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$75k - $85k
Overview Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) at Astrana Health Location: 1600 Corporate Center Dr., Monterey Park,... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeRemote workHome 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...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
- ...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
$79.04k - $126.88k
...ERM Data Analyst assists in the execution of F&M’s Enterprise Risk Management (ERM) data management goals. This role emphasizes data... ...calibration of Verafin FRAML models by recommending parameters adjustments backed by statistical evidence. Document tuning rationale and...RiskFull timeContract workImmediate start$120k - $160k
...standardized work plans and methods are adhered to, safety and risk management policies are followed, daily and weekly schedule and... ...salary ranges are made in good faith. CSI reserves the right to adjust ranges depending on the selected candidate's qualifications. Amazing...RiskWeekly payTemporary workImmediate start- .... This role requires strong leadership, strategic planning, and risk management skills. Essential Functions: Plans, organizes and manages... ...vision, peripheral vision, depth perception, and the ability to adjust focus. If you are an experienced Project Manager with a strong...RiskContract work
- ...and monitoring submitted codes on claim/encounters for Medicare Risk Adjustment. How will you make an impact & Requirements Location:... ...setting or large group practice. Current Certified Professional Coder certification (CPC, CPC-H, CCS, or CCS-P) required. Additional...RiskFull timeWork from home2 days per week3 days per week
$90.16k - $112.7k
...and monitor submitted codes on claims/encounters for Medicare Risk Adjustment. Location & Work Arrangement Location: Must reside in Los Angeles... ...large group practice setting. Current Certified Professional Coder (CPC, CPC-H, CCS, or CCS-P) certification required. Experience...RiskFull timeWork from home2 days per week$100k - $120k
...General Manager to perform all-purpose duties, which may include, but is not limited to the overall operation of their center, including risk management, teammate development, client metrics, production, and administration. This individual will also recruit, recognize, and...RiskWeekly payFull timeLocal areaImmediate startCaliber Collision
Cerritos, CA3 days ago- Overview 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...RiskContract workLocal areaImmediate start
$90.16k - $112.7k
...and monitoring submitted codes on claim/encounters for Medicare Risk Adjustment. How will you make an impact & Requirements Location:... ...large group practice setting. Current Certified Professional Coder certification (CPC, CPC-H, CCS, or CCS-P) required. Additional...RiskFull timeWork from home2 days per week3 days per week$103.5k - $133.9k
...Provide technical support for cost control (specifically with the risk and opportunity log). Assist with specific sections of the... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA3 days ago$90k - $130k
...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities...RiskFull timeFor contractorsWork at officeLocal areaPacific Industrial Electric
Brea, CA4 days ago$95k - $120k
...proactively Ability to build strong effective networks Knowledge of risk management with the ability to identify activities Proficient... ...starting salary range for the position. The Company may adjust this range in light of prevailing market conditions and other factors...RiskWork experience placementLocal area- ...Friday. Job Summary This position works very closely with the Risk Manager & the VP of HR. This position supports Risk Management... .... Be a liaison between injured employees and insurance adjusters, to ensure employees are taken care of. -High level of confidentiality...RiskMonday to Friday
Barker Management Inc
Anaheim, CA14 days ago - ...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...Risk
- ...Management systems and platforms. Maintains strong knowledge of risk management and regulatory compliance. Reinforces the... ...strategies in alignment with departmental and Bank goals, recommending adjustments as needed. Cross selling other Bank products and services, referring...RiskBank staffWork at officeLocal areaHome officeLong distanceNight shift
- ...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, CA13 days ago - Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity...RiskRemote jobWork at office
$83k - $87k
...track record of hiring, developing and retaining high performing teams ~ An HVAC, EPA and/or NAPE certification ~ Knowledge of risk management, OSHA and MSDS ~ Advanced level of skill in HVAC, plumbing, electrical and appliance repair ~ Basic carpentry, drywall...RiskFull timeContract workPart timeWork at officeRelocation packageBozzuto
Norwalk, CA1 hour agonew- ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care...RiskFlexible hours
Transtreme
Long Beach, CA25 days ago $82.98k
...largest NICU’s, and an OB and anesthesia staff comprised of full physicians, Downey delivers exemplary service to its diverse, high-risk-profile patient population. Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants...RiskFull timePart timeLocal areaRelocation packageKaiser Permanente – Southern California Permanente Medical G...
Downey, CA1 hour agonew$55.14k
...largest NICU’s, and an OB and anesthesia staff comprised of full physicians, Downey delivers exemplary service to its diverse, high-risk-profile patient population. Equal Employment Opportunity External hires must pass a background check/drug screen. Qualified applicants...RiskFull timePart timeLocal areaRelocation packageKaiser Permanente – Southern California Permanente Medical G...
Downey, CA1 hour agonew$86k - $172k
Yamaha has an excellent opportunity for a Risk Manager II to join our Financial Services team in Cypress, CA . The Risk Manager II... ...risk initiatives like scorecard development, strategy design and adjustments. Perform quantitative analysis and monitor company's credit,...RiskHourly payTemporary workWork experience placementLocal area- PURPOSE To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining organized... ...-to-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentWork at officeShift workNight shift
- ...care outcomes. - Ensure safe handling and disposal of hazardous drugs in accordance with USP . - Identify and mitigate safety risks for patients, staff, and the public. Communication & Reporting - Serve as the primary liaison with regulatory agencies, auditors...Risk
MPG
Artesia, CA3 days ago $75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week
