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$193k - $242k
...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...RiskDatavant
Los Angeles, CA25 days ago- ...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
- ...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
$78.5k - $163.6k
Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy...Risk- ...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
- ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient... ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental...RiskFull timeWork at officeImmediate startRelocationMonday to FridayFlexible hours
Harbor Community Clinic
Los Angeles, CA14 days ago $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- ...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
- ...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, CA19 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 - ...Timberline accounting system. Maintains budget throughout projects, adjusting budget as necessary to ensure accuracy. Prepares Schedule of... ...owner’s representatives. 7. Primary responsibility for the risk management and documentation of projects: Sets up a...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA28 days ago - ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance... ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,...RiskWork at officeHome office
Activities, Recreation, and Care
Los Angeles, CAa month 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, CA1 day 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
- ...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, CA3 days ago $70k - $80k
...facility managers, property management companies, insurance agents, adjusters and consultants Qualifications: ~3+ years experience in... ...technology and procedures ~ Knowledge of industry safety and risk management best practices to minimize workplace injuries and...RiskWeekly payInterim roleWork at officeImmediate startWorldwideSERVPRO of Beverly Hills/Westwood
Los Angeles, CA11 days ago$135k - $170k
...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to...RiskFull timeTemporary workPart timeWork at officeLocal areaAon
Los Angeles, CA1 day ago- ...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
$111.41k - $189.74k
...Control Manager for U.S. Mortgage Banking and will partner with the Risk Framework leadership team. Responsibilities will encompass... ...strategies, initiatives, organizational planning, and business model adjustments. Act as the business teams’ liaison for business line risk...RiskWork at office- ...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, CA4 days ago - ...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
- Job Summary The Risk & Quality Performance Manager position will support Molina’s Risk & Quality Solutions (RQS) team. This position... ...years of program and/or project management experience in risk adjustment and/or quality 2+ years of experience supporting HEDIS engine activity...RiskRemote jobWork at office
$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 office- ...COMPLIANCE ~ Reviews the schedule of all filings and reported information, providing accountability for accuracy and timeliness. RISK MANAGEMENT ~ Understand and mitigate key elements of the Client's risk profile. ~ Monitor all open legal issues involving the Client...RiskWork at office
Consultative Search Group
Los Angeles, CA16 days ago - ...healthcare team. \n ~ Provide pain management interventions and adjust care based on patient response and comfort level. \n \n \n... ...necessary. \n ~ Ensure patient safety by regularly assessing for fall risks, managing medications safely, and preventing hospital-acquired...RiskZero hours contractImmediate startShift workNight shift
Magnet Medical
Los Angeles, CA4 days ago $199.35k - $246.98k
...each year. DESIRED QUALIFICATIONS The ideal candidate for Chief Risk Officer is a dynamic, results-driven leader with a proven track... ...company is required. Experience in the investigation and adjustment of workers' compensation claims and general liability claims in...Risk- DIRECTOR, RISK MANAGEMENT (WORKERS' COMPENSATION) Metro’s mission is to provide a world-class transportation system that enhances the... ..., Risk Management will oversee three management positions, 17 adjusters and various clerical staff. In collaboration with County...RiskContract workFor contractors
- ...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, CA15 days ago
