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- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
$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- ...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
- ...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
MedPOINT Management
Los Angeles, CAa month ago $50k - $90k
...Implement the directives and objectives of claims management Adjust claims and conduct negotiations on behalf of the Company within... ...diverse team members to underwrite and process claims for the many risks our clients face. Headquartered in the UK, we have offices in...RiskFull timeTemporary workWork at officeGlobal Aerospace, Inc.
Los Angeles, CA8 days 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- ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of... ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA29 days ago - ...energy guest experiences align with THE ONE GROUP’s brand identity Oversee all business operations, including marketing strategies, risk management, and corporate mandates Maintain daily reports and communicate key updates to the General Manager Team Development...RiskHourly payLocal area
STK Topanga
Los Angeles, CA5 days ago $110k - $130k
...implementation of investment ideas, pacing plans, policies, and risk management systems; Providing high quality and forward-looking... ...programmatic joint ventures that will provide superior risk- adjusted investment returns; Developing and implementing asset monitoring...RiskWork at officeRemote work3 days per weekRCLCO
Los Angeles, CA15 days ago- ...all closeout binders ~ Attend and participate in WEO Quarterly Risk Management (QRM) Trainings ~ Participate in WEO networking... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Performing this job requires use of hands to finger, handle...RiskPermanent employmentContract workTemporary workWork at office
W.E. O'Neil Construction
Los Angeles, CA16 days ago - ...deadlines are met without compromising on quality or safety. Risk Management: Identify potential risks or challenges during... .... Facilitate customer walkthroughs and handle any final adjustments or questions. Provide post-installation support, including addressing...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA4 days ago - ...ACD program criteria to determine eligibility and identify high-risk individuals needing enhanced support. Educate families on... ...information to coordinate care effectively. Continuously monitor and adjust CCPs to reflect evolving needs, treatments, and available...RiskFull time
TEEMA
Los Angeles, CA28 days ago $150k - $170k
...solutions to estimating issues, and ensure accurate/successful/timely/efficient estimates that follow company policies/strategies Risk management, contracts, pricing, review work, meet bid deadlines, takeoffs, conceptual/design-build estimates, and closing/award...RiskFor contractorsLocal areaJobot
San Fernando, CAa month ago$25 per hour
...disciplinary action as appropriate. Performs reviews, i.e., monthly safety performance review, in order to ensure compliance with OSHA, Risk Management and other applicable company/federal/state/local requirements and policies. Performs walk-through building inspections...RiskHourly payFull timePart timeTraineeshipLocal areaImmediate startRemote workFlexible hoursWeekend workCompass Group, North America
San Fernando, CA2 days ago$131.36k - $197.04k
...recommendations are addressed. Prepare a periodic Internal Audit Risk assessment and develop an Internal Audit plan a minimum of once... ...position, often standing or sitting for prolonged periods adjust or move objects up to 15 pounds in all directions perform repeat...RiskContract workWork experience placementCurrently hiringWork at officeMonday to FridayShift workDay shiftPartners Federal Credit Union
Burbank, CA7 days ago$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- Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation...RiskWork experience placement
- ...Job Description Job Description Description: The Conflicts Attorney plays a critical role in supporting the firm’s risk management and legal ethics compliance. This position is responsible for conducting high-level conflicts research and analysis to identify and...RiskWork at officeLocal area
KAHANA & FELD LLP
Los Angeles, CA18 days ago - Performance Improvement/Risk Manager POSITION SUMMARY **MUST have an active RN license Under the direction of the Associate Administrator, the Performance Improvement (PI) Manager/Risk Manager is responsible for administrative, technical, and coordinating support...RiskFull timeWork at officeLocal areaImmediate startFlexible hours
- ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Los Angeles, CA11 days ago - Risk Manager POSITION SUMMARY Under the direction of the Performance Improvement Director or Chief Nursing Officer, the Risk Manager is responsible for administrative, technical, and coordinating support to and for working collaboratively with the Performance...RiskFull timeWork at officeImmediate start
$250k
...Job Description Job Description Position Overview: As General Counsel & EVP Risk Management, you’ll be a key member of TCI’s executive leadership team, providing legal and strategic oversight across all divisions. You’ll lead our HR, Safety & Claims departments...RiskContract workTCI Transportation
Los Angeles, CA8 days ago- DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) Metro’s mission is to provide a world-class transportation system that enhances the... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County...RiskContract workFor contractors
$199.35k - $246.98k
Join to apply for the Chief Risk Officer role at Los Angeles Unified School District Base pay range $199,350.00/yr - $246,975.00/yr... ...insurance company is required. Experience in the investigation and adjustment of workers\' compensation claims and general liability claims...RiskFull time$41.83 - $66.81 per hour
...Portfolio Manager I - Business Banking The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of existing...RiskHourly pay$127.05k - $190.53k
Overview DIRECTOR, RISK MANAGEMENT (GENERAL LIABILITY CLAIMS ADMINISTRATION) at Los Angeles Metro. This role directs and manages the... ...departments to administer programs and achieve agency goals. Investigate, adjust, and settle claims in collaboration with affected Division staff...RiskContract workFor contractorsWork at officeLocal area- ...by this job include close vision, color vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics... ...TB, HIV, and other medical conditions. There are additional risks involved with irate and irrational clients who may or may not be...RiskFull timePart timeLocal area
Los Angeles Christian Health Centers
Los Angeles, CA17 days ago $150.5k - $225k
Overview Join to apply for the Construction Risk Dispute Resolution Manager role at Jacobs . Construction Risk Dispute Resolution Manager... ...of their role. If you require further support or reasonable adjustments with regards to the recruitment process, please contact Careers...RiskFull timeContract work- ...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
Los Angeles, CA15 days ago $2,919 per week
...of recent experience (must have occurred within the last two (2) years) in Labor and Delivery is preferred ~ One (1) year of high-risk labor and delivery experience within the last two (2) years preferred ~ High Risk OB experience preferred Epic Travel Staffing...RiskWeekly payPermanent employmentFull timeLocal areaShift workNight shiftEpic Travel Staffing
Panorama City, CA4 hours agonew
