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- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve...Risk
- 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 through...Risk
- ...Enterprise Risk Adjustment Analyst III Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated...Risk
- . Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: ~ Flexible, full time schedule ~ Stable and ongoing consulting...RiskRemote jobFull timeOngoing contractFlexible hoursSundayMonday to Friday
- ...As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: +...RiskWork at office3 days per week
- ...and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting...RiskTemporary workWork experience placementWork at officeLocal areaRemote work2 days per week1 day per weekMonday to Friday
- Join to apply for the Regional Professional Services Coder I role at Kaiser Permanente Join to apply for the Regional Professional... ...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles, CA $92,600.00-$202,200.00 2 weeks ago...RiskFull timeWork experience placementWork at officeLocal areaRemote work
- ...Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the extent... ...regulations, particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
Ultimate Staffing
Los Angeles, CA1 day ago - ...AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. 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 monitoring...RiskHourly payFull timeCasual workWork at officeRelocation packageFlexible hours
- ...overseeing the development of actuarial models, pricing strategies, and risk management, with a focus on the financial health of the company... ...data analytics tools. Experience with value-based care, risk adjustment, and population health management models is essential. The role...RiskTemporary work
- ...Strategic Risk Manager and Risk Initiatives Join to apply for the Strategic Risk Manager and Risk Initiatives role at First Horizon... ...skills, ability to multi-task and manage workflow, prioritize, adjust to changes, and follow-up. Must possess analytical, problem solving...RiskFull timeWork at office
First Horizon Bank
Los Angeles, CA4 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
- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Burbank, CA29 days ago - ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Burbank, CA27 days ago - ...Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation... ...that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary. Assesses and...RiskContract workSaturdayAfternoon shift
Blue Shield of California
Toluca Lake, CA3 days ago - ...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: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...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: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...capabilities of WB Games operations . + Lead the identification of key risk indictors (KRI's) for WB Games operations, driving the... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal area
- ...providing financial advice with a focus on client experience and risk management. **Job Responsibilities** + Acquire, manage, and... ...Regularly review processes and strategies with manager, making adjustments as needed + Identify and pursue potential new business clients,...RiskWork experience placement
- ...value by providing the board and management with independent, risk-based, value add, objective assurance, advice, insight, and foresight... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workLocal area
- ...our customers with solutions addressing traditional and evolving risks - above and beyond insurance. ZRS has been created to address a... ...represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship
- ...stakeholders. + Maintain clear communication with Specialty & General Contractors regarding installation, testing, and adjustments. Technical & Risk Management + Uphold technical principles to ensure quality and successful project deliverables. + Advise Attraction leadership...RiskFull timeContract workFor contractorsFor subcontractorLocal area
- ...radiators, etc. Rewire electrical systems Replace, realign and adjust brakes and suspension components Diagnose and repair... ...training, and specialized skills. Constellis provides end-to-end risk management and comprehensive security solutions to safeguard people...RiskTemporary workLocal areaWorldwideFlexible hoursWeekend workMonday to Friday
Centerra Group
Los Angeles, CA4 days ago - ...all departments to guide project planning, resource allocation, risk management, and change adoption. You'll serve as a trusted advisor... ...leads to shape and refine their annual plans, helping them adjust as business needs evolve. Keep teams focused on what matters...RiskTemporary workFor contractorsLocal areaRemote workHome officeFlexible hoursMonday to Friday
- ...in cybersecurity, capable of aligning security strategies with risk management objectives, driving workflow best practices, and implementing... ...and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be below any...RiskMinimum wageFull timePart timeWork at officeLocal area
- ...value by providing the board and management with independent, risk-based, value add, objective assurance, advice, insight, and foresight... ...you're a qualified candidate with a disability and you require adjustments or accommodations during the job application and/or recruitment...RiskTemporary workWork at officeLocal areaShift work3 days per week
- ...Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the... ...data through Summary Reports. Provide education and training for coders and other healthcare professionals in both one on one and group...RiskWork at officeRemote workShift work
- ...Workplaces in Financial Services & Insurance General Executive Adjuster (Remote in California with travel) **PRIMARY PURPOSE** : To investigate... ...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 work
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...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 work
- ...Most Loved Workplace® Forbes Best-in-State Employer Property Desk Adjuster - California License Required! **PRIMARY PURPOSE** : To handle... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal area
