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- Overview Certified Coder - Risk Adjustment (Hybrid in SD) at Optum. Role involves chart review to code for diagnoses and quality, monitor performance, and participate in improvement initiatives with Provider Relations, health plans and providers. Responsibilities Generates...RiskWork at officeLocal area
$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- ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new... ...updates on litigated claims, serious injuries, and claims over the adjuster\'s authorization limits. Sets and manages reserve accounts, and...RiskWork at officeLocal areaImmediate start
$21.67 - $30.48 per hour
Join to apply for the Certified Coder/Billing Clerk role at Boutique Recruiting 1 day ago Be among the first 25 applicants Join to... ...Certified Medical Coder jobs in San Diego, CA . Certified Coder - Risk Adjustment (Hybrid in San Diego) Coding Auditor - Sharp Health Plan...RiskFull timeWork at officeDay shift$115k - $130k
...guidance to project managers and operations teams on contract terms, risk mitigation, and regulatory compliance. Ensure contracts align... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Dudek is committed to creating a workplace where all...RiskContract workWork at officeLocal areaRemote workDudek
San Diego, CA9 days ago- Overview The SOX Risk & Compliance Office (SRCO) is a newly established function, in the Controllership, Assurance and Operations organization... .... Superior ability to clearly articulate a point of view and adjust communication style and content to suit audience needs. ability...RiskWork at office
$82.32k - $118.73k
...Conduct thorough inspections of jobs and recommend further work to adjusters or clients. Track project plans and adjust as needed to stay... ...; Xactimate required. Understanding of cost containment and risk management basics. OSHA 10 certification (desired). Good...RiskFull timeContract workFor contractorsWork at officeLocal areaImmediate startWeekend workRestoration Management Company
San Diego, CA1 day ago$135k - $150k
...goals. Manage and understand metrics daily, understanding where adjustments need to be made to accomplish goals. Communicate and... ...apply Knowledge, Skills and Abilities An expert in planning, risk management and change management Strong business acumen and...RiskFull timeRemote workBrightSpring Health Services
San Diego, CA6 days ago- ...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
San Diego, CA10 days ago $89.4k - $166.6k
...The Cyber Risk Practice Director provides strategic direction for MMA-West’s Cyber placements and leads delivery of Cyber resources... ...varying pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions....RiskMinimum wageWork at officeLocal area$105k - $135k
The Job Title: Manager, Enterprise Risk Management The Company: GIA is the world’s foremost authority in gemology. GIA is a global... ...determine whether the plans are operating as designed or require adjustment. • Perform risk assurance procedures validating mitigation...RiskWork at officeWorldwide$111.41k - $189.74k
Overview WHAT IS THE OPPORTUNITY? 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 credits...RiskFull time$130k - $260k
Sr. Technical Project Manager Compliance / Risk and Audit Apps Base Pay Range: $130,000.00/yr $260,000.00/yr Seniority Level: Mid?Senior level Employment Type: Full?time Job Function: Project Management & Information Technology Position Responsibilities As a Senior Technical...RiskFull timeLocal area- We are seeking an IT SOX Risk Advisory Manager who thrives at the intersection of risk management, audit execution, and technology. This... .... Superior ability to clearly articulate a point of view and adjust communication style and content to suit audience needs. Ability...Risk
$115k - $130k
...guidance to project managers and operations teams on contract terms, risk mitigation, and regulatory compliance. Ensure contracts align... ...vision, peripheral vision, depth perception and the ability to adjust focus. Dudek is committed to creating a workplace where all...RiskContract workWork at officeLocal areaRemote work- ...to lead the design implementation and continuous improvement of risk methodologies frameworks and supporting tools for San Diego and... ...color vision peripheral vision depth perception and ability to adjust focus. The current base annual salary range for this role is currently...RiskFull timeApprenticeshipWork at officeImmediate start
- ...Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate... ...position patients, select and set technical factors, set up and adjust accessory equipment, and make and develop exposures. Work...RiskMinimum wagePermanent employmentFull timeContract workFor contractorsWork experience placementWork at officeLocal areaRemote work
International SOS Government Medical Services
San Diego, CA23 days ago - City of San Diego - Risk Management Department The Risk Management Department protects the City’s people, property, and resources through... ...' Compensation Claims Representative II positions investigate, adjust, administer, and settle workers' compensation cases; conduct pre...RiskFull time
$35k - $55k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...and recommendation letters under the direction of senior staff. Adjusts rates, processes premiums, and expedites invoices as directed....RiskWork at office- Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV data...Risk
- Overview 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, Consultant, will report to the Manager of Risk Adjustment...Risk
$109.91k - $154.5k
...accordance with established procedures and through application of risk management to ensure site compliance and inspection readiness.... ...Demonstrate ability to work independently, be organized, multi-task and adjust priorities in a dynamic, fast paced work environment....RiskFull timeWork experience placementRemote work$138.04k - $230.09k
...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range : $138,... ...found on our CorVel website: CorVel Careers | Opportunities in Risk Management ABOUT CORVEL CorVel, a certified Great Place to Work...RiskMinimum wageFull timeWork at officeLocal areaFlexible hours$85 - $105 per hour
...applicable standards. Manage cost, schedule, technical performance, and risk using disciplined project management practices. Translate... ...a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability...RiskContract workTemporary workFor subcontractor$70k
...including personnel, leasing, maintenance, financial, administration & risk management. As an on-site leader, you will supervise all... ...improvement; identify trends and recommend strategies and adjustments Develop yearly operating budgets/forecasts Monitor the timely receipt...RiskFor contractorsWork at officeNight shift- ...NAVFAC) Atlantic. Above salary does not include locality. Locality adjustment will be determined by duty station location once a selection... ...You will review project management data (e.g., cost, schedule, risks, quality assurance) to determine progress or shortfalls against...RiskFull timeTemporary workRemote work
- ...regular team meetings to monitor progress, address issues, and adjust plans as needed. Budget and Resource Management: Monitor and manage... ...and expenditures are approved. Identify and mitigate financial risks, providing regular budget updates to senior management. Ensure...RiskFor contractorsFor subcontractorWork at officeLocal areaFlexible hoursAfternoon shift
- ...personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new... ...enabled processes. Monitors adoption and impact, and recommends adjustments or improvements as needed. QUALIFICATIONS EDUCATION / EXPERIENCE...RiskWork at officeLocal area
- ...compliance with safety standards and regulations, particularly EM 385-1-1. Identify hazards and implement corrective actions to mitigate risks in compliance with DoD requirements. Prepare and maintain quality control documentation, reports, and records. Collaborate...RiskOngoing contractLocal area
CyberCoders
San Diego, CA3 days ago $5,000 per month
...analyze portfolio performance, collaborating with Credit Managers to adjust underwriting strategies as needed Participate in Credit... ...experience managing credit teams A comprehensive understanding of credit risk management, credit lifecycle, metrics, and processes Strong...RiskWork experience placementWork at officeFlexible hours
