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- Manager, Risk Adjustment, Medical Coding This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C... ...Information Management Association OR Certified Professional Coder from American Academy of Professional Coders Additional Requirements...RiskWork experience placementFlexible hours
$135k - $150k
About the Role Risk Adjustment Manager is responsible for leading and optimizing risk adjustment operations across all lines of business and entities, including Medicare Advantage, Marketplace, and other affiliated health plans, medical groups, and MSO functions. This role...RiskFull time- ...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...RiskWork at office
To Help Everyone Health & Wellness Centers
Los Angeles, CA11 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hoursRegal Medical Group
Los Angeles, CA8 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, CAa month 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...RiskFull timeTemporary workWork at officeGlobal Aerospace, Inc.
Los Angeles, CA7 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...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA28 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...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA3 days ago $150k - $170k
...solutions to estimating issues, and ensure accurate/successful/timely/efficient estimates that follow company policies/strategies Risk management, contracts, pricing, review work, meet bid deadlines, takeoffs, conceptual/design-build estimates, and closing/award...RiskFor contractorsLocal areaJobot
San Fernando, CAa month ago- Overview: Role will be responsible for risk adjustment model development, maintenance and optimization for Medicare, ACA and Medicaid lines of business. Data mining experience and skill will be essential. Role will be relied upon for collection, cleaning, exploration, transformation...RiskWork experience placement
- ...Job Description Job Description Description: The Conflicts Attorney plays a critical role in supporting the firm’s risk management and legal ethics compliance. This position is responsible for conducting high-level conflicts research and analysis to identify and...RiskWork at officeLocal area
KAHANA & FELD LLP
Los Angeles, CA17 days ago - ...Job Description Job Description Job Summary: The Clinical Risk Specialist focuses on reviewing and analyzing medical record... ...the Claim Payment Integrity Review (CPIR) report utilized for adjusted claim payments by clients. Collaborate with other teams to ensure...RiskWork at officeLocal area
Catalyst Clinical Coding and Analytics
Los Angeles, CA10 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...RiskContract workFor contractors
$199.35k - $246.98k
Join to apply for the Chief Risk Officer role at Los Angeles Unified School District Base pay range $199,350.00/yr - $246,975.00/yr... ...insurance company is required. Experience in the investigation and adjustment of workers\' compensation claims and general liability claims...RiskFull time- ...by this job include close vision, color vision, and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics... ...TB, HIV, and other medical conditions. There are additional risks involved with irate and irrational clients who may or may not be...RiskFull timePart timeLocal area
Los Angeles Christian Health Centers
Los Angeles, CA16 days ago $41.83 - $66.81 per hour
...Portfolio Manager I - Business Banking The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of existing...RiskHourly pay- ...to revolutionize the Medicare health assessment landscape by delivering high-quality, patient-centered care through innovative risk adjustment models. Operating across multiple states and rapidly expanding, Transtreme partners with health organizations and primary care...RiskFlexible hours
Transtreme
Los Angeles, CA25 days ago $127.05k - $190.53k
Overview DIRECTOR, RISK MANAGEMENT (GENERAL LIABILITY CLAIMS ADMINISTRATION) at Los Angeles Metro. This role directs and manages the... ...departments to administer programs and achieve agency goals. Investigate, adjust, and settle claims in collaboration with affected Division staff...RiskContract workFor contractorsWork at officeLocal area$150.5k - $225k
Overview Join to apply for the Construction Risk Dispute Resolution Manager role at Jacobs . Construction Risk Dispute Resolution Manager... ...of their role. If you require further support or reasonable adjustments with regards to the recruitment process, please contact Careers...RiskFull timeContract work$41.83 - $66.81 per hour
WHAT IS THE OPPORTUNITY? The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of existing credits and is...RiskHourly pay$50 per hour
...Business Banking WHAT IS THE OPPORTUNITY? The Portfolio Manager is part of the credit management team focused on the long-term risk-adjusted returns for the bank within the assigned business segment and/or geographic area(s). This individual manages a sub-set of...RiskHourly payFull timeRemote work$90k - $95k
...success in efficient file handling as well as long-range strategic risk-management—has earned us a national reputation for exceeding our... ...for this position is $90,000-$95,000. Actual pay may be adjusted based on experience and other job related factors permitted by law...RiskFull timeWork at officeFlexible hours$100k - $150k
...available at the Bank. This person must possess fraud monitoring and risk management expertise to identify points of exposure and... ...and trends of fraudulent activity. Forecast staffing needs and adjust fraud strategies based on feedback and data analysis. Define and...RiskFull timeWork at office$231.9k - $440.5k
...~ Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes... ..., hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and...RiskFull timePart timeWork at officeRemote workFlexible hoursWeekend workCentene Corporation
Sylmar, CA3 days ago$35 - $41 per hour
...procedures as well as all building procedures ad-hoc duties and performance measures. Assisting in the implementation of the property risk management program and industry best practice operations. Maintaining premises in neat and good working condition at all times....RiskWeekly payTemporary workFor contractorsWork at officeFlexible hoursShift workAerotek
Flintridge, CA7 days ago$68k - $98k
...and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through... ...with a variety of people Excellent negotiation skills - ability to adjust approach to effectively drive optimal outcomes depending on...RiskWork at officeLocal area$129.77k - $165.27k
About This Role As a Risk Adjustment Data Scientist at myPlace Health, you’ll do more than work with numbers—you’ll help shape how we care for the communities we serve. In this role, you’ll partner closely with business, clinical, and operational leaders to uncover high...RiskWork at officeMonday to Friday2 days per week$91.73k - $122.3k
Overview Join to apply for the Safety & Risk Manager role at Living Spaces Furniture . Position Summary: The Safety & Risk Manager will... ...Hiring Range: The hiring pay range is a guide and may be adjusted based on applicant education, relevant experience, knowledge, skills...RiskFull timePart timeLocal areaShift workNight shift- Overview The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment...Risk
- ...processes, policies, and controls to ensure consistency, scalability, and compliance. Risk Management & Continuous Improvement: Monitor regulatory changes (e.g., CAS/FAS updates) and adjust processes as needed. Develop and maintain financial reports, dashboards, and KPIs...RiskTemporary workWork at office
Divergent
Los Angeles, CA3 days ago
