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$75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday- 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$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- ...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, CA2 days ago - ...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
- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$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, CA9 days ago$162.42k
The City of South Pasadena is seeking a seasoned and innovative Risk Manager to lead the City’s comprehensive risk management,... ...impacting risk management, ensuring timely policy and program adjustments. Oversee the City's workplace safety program, coordinating training...RiskFor contractorsWork at officeLocal areaImmediate start$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$98.3k - $185.1k
...Zurich is currently looking for a Senior Risk Engineering Consultant OR Risk Engineering Specialist with extensive experience in power... ...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorshipZurich Insurance Company Ltd.
Los Angeles, CA4 hours 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, CA5 days ago - ...medical concerns. - Perform annual wellness visits and health risk assessments. - Educate patients on their conditions,... ...understanding of medical documentation, coding (ICD-10, HCC), and risk adjustment. - Active, unrestricted state license and DEA registration....RiskWork at officeFlexible hours
Nightingale
Monterey Park, CA17 days ago $90k - $130k
...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities...RiskFull timeFor contractorsWork at officeLocal areaPacific Industrial Electric
Brea, CA6 days ago- ...of our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning Ability to adapt and implement change as the market and business conditions evolve Passion for community...RiskFlexible hours
Charles Schwab
Montebello, CA2 days ago - ...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, CA19 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, CA6 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, CA16 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, CA17 days ago $45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA3 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
Los Angeles, CA12 days ago - Risk Manager Job Duties : Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...Risk
- ...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, CA29 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, CA8 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$88k - $118k
...execution of 2LOD governance and oversight of Information Technology Risk Management (ITRM) which includes IT and IS governance and... ...anticipation of audiences with varying IT knowledge; ability to adjust presentation details based on audience. Demonstrated ability to...RiskFull timeFlexible hours$60.5k - $104.5k
...) Business Control Managers ("BCM"s) and Business Control Senior Analyst and or Lead for Consumer Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass understanding controls required for compliance with applicable regulations...RiskWork at officeRemote workCity National Bank
Los Angeles, CA7 hours ago- ...providing financial advice with a focus on client experience and risk management. Job Responsibilities Acquire, manage, and retain... ...Regularly review processes and strategies with manager, making adjustments as needed Identify and pursue potential new business clients,...RiskFull timeTraineeshipWork experience placement
- 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
