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- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
- ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)....RiskWork at office
- ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the... ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
American Honda Finance Corp.
Torrance, CA18 days ago - ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation...RiskFull time
InterDent Service Corporation
El Segundo, CA23 days ago - Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality...RiskContract workLocal areaImmediate start
- ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and... ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director....RiskContract workTemporary workMonday to FridayShift workWeekend work
- ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,... ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for...RiskZero hours contractShift workNight shift
Magnet Medical
Torrance, CA3 days ago - Overview The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position collaborates... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine...RiskWork at office
- ...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...Risk
$140k - $220k
...Conduct depositions and appear at mandatory settlement conferences, hearings and trials Strategize with claims adjusters, in-house counsel and risk managers to advance favorable outcomes Negotiate resolutions and draft settlement agreements that protect client...RiskLocal areaJobot
El Segundo, CA28 days ago- ...of new programs and services. Monitor program outcomes and make adjustments as needed to improve effectiveness and patient satisfaction.... ...make informed decisions that drive organizational success. Risk Management: Experience in identifying, assessing, and mitigating...RiskFull timeContract workLocal areaFlexible hoursWeekend workDay shift
Roots Through Recovery
Long Beach, CA2 days ago - Overview 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, Consultant, will report to the Manager of Risk...Risk
- ...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
Long Beach, CA13 days ago $129.77k - $165.27k
About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we serve. In this role, you’ll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per week$75k
...Bellwether is privately held and has offices in Los Angeles, Newport Beach, Salt Lake City, London and Dallas. We are seeking a Risk Management Analyst to expand the risk management team and get exposure on a variety of real estate and constructions risks. The Analyst...RiskLocal areaBellwether
El Segundo, CA14 days ago- ...departmental goals and monthly projections Ensure cleanliness of club per Equinox’s company standard Ensure the club is following proper Risk Management and Loss Prevention procedures - Monitor safety and security of club Help facilitate all other projects or...RiskFull timeFlexible hours
$79.04k - $126.88k
...ERM Data Analyst assists in the execution of F&M’s Enterprise Risk Management (ERM) data management goals. This role emphasizes data... ...calibration of Verafin FRAML models by recommending parameters adjustments backed by statistical evidence. Document tuning rationale and...RiskFull timeContract workImmediate start- Overview Job Description The AVP, Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. This position advises senior management, other corporate departments, and Molina health plans on Risk Adjustment/RADV data collection...RiskWork experience placementLocal area
$129.77k - $165.27k
...Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we...RiskWork at officeLocal areaRemote workMonday to Friday2 days per week- ...Gibraltar Protection, Inc. About Us Gibraltar Protection, Inc. (GPI Security Services) is a California-based security and risk-management company providing professional protection services across commercial, industrial, aviation, and government environments....Risk
GPI Security Services
Gardena, CA9 days ago $91.2k - $170.3k
...stakeholder relationships and internal reviews. # Lead and direct project teams to meet cost, schedule, and technical goals. # Support risk, issue, and opportunity development. Qualifications Basic Qualifications Bachelor's Degree + 5 years related experience,...RiskFull timeWork at officeThe Muse
Redondo Beach, CA23 days ago- ...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to provide strategic leadership on projects while also managing multiple,...RiskFull timeWork experience placementRemote work
Molina Healthcare
Long Beach, CA22 days ago - ...Ensure required insurance coverage is obtained and verified for events, vendors, and contractors in accordance with City policies and risk management guidelines. Prepare written materials including staff schedules, promotional content, correspondence, reports, and event...RiskPart timeFor contractorsWork at officeLocal area
$136.85k - $185.15k
...contracts • Experience in implementing and/or auditing of CMMI, AS9100, MIL-STD, and other software standards • Familiarity with Risk Management Framework (RFM) • Familiarity with TOR standards Travel: No travel is anticipated for this position. Drug...RiskPermanent employmentInterim roleRelocationVisa sponsorshipWork visaFlexible hoursShift workDay shiftBOEING
El Segundo, CA18 days ago- ...142,400.00 Job Purpose American Honda Finance Corporation is currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the Manager of Risk and Analysis. The Assistant Manager-Residual Risk manages...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
American Honda Finance Corp.
Torrance, CA10 days ago - ...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is... ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. Ability to anticipate and articulate...RiskContract workSeasonal work
$73.3k - $110k
Join to apply for the Pricing Risk Analyst role at American Honda Motor Company, Inc. Join to apply for the Pricing Risk Analyst role... ..., CA $195,995.00-$364,003.00 3 weeks ago Manager of Risk Adjustment & Documentation Los Angeles, CA $110,000.00-$130,000.00 2 weeks...RiskFull timeTemporary workWork experience placementRelocation package$95k - $140.6k
...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum Qualifications... ...several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shift
