Get new jobs by email
- 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
$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$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- ...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
- ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. * Design and maintain compliant... ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support * Draft, review...RiskContract workFor contractorsFlexible hours
SwiftX Inc.
Ontario, CA5 days ago $91.19k - $155.27k
Claims Manager, Insurance & Risk Management Build your career while building NYC schools! The New York City School Construction Authority... ..., Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel. Data Analytics &...RiskFor contractorsWork at office$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.
Anaheim, CA4 hours 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$120k - $155k
...feasibility. Provide recommendations to customer project team where reduction in costs or schedule length may be achieved Identify project risks, create a project risk register and apply project risk management and mitigation techniques Develop and submit a project estimate...RiskWork at officeMesa Associates, Inc.
Pomona, CA10 days ago$23 - $28 per hour
...Health Department) Assist service delivery staff in completing/adjusting documentation Organize and prepare records/files for visits and... ...(Restricted Party Screening) Corporate Compliance Coordinator, Risk Management, Full time, Days Client Development Lead, Validation...RiskHourly payFull timeContract workTemporary workWork at officeFlexible hours$7,497 - $9,584 per month
...automation system, which adds a layer of complexity in monitoring and adjusting system performance. Balancing preventive maintenance, emergency... ...Policy. Driving records are monitored and evaluated by the Risk Management Department. The Risk Management Department evaluates...RiskFull timeFor contractorsApprenticeshipMonday to Friday- ...instructions and select software options and imaging parameters when adjusting an MRI machine Assures all exams include accurate clinical... ...at times. Work generally does not involve occupational risk; however, failure to follow established procedures and safety practices...RiskFull timeWork at officeLocal area
Rezolut
Covina, CA6 days ago - 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
- ...Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management and... ...to the Project Manager. Meet with Contractors as needed to adjust and correct performance issues. Review and provide feedback...RiskFor contractorsWork at officeLocal areaRemote work
PM2CM
Pomona, CA3 days ago $100k - $125k
...change orders Manage and review monthly job projections and adjust priorities based upon job requirements and resource availability... ...required Manage and negotiate issues, proactively communicating risks and conflicts with client and project management team Manage...RiskFull timeWork at officeLocal areaDSE Electric Inc.
San Dimas, CA29 days ago- ...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
Pasadena, CA17 days ago - ...will also support the organization in navigating extra-contractual exposure, including bad faith allegations and complex litigation risks. This is a strategic position that blends legal expertise with claims operations, requiring sound judgment, strong analytical skills...RiskWork experience placement
Aspire General Insurance Company
Rancho Cucamonga, CA6 days ago $17.5 - $21 per hour
...as a specialist in the fields of physical restoration, social adjustment or vocational adjustment. Up to 2 years of graduate professional... ...to plan and implement mental health services Monitor at-risk behaviors and intervene appropriately. Communicate appropriately...RiskHourly payTemporary workWork at officeFlexible hoursMcKinley
San Dimas, CA29 days ago- ...including procurement, employment, litigation, and marketing. Collaborate with internal stakeholders and outside counsel to manage risk and ensure legal compliance across business functions. What We're Looking For: ~ A JD from an ABA-accredited law school and...Risk
- ...Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management... .... Monitor performance and recommend schedule changes, cost adjustments or resource additions including determining how changes will...RiskFor contractorsWork at officeRemote workRelocation
PM2CM
Pomona, CAa month ago - ...of contracts at a given time work diligently in a fast paced environment. This role is critical for ensuring compliance, mitigating risk, and driving client satisfaction and business outcomes. This is part of a new growing team and has the potential for long term growth...RiskContract work
Matlen Silver
San Dimas, CA8 days ago - ...dimensions using measuring instruments. Installs, aligns, secures, and adjusts cutting tools and work pieces. Monitors the feed and speed of... ...may exclude individuals who pose a direct threat or significant risk to the health or safety to themselves or others. The...RiskContract workApprenticeship
ALIGN PRECISION
Walnut, CA26 days ago - ...responsibility for this position requires overseeing project lifecycle from inception to completion, managing schedules, mitigating risk, and budget. This is a hybrid position which requires two days in the office. Duties and Responsibilities Ability to provide...RiskWork at officeLocal areaImmediate start
347 Group, Inc.
Ontario, CA4 days ago - .... Key Responsibilities Lead contract negotiations across multiple business lines, ensuring alignment with corporate standards and risk guardrails. Review, draft, and interpret complex contractual language, identifying risks, obligations, and opportunities. Collaborate...RiskContract workLocal area
$175k - $249k
...business needs and ensure contractual terms support organizational goals. Provide legal advice regarding contract interpretation, risk allocation, indemnification, insurance, warranties, and data security. Support the development and maintenance of contract...RiskContract workLocal areaJobot
Ontario, CA24 days ago$75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week$2,583 per week
...images are of sufficient quality to support diagnosis. Repeat or adjust scans as necessary to improve image quality or ensure... ...between patients. Ensure proper patient positioning to prevent any risk of injury or discomfort during the scan, especially for vulnerable...RiskFor contractorsZero hours contractShift work$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
