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$75k - $85k
...Risk Adjustment Coding Specialist II (SGV or IE, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location... ...through informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeHome officeMonday to FridayAstrana Health, Inc.
Monterey Park, CA3 days ago- 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$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...RiskWork experience placementRemote workPMA Companies
Pasadena, CA3 days ago$78.5k - $163.6k
...Overview 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...RiskUniversity of California
Los Angeles, CA3 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...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- ...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
- ...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
- ...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
$47.6 - $62.78 per hour
...Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director.... ...may include computer operation using (Excel, Word, MS Office, 3M Coder), data entry and retrieval Note, may on occasion travel to our...RiskHourly payLocal areaUniversity of California
Inglewood, CA3 days ago$184k - $246k
...responsibilities, offering even greater scope to shape Canva's risk and control landscape. What you'll do: As Canva scales,... ...apply, please tell us the pronouns you use and any reasonable adjustments you may need during the interview process. Please note that interviews...RiskWork at officeLocal areaFlexible hoursCanva
Los Angeles, CA2 days ago$150.5k - $225k
...Overview Join to apply for the Construction Risk Dispute Resolution Manager role at Jacobs . Construction Risk Dispute Resolution... ...of their role. If you require further support or reasonable adjustments with regards to the recruitment process, please contact Careers...RiskFull timeContract workJacobs , LLP
Los Angeles, CA5 days ago$165k - $225k
...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hoursSedgwick
Long Beach, CA5 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours$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, CA3 days ago- ...staff mix, hire, train, and develop staff. Develop and monitor departmental policies and procedures. Resolve human resource and risk management issues. Promote a culture of safety, ensuring adherence to standards and guidelines. Basic Qualifications...RiskImmediate startRelocation packageShift work
Career Match Pro
South Gate, CA7 hours ago $129.77k - $165.27k
...Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. 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...RiskWork at officeLocal areaRemote workMonday to Friday2 days per week- ...integrates project activities; manages, leads or administers project resources; monitors project activities and resources to mitigate risk; implements or maintains quality assurance processes; makes improvements, solves problems or takes corrective action when problems...Risk
Nexlogica
Downey, CA5 days ago $22.12 per hour
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskHourly payFull timeTemporary workApprenticeshipWork experience placementSummer workWork at officeLocal areaRemote workVisa sponsorship2 days per week3 days per weekZurich Insurance Company Ltd.
Los Angeles, CA8 days ago$129.77k - $165.27k
...About This Role As a Risk Adjustment Data Scientist at myPlace Health, youll do more than work with numbersyoull help shape how we care for the communities we serve. In this role, youll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per weekMyplacehealth
Los Angeles, CA7 hours 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
$234.36k
...finance, legal, and business units to ensure tax efficiency and risk mitigation. Your Role Accountabilities Strategy &... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workLocal areaWorldwideWarner Bros.
Burbank, CA4 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,...RiskHourly payH1bLocal areaRelocationAfternoon shiftUSAA
Los Angeles, CA5 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, CA5 days ago $121.19k - $162.42k
...The City of South Pasadena is seeking a seasoned and innovative Risk Manager to lead the City's comprehensive risk management,... ...impacting risk management, ensuring timely policy and program adjustments. • Oversee the City's workplace safety program, coordinating...RiskFull timeFor contractorsWork at officeLocal areaImmediate startCity of South Pasadena, CA
South Pasadena, CA7 hours ago$28 - $38 per hour
...as well as to ensure proper submissions to agencies Complete periodic audits on projects to verify compliance Participate in risk assessment on the Compliance Programs and communicate to project teams Monitor and stay up to date of labor and compliance laws and...RiskHourly payFor contractorsFor subcontractorLocal areaJLM Strategic Talent Partners
South Gate, CA3 days ago- ...Attend conferences and training to maintain proficiency Perform risk management to minimize project risks Manage relationships... ...performance to analyze goal achievement Meet budget objectives and adjust project constraints as needed Manage scope, schedule, and...RiskFull timeWork experience placementWork at officeRemote workWork from home
The YKMD
Los Angeles, CA5 days ago
