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$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- ...to Expect (Job Responsibilities): - Conduct research, analysis, and modeling of complex healthcare claims, pharmacy, lab, and Risk Adjustment submissions data - Develop and present reports on Risk Adjustment intervention performance and make data-driven recommendations...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
$78.5k - $163.6k
...Description 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...RiskPart timeUniversity of California - Los Angeles Health
Los Angeles, CA6 days ago- ...documentation does not support continued stay. Assesses readmission risk based on established Hospital criteria. Planning:... ...interdisciplinary team throughout the patient's stay to re-assess and adjust the plan for care progression and transition according to the...RiskFull time
Martin Luther King, Jr. Community Hospital
Huntington Park, CA1 day ago $193k - $242k
...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk$75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday$40.04 - $52.83 per hour
...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly #J-18808-Ljbffr UCLA Outpatient...RiskHourly pay$83k - $88k
...supports enforcement of Environmental Health & Safety policies and risk management on construction projects in Southern California.... ...vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile, and the...RiskPermanent employmentFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startRemote workLong distanceFlexible hoursTurner construction
Los Angeles, CA2 days ago- ...Risk Manager Job Duties: Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...RiskPart time
TradeJobsWorkForce
Los Angeles, CA1 day ago $40.04 - $52.83 per hour
...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly Qualifications Current Certified...RiskHourly payWork experience placementLocal area$150.5k - $225k
...Construction Risk Dispute Resolution Manager At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeContract workPart timeJacobs Solutions
Los Angeles, CA1 day ago- ...proposals for assigned projects. Communicate known project hazards, risk Oversee the management of projects, ensuring they are completed... ...on performance metrics, identifying areas for improvement and adjusting strategies to meet goals. Build a network of industry contacts...RiskFull timeFor contractorsWork at officeLocal area
- ...budgets, forecasts, and cost controls, participating in EAC reviews, risk workshops, and change management, while analyzing variances and... ...to Complete (ETC) amounts as required for PBA (Project Budget Adjustments), change orders, and other financial adjustments. • Manage...RiskContract workWork at office
CMP Services
Los Angeles, CA6 days ago $81.63k - $146.7k
...Property Mid Loss Adjuster The Property Mid Loss Adjuster applies broad knowledge of current company policy, applicable regulatory standards... ..., we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are...RiskPart timeWork at officeLocal areaMercury General
Los Angeles, CA1 day ago- ...HR/Risk Assistant To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining... ...-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentPart timeWork at officeShift workNight shift
Xperience Restaurant Group
Cypress, CA1 day ago $100k - $120k
...the search is no longer active. Keywords: corporate compliance, code of ethics, regulatory compliance, financial crime prevention, SEC regulations, compliance training, risk management, compliance monitoring, investment adviser compliance, conflict of interest...RiskFull timeTemporary workWork experience placementWork at officeFlexible hoursAres Management, LP
Los Angeles, CA1 day 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...RiskContract workFor contractors
- 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
- ..., 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, CA2 days ago $22 - $23 per hour
...Description Job Description Description Job Title: Medical Coder Department: Billing - SoCal About the Role: We are... ...years coding experience You're great for the role if: Have risk adjustment experience Additional experience with specific knowledge of...RiskWork at office- ...strategic partnerships and community collaborations to support innovative, sustainable service models. Ensure Regulatory Compliance and Risk Management: Monitor quality standards and regulatory requirements, ensuring proactive systems are in place for compliance and...Risk
- ...Guarantee all codes, laws, ordinances, policies, procedures, risk management, safety precautions, rules, regulations and emergency... ...operate a motor vehicle in the United States. Remain Flexible and adjust to situations as they occur. Excellent communication and...RiskContract workPart timeFor contractorsWork at officeLocal areaImmediate startFlexible hoursNight shift
ASM Global
Long Beach, CA1 day ago $135k - $190k
...and quality assurance procedures. Minimizes our exposure to risk on project. Provide safety and quality control management.... ...distance vision, peripheral vision, depth perception and ability to adjust focus. Company Benefits Package In addition to offering...RiskContract workPart timeFor subcontractorLocal areaRelocation packageGriffith Company
Brea, CA1 day 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...RiskFull timeWork at office$201k - $241.2k
...deductible and commercial accounts. OSP Program claims, and runoff risk management claims. The position manages two direct reports and... ...work we offer is challenging, diverse, and impactful. Our Adjusters and Managers are empowered to exercise their independent...RiskTemporary workPart timeWork at officeLocal areaArgonaut Management Services, Inc
Los Angeles, CA1 day ago- Overview Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk...Risk
- ...performance and quality Collaborate with a national team and contribute to innovative projects Chance to develop expertise in HEDIS and risk adjustment metrics Responsibilities Design and develop custom health plan reports to support local interventions and track outcomes...RiskRemote jobWork experience placementLocal area
- Overview Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV...Risk
$199.2k - $298.8k
Join Medtronic as a Sr Insurance Director, Risk Management . We anticipate the application window for this opening will close on -... ...policies. Analyzing insurance trends and recommending coverage adjustments. Leading strategic negotiations with brokers and underwriters....RiskTemporary workLocal areaFlexible hours
