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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,... 
    Risk
    Hourly pay
    Work experience placement
    Work at office
    Local area

    Stanford Health Care

    Newark, CA
    5 days ago
  • 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... 
    Risk
    Permanent employment
    Full time
    Temporary work
    Immediate start
    Remote work

    Contra Costa College

    Martinez, CA
    5 days ago
  • 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...
    Risk
    Local area

    Stanford Health Care - ValleyCare

    Newark, CA
    4 days ago
  • $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... 
    Risk
    Remote job
    Full time
    Work experience placement
    Work at office
    Shift work

    Kaiser Permanente

    Oakland, CA
    more 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... 
    Risk
    Contract work
    Work at office
    Worldwide
    Flexible hours
    3 days per week

    Central Garden & Pet

    Walnut Creek, CA
    14 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... 
    Risk
    Work experience placement
    Remote work

    Kaiser Permanente

    Oakland, CA
    4 days ago
  •  ...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,... 
    Risk
    Remote job
    Hourly pay

    PriMed Management Consulting Services, Inc.

    San Ramon, CA
    4 days ago
  •  ...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... 
    Risk
    Full time
    Part time
    Local area
    Flexible hours

    Encompass Health

    Concord, CA
    15 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... 
    Risk
    Contract work
    Work at office
    Relocation

    W. M. Lyles Co.

    Oakland, CA
    16 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

    Kaiser Permanente

    Oakland, CA
    4 days ago
  • 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...
    Risk
    Zero hours contract
    Immediate start
    Shift work
    Night shift

    Coast Medical Service

    San Ramon, CA
    4 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...
    Risk
    Shift work
    Night shift

    Olaro

    San Ramon, CA
    3 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... 
    Risk
    Full time
    Work experience placement

    Kaiser Permanente

    Pleasanton, CA
    5 days ago
  •  ...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,... 
    Risk
    Zero hours contract
    Immediate start
    Shift work
    Night shift

    Magnet Medical

    San Ramon, CA
    4 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... 
    Risk
    Work at office
    Remote work

    PG&E Corporation

    Oakland, CA
    22 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... 
    Risk
    Hourly pay
    For contractors
    Work at office
    Remote work

    PG&E Corporation

    Oakland, CA
    29 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... 
    Risk
    Local area
    Shift work

    Burger King - 8387 - Dublin

    Livermore, CA
    15 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.... 
    Risk
    Work at office
    Local area

    AIG

    San Lorenzo, CA
    5 days ago
  • 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...
    Risk
    Immediate start
    Shift work
    Night shift

    Anders Group

    San Ramon, CA
    4 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

    Blue Shield of CA

    Oakland, CA
    4 days ago
  •  ...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... 
    Risk
    Full time
    Contract work

    Triune Infomatics Inc

    Martinez, CA
    7 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... 
    Risk
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work
    Night shift

    MedPro Healthcare Staffing

    San Ramon, CA
    4 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... 
    Risk
    Contract work
    For contractors

    Insight Global

    San Ramon, CA
    4 days ago
  • $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... 
    Risk
    Local area
    Relocation package
    Flexible hours

    Tiburcio Vasquez Health Center

    Hayward, CA
    22 days ago
  • 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...
    Risk
    Hourly pay
    Weekly pay
    Permanent employment
    Contract work
    Locum
    Interim role
    Immediate start
    Shift work
    Night shift

    Core Medical Group

    San Ramon, CA
    3 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.... 
    Risk
    Flexible hours

    UBS

    Walnut Creek, CA
    3 days ago
  • 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

    Blue Shield of CA

    Oakland, CA
    2 days ago
  • $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... 
    Risk
    Contract work
    Local area
    Flexible hours

    Exelixis

    Alameda, CA
    2 days ago
  •  ...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... 
    Risk
    Local area
    Immediate start
    Remote work

    Cornerstone Staffing Solutions - Corporate Recruitment

    Pleasanton, CA
    8 days ago
  •  ...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... 
    Risk
    Relocation

    Paxon Energy & Infrastructure

    San Ramon, CA
    3 days ago