift

    USAA

    Los Angeles, CA
    4 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

    MedPOINT Management

    Los Angeles, CA
    26 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
    19 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... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    4 days ago
  • $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... 
    Risk
    Contract work
    Los Angeles, CA
    more 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... 
    Risk
    Immediate start

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    23 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.... 
    Risk
    Contract work
    Temporary work
    Monday to Friday
    Shift work
    Weekend work

    A.P.R., Inc. (AlphaProTemps)

    Inglewood, CA
    3 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Shift work
    Night shift

    Magnet Medical

    West Hollywood, CA
    21 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... 
    Risk
    Work at office

    City National Bank

    Los Angeles, CA
    2 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    3 days ago
  • $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... 
    Risk
    Local area

    Jobot

    El Segundo, CA
    25 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

    ISACA

    Los Angeles, CA
    4 days ago
  • 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... 
    Risk
    Contract work
    For contractors

    Los Angeles Metro

    Los Angeles, CA
    1 day ago
  •  ...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,... 
    Risk
    Relocation

    Living Talent

    Los Angeles, CA
    6 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... 
    Risk
    Full time
    Contract work

    Jacobs Solutions

    Los Angeles, CA
    5 days ago
  •  ...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... 
    Risk
    For contractors
    Work at office
    Local area
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Sunrise Senior Living

    Beverly Hills, CA
    4 days ago
  • 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... 
    Risk
    Contract work
    For contractors
    Work at office
    Local area

    Los Angeles Metro

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Risk
    Remote work

    City National Bank

    Los Angeles, CA
    1 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... 
    Risk
    Hourly pay
    Full time
    Remote work

    City National Bank

    Los Angeles, CA
    5 days ago
  • $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... 
    Risk
    Work at office
    Monday to Friday
    2 days per week

    Myplacehealth

    Los Angeles, CA
    4 days ago
  • $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... 
    Risk
    Full time
    Work at office

    Wayoh

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Risk
    Part time

    Dignity Health

    Los Angeles, CA
    7 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... 
    Risk
    Full time
    Contract work
    For contractors
    Relocation package
    Los Angeles, CA
    18 days ago