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- . Remote Coding Auditor - Risk Adjustment Are you a risk adjustment coder that is wanting to expand into an auditing role?Do you have 3 years or more of risk adjustment coding experience? Perks: ~ Flexible, full time schedule ~ Stable and ongoing consulting...RiskRemote jobFull timeOngoing contractFlexible hoursSundayMonday to Friday
- Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for risk adjustment with contracted IPAs + Collaborating with IPAs on risk adjustment strategies to achieve...Risk
- 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 through...Risk
- ...Enterprise Risk Adjustment Analyst III Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated...Risk
- ...As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely with physicians, IPA coders, and risk adjustment teams associated with the health plan. You will: +...RiskWork at office3 days per week
- ...and strong interpersonal skills to effectively consult and guide internal stakeholders on effective use and interpretation of risk adjustment data and KPIs + Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting...RiskTemporary workWork experience placementWork at officeLocal areaRemote work2 days per week1 day per weekMonday to Friday
- Join to apply for the Regional Professional Services Coder I role at Kaiser Permanente Join to apply for the Regional Professional... ...Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid) Los Angeles, CA $92,600.00-$202,200.00 2 weeks ago...RiskFull timeWork experience placementWork at officeLocal areaRemote work
- ...Under the supervision of the Claims Manager, the Claims Adjuster is responsible for investigating, analyzing, and determining the extent... ...regulations, particularly as they relate to governmental entities and risk management. California claims adjusting license preferred,...RiskLocal area
- ...AHA coding clinic is a plus. Certification required in CPC and/or CCS, and CRC is a plus. 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 monitoring...RiskHourly payFull timeCasual workWork at officeRelocation packageFlexible hours
- ...Strategic Risk Manager and Risk Initiatives Join to apply for the Strategic Risk Manager and Risk Initiatives role at First Horizon... ...skills, ability to multi-task and manage workflow, prioritize, adjust to changes, and follow-up. Must possess analytical, problem solving...RiskFull timeWork at office
- ...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
- ...Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation... ...that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary. Assesses and...RiskContract workSaturdayAfternoon shift
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC + Identifying and reporting any potential compliance risks Salary Range: $38.13 - $50.31 Hourly Qualifications We're seeking...RiskHourly payWork experience placementLocal area
- ...our clients including: Retirement Planning, Education Planning, Investment Management, Banking & Lending Management, Insurance & Risk Management, and Estate Planning ~ Ability to adapt and implement change as the market and business conditions evolve ~ Passion...RiskFull time
- ...providing financial advice with a focus on client experience and risk management. **Job Responsibilities** + Acquire, manage, and... ...Regularly review processes and strategies with manager, making adjustments as needed + Identify and pursue potential new business clients,...RiskWork experience placement
- ...stakeholders. + Maintain clear communication with Specialty & General Contractors regarding installation, testing, and adjustments. Technical & Risk Management + Uphold technical principles to ensure quality and successful project deliverables. + Advise Attraction leadership...RiskFull timeContract workFor contractorsFor subcontractorLocal area
- ...in cybersecurity, capable of aligning security strategies with risk management objectives, driving workflow best practices, and implementing... ...and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be below any...RiskMinimum wageFull timePart timeWork at officeLocal area
- ...radiators, etc. Rewire electrical systems Replace, realign and adjust brakes and suspension components Diagnose and repair... ...training, and specialized skills. Constellis provides end-to-end risk management and comprehensive security solutions to safeguard people...RiskTemporary workLocal areaWorldwideFlexible hoursWeekend workMonday to Friday
- ...interactions (e.g., PAI, HA responses). Identify and mitigate risks through deviation management, CAPA oversight, and quality... ...candidates, regardless of characteristics. We offer reasonable adjustments/accommodations to help all candidates to perform at their best....RiskHourly payFull timeTemporary work
- ...Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the... ...data through Summary Reports. Provide education and training for coders and other healthcare professionals in both one on one and group...RiskWork at officeRemote workShift work
- ...Workplaces in Financial Services & Insurance General Executive Adjuster (Remote in California with travel) **PRIMARY PURPOSE** : To investigate... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_** **PRIMARY... ...for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote work
- ...matters. Legal representation for the Company and/or liaison with outside legal counsel in representing the Company. Mitigating legal risks and ensuring compliance with legal requirements by designing and implementing appropriate policies and procedures. in house...RiskFull time
- Bring your expertise to JPMorgan Chase. As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emerging risks, and using your expert...RiskWork at officeLocal area
- ...transactions, sharing digital solutions, and making appropriate introductions to bankers + Complete operational activities while minimizing risks under established policies + Perform routine to moderately complex transactional, operational, and customer support tasks...RiskWork experience placementSaturday
- ...Most Loved Workplace® Forbes Best-in-State Employer Property Desk Adjuster - California License Required! **PRIMARY PURPOSE** : To handle... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskWork at officeLocal area
- ...Work® Most Loved Workplace® Forbes Best-in-State Employer Claims Adjuster Workers Compensation **PRIMARY PURPOSE** **:** To analyze mid-... ...counts** Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every...RiskContract workWork at officeLocal areaFlexible hours
- ...based on performance ~ Health insurance Managing Public Adjuster (MPA) Reports to: Director of Claims Location: Glendale... ...files, and in the weeds with your teamproactively identifying risks and unlocking opportunities to drive better outcomes. Responsibilities...RiskWork at office
- ...relationships and help customers succeed financially + Resolve low to moderately complex issues regarding the customer and employee experience, risk, and growth of the team and the business to meet Branch Network business objectives + Identify opportunities for making banking...RiskTraineeshipWork experience placementInterim roleWork at officeImmediate startSaturday