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$44.13 - $57.36 per hour
...Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. Brief Overview The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies,...RiskHourly payWork experience placementWork at officeLocal area- Overview Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers’ Compensation Program is self-insured and self-administers the claims and benefits to industrially injured employees of the County...RiskPermanent employmentFull timeTemporary workImmediate startRemote work
- University HealthCare Alliance (dba Stanford Medicine Partners) is the medical foundation of Stanford Health Care and Stanford Medicine. Stanford Medicine Partners was born out of the aspiration for Stanford Medicine and local, leading providers to partner together to bring...RiskLocal area
$166.1k - $214.94k
...Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the development of predictive...RiskRemote jobFull timeWork experience placementWork at officeShift workKaiser Permanente
Oakland, CAmore than 2 months ago- ...Description Central Garden & Pet is looking for a Director of Risk Management in our Walnut Creek, CA office. This position is a... ...Third Party Administrators (TPAs), including contract negotiation, adjuster oversight across 30+ states, and monitoring aggregate claim...RiskContract workWork at officeWorldwideFlexible hours3 days per week
Central Garden & Pet
Walnut Creek, CA14 days ago - ...listed below, the position is also responsible for serving as a Risk Adjustment compliance subject matter expert related to coding functions,... ...for the degree requirement. Certified Professional Coder from American Academy of Professional Coders OR Certified Coding...RiskWork experience placementRemote work
- ...visible and fast-growing Medicare Advantage claims for the full risk line of business. Under the leadership of the HPCS Supervisor,... ...Ambulance, etc. **Essential Responsibilities*** Adjudicating and/or adjusting claims, specifically for the full risk line of business,...RiskRemote jobHourly pay
- ...Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of belonging...RiskFull timePart timeLocal areaFlexible hours
Encompass Health
Concord, CA15 hours ago $165k - $185k
...insurance, labor relations, Equal Employment Opportunity (EEO), risk management, and quality control programs and protocols. Ensures... ...close vision, distance vision, depth perception and ability to adjust focus. Work Environment The work environment...RiskContract workWork at officeRelocationW. M. Lyles Co.
Oakland, CA16 days ago- Overview The Prospective Risk Adjustment Operations team is seeking a Strategy Consultant who supports the development, execution, and optimization of initiatives that drive prospective risk adjustment performance. This role will collaborate across teams to analyze data...Risk
- Job Description Coast Medical Service is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...RiskZero hours contractImmediate startShift workNight shift
Coast Medical Service
San Ramon, CA4 days ago - Job Description Olaro is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift: 1...RiskShift workNight shift
Olaro
San Ramon, CA3 days ago - Join to apply for the Senior IT Consultant - Risk Adjustment, CMS, MAOs, ACA, ESBRs role at Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications...RiskFull timeWork experience placement
- ...during labor, delivery, and the immediate postpartum period. The RN in this specialty is skilled in managing both routine and high-risk pregnancies, monitoring fetal and maternal well-being, and assisting with deliveries. The L&D nurse collaborates with obstetricians,...RiskZero hours contractImmediate startShift workNight shift
Magnet Medical
San Ramon, CA4 days ago $102k - $145k
...improve performance, and optimize costs. Key focus areas include market intelligence and analytics, digital procurement transformation, risk management, supplier relationship management, governance, and capability development. Position Summary The Procurement...RiskWork at officeRemote workPG&E Corporation
Oakland, CA22 days ago$10.3k - $12.89k
...and provide Project Manager with recommendations for corrective actions ~ Document, monitor and communicate project milestones and risks with appropriate stakeholders. ~ Lead the project team to develop project plans, participate in project status meetings, collect...RiskHourly payFor contractorsWork at officeRemote workPG&E Corporation
Oakland, CA29 days ago- ...Develops and post labor schedules in advance of work week start. Adjusts labor to changes in sale volume. Manages restaurant cash... ...employee handbook. Ensures accidents and incidents are reported to Risk Management in a timely manner. Take necessary action to minimize...RiskLocal areaShift work
Burger King - 8387 - Dublin
Livermore, CA15 days ago - Overview At AIG, we are reimagining the way we help customers to manage risk. Join us as a Financial Lines & Casualty Complex Claims Adjuster to play your part in that transformation. It’s an opportunity to grow your skills and experience as a valued member of the team....RiskWork at officeLocal area
- Job Description Anders Group is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~3...RiskImmediate startShift workNight shift
Anders Group
San Ramon, CA4 days ago - Your Role The Risk Adjustment team is accountable for developing an end-to-end strategy and managing programs to ensure coding completeness and accuracy. The Director, Actuary will report to the Vice President of Risk Adjustment. In this role you will lead the risk adjustment...Risk
- ...software). # Project Management Mastery: Expertise in both Waterfall and Agile methodologies to manage scope, schedule, budget, and risks. # Stakeholder & Vendor Management: Strong ability to partner with business users, coordinate cross-functional teams, and manage...RiskFull timeContract work
Triune Infomatics Inc
Martinez, CA7 days ago - ...postpartum and neonatal stages. Monitor vital signs of the mother and baby during birth. Monitor patients for potential high risk problems. Educate and support mothers and their families after giving birth. About Agency MedPro Healthcare Staffing is a Joint...RiskHourly payWeekly payContract workTemporary workImmediate startShift workNight shift
MedPro Healthcare Staffing
San Ramon, CA4 days ago $55 - $70 per hour
...schedule and verify schedule integrity and evaluate logic and float paths Document, monitor, and communicate project milestone, and risks with appropriate stakeholders Prepare and maintain companywide labor resource schedule and provide insights into capacity and demand...RiskContract workFor contractors$330k - $375k
...behavioral health, Enhanced Care Management (ECM), Street Health, and risk management (compliance, credentialing, and privileging). In... ...: Preventive and chronic disease management Risk adjustment, cost, and value-based performance Access, utilization, and...RiskLocal areaRelocation packageFlexible hours- Job Description Core Medical Group is seeking a travel nurse RN Labor and Delivery for a travel nursing job in San Ramon, California. Job Description & Requirements ~ Specialty: Labor and Delivery ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...RiskHourly payWeekly payPermanent employmentContract workLocumInterim roleImmediate startShift workNight shift
Core Medical Group
San Ramon, CA3 days ago $140k - $180k
...responsibilities be responsible for financial results, overseeing cost and risk management attract, recruit, develop and retain skilled talent... ...disability inclusion and if you need reasonable accommodation/adjustments throughout our recruitment process, you can always contact us....RiskFlexible hours- Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV data...Risk
$226k - $321.5k
...signal detection/management, and contributes to the overall benefit-risk management of Exelixis products. Essential Duties And... ...take into account the candidate’s geographic region, which will adjust the pay depending on the specific work location. The base pay offered...RiskContract workLocal areaFlexible hours- ...Job Description Job Description The Senior Risk Analyst plays a vital role in the administration of the company’s workers’ compensation... ...claims management systems, Excel, and data reporting tools. Adjuster license and/or professional designation is a plus. If this...RiskLocal areaImmediate startRemote work
- ...projects and provides a single point of contact for those projects. Project duration is generally multi-year, requires significant risk management, and may include formal partnering agreements with outside or agency firms. QUALIFICATIONS Minimum: Bachelor’s degree from...RiskRelocation
