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$71.3k - $82.6k
...outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance... ...appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure...RiskFull timeWork experience placement- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Analyze and synthesize data to make a significant impact on Medicaid...RiskRemote jobImmediate start
- ...Industry: Healthcare Services Why consider this job opportunity: - Opportunity for career advancement and leadership in national risk adjustment studies - Competitive benefits and compensation package - Engage with data analysis to drive improvements in Medicaid risk...RiskRemote jobImmediate start
- Job Description Job Summary The Analyst, Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to support Molina’s Prospective and Retrospective Interventions...RiskWork at office
- ...cost-effectiveness, quality, and on-time delivery. 10% Sourcing Risk Management : Proactively identify, assess, and mitigate... ...distance vision, peripheral vision, depth perception and ability to adjust focus · Manual dexterity required using hands to finger; handle...RiskWork experience placementWork at officeLocal areaShift work
The People Brand
Irvine, CA16 days ago $103.5k - $127.4k
...Liability Claims Adjuster The Liability Claims Adjuster plays a critical role in our risk management process by conducting thorough investigations of all third-party claims while providing an exceptional customer service experience. This role will be tasked with gathering...RiskFull timeLocal area- ...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
Irvine, CA18 days ago - ...cost-effectiveness, quality, and on-time delivery. Sourcing Risk Management : Proactively identify, assess, and mitigate potential... ...vision, peripheral vision, depth perception and ability to adjust focus Manual dexterity required using hands to finger; handle...RiskWork experience placementWork at officeLocal areaShift work
Boot Barn
Irvine, CA2 days ago - ...accurately to maintain compliance, and minimize risk and denials. Contributes to overarching... ...to provider network regarding risk adjustment and coding updates related to risk adjustment... ...and experience. Certified Professional Coder (CPC). Certified Coding Specialist (CCS)....RiskWork at office
- ...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
Irvine, CA11 days ago - ...Commercial GL Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary work
- ...National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-... ...Your Role on the Team Position Summary: The Lead Outpatient Coder codes and abstracts data elements from patient records according...RiskMonday to Friday
$110k - $140k
...Risk Manager, The Rinks The Rinks aims to provide a great experience for employees and guests alike! Join the team and become part... ...Participate in claims management reviews with insurance adjusters, defense counsel, and insurance brokers Ensure compliance with...RiskContract workWork experience placement- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workWork experience placement
$45.33 - $59.81 per hour
...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...Health, visit Responsibilities: Position Summary: The Outpatient Coder II assigns and sequences ICD-10, CPT, and HCPCS codes through...RiskFull timeMonday to Friday$46.67k - $65.67k
...established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses. Create and document a minimum of one... ...at Pinnacle Claims Management by 2x Get notified about new Coder jobs in Irvine, CA. #J-18808-Ljbffr Pinnacle Claims ManagementRiskFull timeWork at officeRemote work$48.04 - $63.41 per hour
...Cancer Institute-designated comprehensive cancer center , high-risk perinatal/neonatal program and American College of Surgeons-... ...Responsibilities: Position Summary: Reporting to the Manager of Coding, the Coder III performs abstracting and coding, using ICD-10-CM and PCS, on...RiskFull timeMonday to Friday- ...Relations and self‑insurance plans. Recommend and implement program adjustments and third‑party administrator (TPA) procedures to ensure... ...and Excess Insurance Audits. Qualifications Bachelor’s degree in risk management, public or business administration or closely related...RiskWork at office
$80k - $105k
...Description and Requirements General Description: The Personal Risk Specialist is an outside sales position focused on serving the unique insurance needs of affluent/high net worth clients. In addition to cross-selling, as a primary focus for business development...RiskTemporary workWork at officeLocal areaFlexible hoursAfternoon shiftUSI Holdings Corporation
Irvine, CA8 hours ago$225k - $250k
...management agreements Collaborate closely with clients, developers, project managers, and internal teams Provide guidance on risk mitigation and legal compliance in development projects Support broader real estate transactions including acquisitions, dispositions...RiskWork at officeDirect Counsel
Irvine, CA29 days ago- ...ensure project specifications are met Develop project scopes and objectives, involving all relevant stakeholders Manage project risks and issues, implementing mitigation strategies as needed Ensure compliance with building codes, safety regulations, and project...RiskOngoing contractFor contractorsLocal area
CyberCoders
Irvine, CA1 day ago $139.1k - $278.3k
...efficiency, service levels, and cost competitiveness while mitigating risk. Forecasting & Scenario Modeling: Build robust models for... ...relevant constraints, document assumptions, promotions, and adjustments to forecasts, ensuring alignment across departments, collaborate...RiskTemporary workShift work- ...career? Let’s talk! Company Description Bearstar Insurance Solutions is a leading provider of comprehensive insurance products and risk management solutions tailored to meet the diverse needs of individuals and businesses alike. With a steadfast commitment to...RiskHourly payWork at officeRemote work
Bearstar Insurance Services
Irvine, CA17 days ago - ...for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. In general, our opportunities... ...to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto,...RiskMinimum wageFull timeWork at officeLocal areaFlexible hours
$40.8 - $52.89 per hour
...issuing settlement funds. Creates check requests and requests settlement monies from Accounts Payables. Follows-up with insurance adjusters and provides information needed to expedite settlement or insurance recovery. Coordinates agreed scope/estimate of damages with...RiskHourly payContract workFor contractorsWork at office- ...to product development, quality improvement, or process optimization. Develop project plans, timelines, resource allocations, and risk management strategies. Track and report project/program status, deliverables, budgets, and milestones to stakeholders and senior...RiskImmediate start
Redbock - an NES Fircroft company
Irvine, CA3 days ago $125k - $135k
...from planning to execution while improving processes, managing risks, and partnering with teams across IT, Operations, and other departments... ...and workflows that improve the efficiency of the Delivery team, adjust processes to company needs and structure. Own the full project...RiskFull timeCasual workWork at officeAfternoon shiftWeekday work- ...functional projects that range up to $10M; including scope, schedule, risk, issues and budget Define project scope, resourcing, budgets... ...driven environment; demonstrates the ability to quickly adjust to changes and redirect team and plan to meet new direction and...RiskFor contractors
$80k - $100k
...of talented people! Partner is seeking a Full Time Construction Risk Management Project Manager to perform all Project Management responsibilities... ...organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the...RiskFull timeFor contractorsLocal area$90k - $130k
...and key milestones. Proactively monitor project progress and adjust timelines as needed to address delays or conflicts. Lead regular... ...implementing corrective actions where necessary. Safety & Risk Management Ensure all field operations and project activities...RiskFull timeFor contractorsWork at officeLocal areaPacific Industrial Electric
Brea, CA5 days ago
