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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... 
    Risk
    Work experience placement
    Flexible hours

    Kaiser Permanente

    Pasadena, CA
    14 hours ago
  • $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... 
    Risk
    Full time

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    2 days ago
  •  ...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... 
    Risk
    Work at office

    To Help Everyone Health & Wellness Centers

    Los Angeles, CA
    11 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... 
    Risk
    Hourly pay
    Full time
    Casual work
    Work at office
    Remote work
    Relocation package
    Monday to Friday
    Flexible hours

    Regal Medical Group

    Los Angeles, CA
    8 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, CA
    a 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... 
    Risk
    Full time
    Temporary work
    Work at office

    Global Aerospace, Inc.

    Los Angeles, CA
    7 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... 
    Risk
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Afternoon shift

    Nautilus General Contractors

    Los Angeles, CA
    28 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... 
    Risk
    For contractors
    Work at office
    Local area

    Powerful Solar

    Los Angeles, CA
    3 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... 
    Risk
    For contractors
    Local area

    Jobot

    San Fernando, CA
    a 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... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    3 days ago
  •  ...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... 
    Risk
    Work at office
    Local area

    KAHANA & FELD LLP

    Los Angeles, CA
    17 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... 
    Risk
    Work at office
    Local area

    Catalyst Clinical Coding and Analytics

    Los Angeles, CA
    10 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... 
    Risk
    Contract work
    For contractors

    Los Angeles Metro

    Los Angeles, CA
    14 hours ago
  • $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... 
    Risk
    Full time

    Los Angeles Unified School District

    Los Angeles, CA
    3 days ago
  •  ...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... 
    Risk
    Full time
    Part time
    Local area

    Los Angeles Christian Health Centers

    Los Angeles, CA
    16 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... 
    Risk
    Hourly pay

    California Staffing

    Los Angeles, CA
    1 day ago
  •  ...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... 
    Risk
    Flexible hours

    Transtreme

    Los Angeles, CA
    25 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... 
    Risk
    Contract work
    For contractors
    Work at office
    Local area

    Los Angeles Metro

    Los Angeles, CA
    14 hours ago
  • $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... 
    Risk
    Full time
    Contract work

    Jacobs

    Los Angeles, CA
    1 day ago
  • $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... 
    Risk
    Hourly pay

    City National Bank

    Los Angeles, CA
    3 days ago
  • $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... 
    Risk
    Hourly pay
    Full time
    Remote work

    City National Bank

    Los Angeles, CA
    9 days ago
  • $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... 
    Risk
    Full time
    Work at office
    Flexible hours

    Goldberg Segalla LLP

    Los Angeles, CA
    14 hours ago
  • $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... 
    Risk
    Full time
    Work at office

    Wayoh

    Los Angeles, CA
    14 hours ago
  • $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... 
    Risk
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Centene Corporation

    Sylmar, CA
    3 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.... 
    Risk
    Weekly pay
    Temporary work
    For contractors
    Work at office
    Flexible hours
    Shift work

    Aerotek

    Flintridge, CA
    7 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... 
    Risk
    Work at office
    Local area

    NFP

    Simi Valley, CA
    1 day ago
  • $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... 
    Risk
    Work at office
    Monday to Friday
    2 days per week

    Myplacehealth

    Los Angeles, CA
    3 days ago
  • $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... 
    Risk
    Full time
    Part time
    Local area
    Shift work
    Night shift

    Living Spaces Furniture

    Los Angeles, CA
    1 day ago
  • 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

    Blue Shield of CA

    Los Angeles, CA
    3 days ago
  •  ...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... 
    Risk
    Temporary work
    Work at office

    Divergent

    Los Angeles, CA
    3 days ago