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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, CA4 days 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...RiskWork at officeMonday to Friday$76.2k - $158.8k
...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...RiskUCLA
Los Angeles, CA4 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$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 work- ...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, 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 payFull timeH1bLocal areaRelocationAfternoon shiftUSAA
Los Angeles, CA18 hours 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, CA1 day 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$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$140k - $180k
...case strategy and client deliverables. Participate in client meetings and communicate with clients regarding case status, legal risk, and compliance best practices. Stay current on evolving case law and regulatory developments in California and federal labor/employment...RiskWork at office2 days per weekCareer Consulting Partners
Los Angeles, CA20 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, CA1 day ago$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, CA5 days 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
- ..., 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, CA1 day 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, CA1 day 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
Compton, CA5 days ago$133.14k - $247.26k
...our Burbank office.* The Job The Manager Cyber Security Risk will focus efforts on managing and reporting on cyber risks globally... ...youre a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal areaWarner Media, LLC
Burbank, CA12 hours ago$127.05k - $190.53k
...Job Type: Regular Employee Job Number: 2400969 Cabinet: RISK, CORPORATE SAFETY AND ASSET MANAGEMENT Cost Center: 5310 -... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County Counsel...RiskFull timeContract workTemporary workFor contractorsWork experience placementWork at officeLocal areaMonday to FridayLos Angeles Metro
Los Angeles, CA1 day ago- ...challenging situations. You are a relationship-builder and strategic partner, collaborating with sales, insurance brokers, adjusters, and risk management teams to support client satisfaction and business growth. Your leadership fosters team development, performance,...RiskFull timeFor subcontractorLocal area
FIRST ONSITE, LLC
Fullerton, CA4 days ago $95k - $140.6k
...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum... ...balancing several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shiftVast
Long Beach, CA1 day ago$89.9k - $160.6k
...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...~ Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding ~ Experience in interpreting...RiskMinimum wageFull timeContract workWork experience placementLocal areaRemote workUnitedHealth Group
Cypress, CA4 days ago- Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality...RiskContract workLocal areaImmediate start
$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
