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- ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeMonday to Friday
- ...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
- 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
- ...Credit Portfolio Risk Management The Credit Portfolio Risk Management in Senior Credit Supervision is responsible for conducting... ...integrity and discretion. Able to remain calm under pressure and adjust methods to fit changing circumstances. Compensation The...RiskWork at office
- . 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
- 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
- ...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
- ...Description Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the... ..., particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
Ultimate Staffing
Los Angeles, CA18 days ago - ...Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Adjuster Workers Compensation **PRIMARY PURPOSE** **:** To analyze mid-... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskContract workWork at officeLocal areaFlexible hours
- Overview: The lead data management consultant in Medicare/ACA/Medicaid risk adjustment will serve as an analytical resource to internal/external customers. This position functions both as a risk adjustment consultant and as a high-level data analyst, utilizing data mining...RiskWork experience placementLocal area
- Governance, Risk, and Compliance Associate - Asset Management Consulting Join to apply for the Governance, Risk, and Compliance Associate... ...regulatory compliance. Monitor regulatory updates and help adjust internal procedures as needed. Investment Compliance and Surveillance...RiskFull timeWork at officeRemote workFlexible hoursShift work
- ...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 hours
- ...Best Workplaces in Financial Services & Insurance Property Field Adjuster Sr. - Greater Los Angeles, CA As an adjuster at Sedgwick, you'll... ...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 hours
- ...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
- ...First Line Of Defense Senior Risk Analyst The First Line Of Defense Senior Risk Analyst will work within the Bank's first line of defense risk management function and will support the execution of the first line of defense risk management program. The Senior Analyst...RiskWork experience placementWork at office
- ...Risk Governance And Strategy Manager We are currently seeking a Risk Governance and Strategy Manager within the 2LOD Risk Department. This role will be responsible for maintaining the Bank's policy and Committee charter framework, coordinating risk reporting, managing...RiskBank staff
- Senior Construction Risk Engineering Consultant 121060 Zurich is currently looking for a Senior Risk Engineering Consultant for the Construction... ...salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorship
- ...overseeing and advancing key financial functions, including financial planning and strategy, data analytics and business intelligence, risk management and compliance, and performance management. This leader will develop, implement, and maintain financial strategies that...RiskFull time
African-American Credit Union Coalition
Sierra Madre, CA2 days ago - ...absolute integrity. East West Bank gives people the confidence to reach further. Overview The Director of Information Technology Risk will be responsible for providing strategic leadership, expert guidance, credible challenge, and effective oversight of Information...RiskFull time
East West Bank
Pasadena, CA3 days ago - ...Second Line Of Defense Operational Risk Manager The Second Line Of Defense Operational Risk Manager will be responsible for credible challenge review, analytics reporting and support in the buildout of the firmwide Risk And Control Self-Assessment (RCSA) program. The...Risk
- ...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 placement
- ...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
- ...consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and... ...metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting...RiskFull timeTemporary workWork experience placementRemote workFlexible hours
- ...First Line Of Defense Risk Manager The First Line Of Defense Risk Manager will work within the Bank's first line of defense risk management function and will be responsible for implementing and managing the first line of defense risk management program. The Manager...Risk
- ...related business area required 6+ years of audit or related risk management experience required Each team member must have knowledge... ...professionally with area management Ability to develop and adjust audit program as appropriate Basic project management skills...RiskFull time
- ...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
- ...Director Of Data Risk The Director Of Data Risk will be responsible for providing strategic leadership, expert guidance, credible challenge, and effective oversight of the Bank's data risk landscape within the Second Line Of Defense (2LOD) Enterprise Risk Management...Risk
- ...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
