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...Department: Quality - Risk Adjustment Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskWork at officeMonday to FridayAstrana Health
Monterey Park, CA17 days ago- 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
- . 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
- ...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
- 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
- ...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
- ...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
- ...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
Ultimate Staffing
Los Angeles, CA2 days ago - Overview: The lead data management consultant in Medicare/ACA/Medicaid risk adjustment will serve as an analytical resource to internal/external customers. This position functions both as a risk adjustment consultant and as a high-level data analyst, utilizing data mining...RiskWork experience placementLocal area
- Governance, Risk, and Compliance Associate - Asset Management Consulting Join to apply for the Governance, Risk, and Compliance Associate... ...regulatory compliance. Monitor regulatory updates and help adjust internal procedures as needed. Investment Compliance and Surveillance...RiskFull timeWork at officeRemote workFlexible hoursShift work
- ...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...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 workFlexible hours
- ...Best Workplaces in Financial Services & Insurance Property Field Adjuster Sr. - Greater Los Angeles, CA As an adjuster at Sedgwick, you'll... ...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 workFlexible hours
- ...Credit Portfolio Risk Management The Credit Portfolio Risk Management in Senior Credit Supervision is responsible for conducting... ...integrity and discretion. Able to remain calm under pressure and adjust methods to fit changing circumstances. Compensation The...RiskWork at office
- ...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
- Senior Construction Risk Engineering Consultant 121060 Zurich is currently looking for a Senior Risk Engineering Consultant for the Construction... ...salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeVisa sponsorship
- ...First Line Of Defense Risk Manager The First Line Of Defense Risk Manager will work within the Bank's first line of defense risk management function and will be responsible for implementing and managing the first line of defense risk management program. The Manager...Risk
East West Bank
Pasadena, CA4 days ago - ...overseeing the development of actuarial models, pricing strategies, and risk management, with a focus on the financial health of the company... ...data analytics tools. Experience with value-based care, risk adjustment, and population health management models is essential. The role...RiskTemporary work
- ...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
First Horizon Bank
Los Angeles, CA4 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
- ...consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and... ...metrics and frameworks, such as HEDIS, population health, risk adjustment, and value-based payment models. Prior experience in a consulting...RiskFull timeTemporary workWork experience placementRemote workFlexible hours
- ...policy, and standards providing periodic operational / compliance / risk KPIs associated to overall platform performance and IAM... ...written communication and presentation skills with the ability to adjust presentation details based on target audience. Extensive knowledge...RiskFull timeFlexible hours
- ...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
- ...processes, support for program development and implementation, referrals to collaborate with other campus departments, etc. Monitor risk management exposure for the College by closely managing the activities of student clubs and organizations Co-advise ArtCenter...RiskFull timeWork at officeLocal areaFlexible hoursAfternoon shiftMonday to Friday
Art Center
Pasadena, CA1 day ago - ...to absolute integrity. East West Bank gives people the confidence to reach further. Overview The Director of Information Technology Risk will be responsible for providing strategic leadership, expert guidance, credible challenge, and effective oversight of Information...Risk
- ...across our enterprise portfolio. Youll serve as a trusted partner to Risk Management, Automation, and Vulnerability Management teams.... ...and reside in the state of California. The work mode can be adjusted based on business needs. Qualified applications with arrest or...RiskLocal areaRemote workRelocation
- ...of 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 for community...Risk
Charles Schwab
Pasadena, CA4 days ago - ...of 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??...Risk
Charles Schwab
Pasadena, CA2 days ago
