Get new jobs by email
- ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging...RiskFull timePart timeLocal areaFlexible hours
Encompass Health
Concord, CA3 days ago - 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 County...RiskPermanent employmentFull timeTemporary workImmediate startRemote work
$166.1k - $214.94k
...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...RiskRemote jobFull timeWork experience placementWork at officeShift workKaiser Permanente
Oakland, CAmore than 2 months ago$140k - $180k
...responsibilities be responsible for financial results, overseeing cost and risk management attract, recruit, develop and retain skilled talent... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskFlexible hours- ...listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions,... ...for the degree requirement. Certified Professional Coder from American Academy of Professional Coders OR Certified Coding...RiskWork experience placementRemote work
- ...Supports the estimating team, advises on technical and commercial aspects of contracts, and actively participates in bid reviews and risk analysis sessions. Through market knowledge and industry contacts, supports staffing efforts on new projects. Supports the...RiskContract workWork at officeLocal area
Bay Cities Paving & Grading, Inc.
Concord, CA18 days ago - ...Job Description Job Description The Senior Risk Analyst plays a vital role in the administration of the company’s workers’ compensation... ...claims management systems, Excel, and data reporting tools. Adjuster license and/or professional designation is a plus. If this...RiskLocal areaImmediate startRemote work
Cornerstone Staffing Solutions - Corporate Recruitment
Pleasanton, CA10 days ago - ...and earnings goals. Partners with UW market leadership to ensure ongoing plan alignment on: identifying critical underwriting and risk management levers that deliver ideal P&L for the market and region; understanding new risk dimensions that can impact market P&L...RiskFull timeWork experience placementLocal areaWork from homeFlexible hours
The Cigna Group
Walnut Creek, CA1 day ago - 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
$85k - $120k
...Monitoring student progress regularly through data-driven assessments, adjusting therapy plans to align with developmental milestones and... ...Instruction Student Development Working With At-Risk Students Record Keeping & Reporting Communication Decision...RiskFull timeWork at officeRelocation packageFlexible hoursNight shiftSpectrum Center Schools and Programs
Concord, CAmore than 2 months ago- ...property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state...RiskWork at officeRemote work
FM Corporation
Walnut Creek, CA2 days ago $54k - $120k
..., fine art, and other high-value assets. Provides personalized risk management advice, helping clients mitigate risks and avoid potential... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskWork at officeLocal area- Remote from CA. OR, WA, CO, GA, VA, MD, HI, Washington D.C. only Overview The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. This...RiskRemote work
$88k - $94k
...enforcement and adherence of company, Environmental Health & Safety, and risk management policies and procedures on construction project.... ...vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile, and the...RiskPermanent employmentContract workTemporary workFor contractorsWork at officeLocal areaImmediate startRemote workLong distanceFlexible hours$80k - $95k
...analysis and handling a wide variety of client questions regarding risk management, coverage/eligibility, contractual issues, and... ...abilities include close vision, color vision, and the ability to adjust focus. Travel may be required. Work Environment and Environmental...RiskContract workWork at office2 days per week- ...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...RiskRemote workHome officeFlexible hours
- ...market plan, membership and earnings goals. Partner with UW market leadership to ensure ongoing plan alignment on underwriting and risk management levers that deliver ideal P&L for the market and region; balance risk taking with effective decisionmaking to maximize...RiskFull timeLocal areaFlexible hours
Living Well Health Center
Walnut Creek, CA1 day ago - Join to apply for the Senior IT Consultant - Risk Adjustment, CMS, MAOs, ACA, ESBRs role at Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications...RiskFull timeWork experience placement
$80k - $95k
...analysis and handling of a wide variety of client questions regarding risk management, coverage/eligibility, contractual issues, and... ...by this job include close vision, color vision, and ability to adjust focus. Ability to travel independently to clients; some air travel...RiskHourly payWork at officeLocal area2 days per week$84.5k - $187.2k
...of business to grow sales, revenue and market share with relevant sales goals. Typically works with clients with moderate levels of risk and complexity of needs. Generally works with a moderate degree of supervision. Works within stated guidelines to acquire and/or...RiskFull timeTemporary workPart timeWork experience placementWork at officeRemote work- ...commitments are met. ~ Monitor and manage costs to ensure best financial outcome possible for the company. ~ Utilize and expand upon risk and opportunity register. ~ Lead and attend project meetings as required. ~ Discuss potential Change Order Requests (COR)...RiskPermanent employmentContract workFor contractorsWork at officeLocal area
Ghilotti Bros., Inc.
Pleasant Hill, CA29 days ago $208k - $260k
...actuarial strategy, policies, and processes to deliver profitable growth and overseeing the design and implementation of effective risk assessment and financial modeling strategies. The role ensures the financial stability of the company by analyzing and forecasting potential...RiskFull timeTemporary workWork experience placement$84.77 - $115.51 per hour
...patient management and reimbursements such as ACOs, DRGs, Full Risk, etc. Strong understanding of the criteria, rules and regulations... .../relevant experience and/or licensure. Pay will be adjusted to the local market if hired outside of the Bay Area. Note:...RiskHourly payFull timeWork experience placementLocal areaShift workJohn Muir Health
Concord, CA15 days ago- ...preparation. Represent clients in state and federal courts, arbitration, mediation, and other dispute resolution forums. Advise clients on risk management and compliance with federal, state, and local employment laws. Negotiate settlements and work to resolve disputes in a...RiskFull timeLocal areaFlexible hours
$70k - $80k
...analyzing team and individual performance, providing feedback, addressing issues, and making adjustments to meet goals Making informed decisions to solve complex problems, mitigate risks, and ensure the success of projects and operations Handling escalated issues from...RiskFull timeWork at officeGolden State Orthopedics & Spine
Walnut Creek, CA2 days ago- 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 Manager or Senior Manager - AI/GenAI Governance, Model Risk & Compliance Engineer at Accenture. An experienced senior consulting executive who has built and delivered transformative AI/GenAI initiatives across Financial Services and/or Insurance, with strong client...Risk
- ...behavior, riparian habitat protection, and mitigation of biological risks. The ideal candidate will have strong leadership, technical, and... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to perform tasks during a typical 8+ hour workday...RiskWork at officeLong distance
OMS Consulting Services, LLC
Pleasant Hill, CAa month ago - Your Role The Risk Adjustment team is accountable for developing an end-to-end strategy and managing programs to ensure coding completeness and accuracy. The Director, Actuary will report to the Vice President of Risk Adjustment. In this role you will lead the risk adjustment...Risk
- ...regular scheduling meetings with project teams to assess progress and adjust schedules as required. Prepare and present scheduling reports... .... Assist in the identification and mitigation of project risks related to scheduling. Maintain comprehensive records and...Risk
