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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... 
    Risk

    Datavant

    Los Angeles, CA
    25 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... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 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 - Engage with data analysis to drive improvements in Medicaid risk... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    3 days ago
  • 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... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    5 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... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    11 days ago
  • $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

    UCLA Health

    Los Angeles, CA
    2 days ago
  •  ...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).... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    6 days ago
  •  ...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... 
    Risk
    Full time
    Work at office
    Immediate start
    Relocation
    Monday to Friday
    Flexible hours

    Harbor Community Clinic

    Los Angeles, CA
    14 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... 
    Risk
    Hourly pay
    Full time
    Casual work
    Work at office
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours

    Regal Medical Group

    Los Angeles, CA
    8 days ago
  •  ...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, CA
    a month ago
  •  ...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... 
    Risk
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Relocation package

    American Honda Finance Corp.

    Torrance, CA
    19 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... 
    Risk
    Full time

    InterDent Service Corporation

    El Segundo, CA
    23 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... 
    Risk
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    Nautilus General Contractors

    Los Angeles, CA
    28 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,... 
    Risk
    Work at office
    Home office

    Activities, Recreation, and Care

    Los Angeles, CA
    a 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. -... 
    Risk
    Work experience placement
    Work at office
    Monday to Friday

    Humina Resource

    Cypress, CA
    1 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... 
    Risk
    Contract work
    Local area
    Immediate start

    Molina Healthcare

    Long Beach, CA
    6 days 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... 
    Risk
    For contractors
    Work at office
    Local area

    Powerful Solar

    Los Angeles, CA
    3 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... 
    Risk
    Weekly pay
    Interim role
    Work at office
    Immediate start
    Worldwide

    SERVPRO of Beverly Hills/Westwood

    Los Angeles, CA
    11 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... 
    Risk
    Full time
    Temporary work
    Part time
    Work at office
    Local area

    Aon

    Los Angeles, CA
    1 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.... 
    Risk
    Contract work
    Temporary work
    Monday to Friday
    Shift work
    Weekend work

    A.P.R., Inc. (AlphaProTemps)

    Inglewood, CA
    7 days ago
  • $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... 
    Risk
    Work at office

    City National Bank

    Los Angeles, CA
    6 days ago
  •  ...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... 
    Risk
    Zero hours contract
    Shift work
    Night shift

    Magnet Medical

    Torrance, CA
    4 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

    Molina Healthcare

    Long Beach, CA
    6 days ago
  • 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... 
    Risk
    Remote job
    Work at office

    Molina Healthcare

    Long Beach, CA
    6 days ago
  • $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... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    7 days ago
  •  ...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... 
    Risk
    Work at office

    Consultative Search Group

    Los Angeles, CA
    16 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... 
    Risk
    Zero hours contract
    Immediate start
    Shift work
    Night shift

    Magnet Medical

    Los Angeles, CA
    4 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

    ISACA

    Los Angeles, CA
    3 days ago
  • 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... 
    Risk
    Contract work
    For contractors

    Los Angeles Metro

    Los Angeles, CA
    5 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... 
    Risk
    Permanent employment
    Contract work
    Temporary work
    Work at office

    W.E. O'Neil Construction

    Los Angeles, CA
    15 days ago