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$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$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$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$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...RiskFull timeWork experience placement- ...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
$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, CA14 hours 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...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
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$130k - $145k
...compensation and benefits programs. Analyze market trends and recommend adjustments as needed. ~ Keep current with workers' compensation, FMLA, ADA... ...ensuring the organization's compliance. Develop and implement risk management strategies to mitigate legal issues. # Diversity...RiskFull timeLocal areaEleven Recruiting
Montebello, CA4 days ago$26.75 - $40.5 per hour
...division. Learn more about the career areas and business divisions at wellsfargojobs.com. In this role you will: Lead and supervise risk and the operations of teller functions to deliver exceptional customer service and colleague experience, and ensure timely...RiskWork experience placementWork at officeWells Fargo
Rosemead, CA2 days ago$37.5 - $67.31 per hour
...and help customers succeed financially Resolve low to moderately complex issues regarding the customer and employee experience, risk, and growth of the team and the business to meet Branch Network business objectives Identify opportunities for making banking easier...RiskTraineeshipWork experience placementInterim roleWork at officeImmediate startRelocation packageWells Fargo
Alhambra, CA15 hours ago$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...RiskLocal areaUCLA Health
Inglewood, CA2 days ago$200k - $300k
...inventions and advise on patent filing opportunities. Freedom to Operate (FTO): Research and assess third-party patents, conduct risk assessments, and advise business stakeholders on non-infringement strategies. Litigation & Dispute Resolution: Support...RiskConfidential
Montebello, 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$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, CA4 hours agonew$120k - $210k
...people the confidence to reach further. Responsibilities The role is responsible for overseeing and participating in the governance, risk management and compliance of technology-driven processes within the organization. Assist and monitor 1st line management in...RiskWork experience placementUnavailable
San Marino, CA2 days ago- ...Risk Analyst (WC) The Risk Analyst (WC) investigates basic to moderate level of Worker's Compensation claims. This position works... ...after claims have occurred. Communicates regularly with claim adjusters, outside defense counsel, and insurance broker. Collects pertinent...RiskPermanent employmentFull timeLocal area
$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, CA14 hours 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$145k - $165k
...Great opportunity within the Southeastern Los Angeles area, around Commerce, CA, for a Nurse Practitioner to focus on geriatric, high-risk patients for a private group. ~ Board Certified Nurse Practitioner (NP) ~2+ yrs exp as NP required - Primary Care, Family Med,...RiskGO Staffing
Commerce, CA3 days ago- ...skills, talent, and industry-leading software, which has been produced in-house by the company development department. Strict, Prudent Risk Management. You can have guts, but not glory, if you dont back your trading moves with proper management practices. Thats why we...RiskFull time
AudaCity Capital Management
San Marino, CA14 hours 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, CA14 hours ago$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, CA19 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
$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, CA17 hours ago$133.12k - $149.76k
...scopes, deliverables, KPIs, and stakeholder alignment strategies. Develop and manage detailed project plans, schedules, budgets, risk registers, and resource plans. Oversee contractors, consultants, and multi-disciplinary teams to ensure QA/QC standards, safety compliance...RiskContract workFor contractorsWork at officeWork from homePMA Consultants
Alhambra, CA14 hours ago
