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$19.6 per hour
...vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses... ..., ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in...RiskFull timeWork at officeRemote workFlexible hours- ...Overview Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers Compensation Program is self-insured and self-administers the claims and benefits to industrially injured employees of the...RiskPermanent employmentFull timeTemporary workImmediate startRemote work
Contra Costa College
Martinez, CA4 days ago $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$104k - $143k
...Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify...RiskFull timeTemporary workFor contractorsRemote workWork from homeHome office$70k - $84k
...realize our bold vision for healthcare. Auditing Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication...RiskRemote workFlexible hours- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound/outbound process issues, using data from internal and external sources to provide...RiskWork experience placementImmediate start
$24.18 - $33.27 per hour
...Part-Time RCIS Crop Claims Field Adjuster I Zurich is currently looking for a Part-Time Crop Adjuster to join our Rural Community Insurance... ...plans through the United States Department of Agriculture's Risk Management Agency. Together with RCIS agents, we protect America...RiskHourly payTemporary workPart timeWork at officeLocal areaWork from home- Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive models...RiskWork experience placementLocal area
- The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses... ...related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education...RiskWork at office
$34 - $35 per hour
...looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal... ...responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and...RiskHourly payRemote workFlexible hours- ...passion for problem-solving and embrace the thrill of addressing risk head-on at Gallaghers global brokerage team. Join a family of... ...conferences as needed. Actively pursues subrogation opportunities and adjusts reserves based on claim developments. Drafts coverage letters,...RiskFull timeLive outWork at officeLocal areaRemote workFlexible hours
- Overview The Prospective Risk Adjustment Operations team is seeking a Strategy Consultant who supports the development, execution, and optimization of initiatives that drive prospective risk adjustment performance. This role will collaborate across teams to analyze data...Risk
$25 - $35 per hour
...Fortune Best Workplaces in Financial Services & Insurance Auto Claims Adjuster **PRIMARY PURPOSE** **:** To analyze mid- and higher-level... ...candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workWork at officeLocal area$85k - $97k
...specific service standards. This position is ideal for a skilled adjuster seeking a long-term career with an employee-owned company that... ...(for example, those with HR-only, safety, or employer-side risk management experience) will not be considered. Responsibilities...RiskRemote jobWork at office- ...software, electrical and mechanical engineers, coders, product managers, project managers, and... ...project planning, resource allocation, risk management, and client communications to... ...strategies to minimize impact. Adjust project plans as necessary to respond to...RiskFor subcontractorRemote workHome officeFlexible hours
- ...insurance, labor relations, Equal Employment Opportunity (EEO), risk management, and quality control programs and protocols. Ensures... ...close vision, distance vision, depth perception and ability to adjust focus. Work Environment The work environment...RiskContract workFor subcontractorWork at officeRelocation
W. M. Lyles Co.
Oakland, CA2 days ago $114k - $150k
...providing state-of-the-art scientific, technical, and strategic risk management knowledge to an international client base. Your key... ...disabilities. Please reach out to our recruitment team to discuss any adjustments that you might require during the application process....RiskFull timeLocal areaFlexible hoursRamboll US Corporation
San Francisco, CA2 days ago$20 - $30 per hour
...THE DEPARTMENT Our Enterprise Risk Management department is responsible for minimizing loss while respecting people, brand and operations. THE OPPORTUNITY With a special focus on merchandise security, our Risk Associate supports the Store team in delivering an...RiskSeasonal workWork at officeAritzia
Alameda, CA17 hours ago$95k - $105k
...confidentiality related to associate and client information Safety and Risk Management Understands and follows safety and security... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Must be able to lift and/or move up to 50 pounds...RiskHourly payFull timeTemporary workSeasonal workImmediate startAll shiftsShift workAfternoon shift$184k - $268k
Join to apply for the SOX Manager, Business Risk role at Canva . About the Group We are on a mission to provide world‑class financial... ...apply, please tell us the pronouns you use and any reasonable adjustments you may need during the interview process. Please note that...RiskWork at officeLocal areaFlexible hours- ...opportunities. Supervises the daily unit operations, including human resources management, department and employee safety programs, and risk management. Monitors the quality of service and utilization standards and assumes specific responsibility for patient care at the...RiskHourly payPart timeLocal areaRelocation packageShift workNight shiftDay shift
Kaiser
San Francisco, CA3 days ago $144.2k - $265.6k
...through proactive management of the associated business and cyber risks. As a Manager, you'll provide consulting and implementation... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskVisa sponsorship$175k - $205k
...provider designed from the ground up to help businesses tackle cyber risk head on. By combining industry-leading insurance with world-... ...Develop and improve rate indication, including trending and adjusting premiums, losses and expenses, using appropriate statistical model...Risk$125.5k
...ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement... ...If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for...RiskLocal area$165k - $225k
...Sr. Executive General Adjuster (Remote in California) By joining Sedgwick, you'll be part of something truly meaningful. It's what our... ...candidate for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal areaFlexible hours- 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, Experienced will report to the Manager of Risk Adjustment...Risk
- Overview At AIG, we are reimagining the way we help customers to manage risk. Join us as a Financial Lines & Casualty Complex Claims Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team....RiskWork at officeLocal area
- ...data, and taking action; supervising cross-functional activities including workplace and patient safety, labor relations, and quality/risk management issues; maintaining survey readiness activities including mock rounds and mitigating issues to maintain compliance and...RiskPart timeLocal areaRelocation packageShift workNight shift
Kaiser
San Francisco, CAa month ago - ...need to initiate programs, monitor their progress, and introduce adjustments to improve process efficiency. Stakeholder Management:... ...liaison between technical teams and non-technical stakeholders. Risk Management: Identify project risks and develop mitigation strategies...Risk
$61k - $89k
...Senior Claims Adjuster - Crop The purpose of this role is to provide efficient and precise claims services to policyholders and agents... ...business objectives through quality control tasks, audits, and risk assessments. Contribute to a positive work environment by demonstrating...RiskFull timePart timeWork experience placementWork at officeRemote workWork from homeWorldwide
