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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... 
    Risk
    Full time
    Work experience placement

    PMA Companies

    Long Beach, CA
    4 days ago
  •  ...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... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    4 days ago
  •  ...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... 
    Risk
    Remote job
    Immediate start

    Molina Healthcare

    Long Beach, CA
    4 days ago
  • 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... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    1 day ago
  •  ...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... 
    Risk
    Work experience placement
    Work at office
    Local area
    Shift work

    The People Brand

    Irvine, CA
    16 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... 
    Risk
    Full time
    Local area

    Irvine

    Newport Coast, CA
    2 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

    Irvine, CA
    18 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... 
    Risk
    Work experience placement
    Work at office
    Local area
    Shift work

    Boot Barn

    Irvine, CA
    2 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).... 
    Risk
    Work at office

    Molina Healthcare

    Long Beach, CA
    2 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

    Irvine, CA
    11 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... 
    Risk
    Temporary work

    Davies

    Santa Ana, CA
    1 day ago
  •  ...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... 
    Risk
    Monday to Friday

    UC Irvine

    Irvine, CA
    1 day ago
  • $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... 
    Risk
    Contract work
    Work experience placement

    The Rinks

    Irvine, CA
    3 days ago
  •  ...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... 
    Risk
    Temporary work
    Work experience placement

    Davies

    Santa Ana, CA
    1 day ago
  • $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... 
    Risk
    Full time
    Monday to Friday

    University of California, Irvine

    Irvine, CA
    a month ago
  • $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 Management
    Risk
    Full time
    Work at office
    Remote work

    Pinnacle Claims Management

    Irvine, CA
    1 day ago
  • $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... 
    Risk
    Full time
    Monday to Friday

    University of California, Irvine

    Irvine, CA
    a month ago
  •  ...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... 
    Risk
    Work at office

    Orange County Fire Authority

    Irvine, CA
    2 days ago
  • $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... 
    Risk
    Temporary work
    Work at office
    Local area
    Flexible hours
    Afternoon shift

    USI Holdings Corporation

    Irvine, CA
    8 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... 
    Risk
    Work at office

    Direct Counsel

    Irvine, CA
    29 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... 
    Risk
    Ongoing contract
    For contractors
    Local area

    CyberCoders

    Irvine, CA
    1 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... 
    Risk
    Temporary work
    Shift work

    Skyworks Solutions, Inc

    Irvine, CA
    2 days ago
  •  ...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... 
    Risk
    Hourly pay
    Work at office
    Remote work

    Bearstar Insurance Services

    Irvine, CA
    17 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,... 
    Risk
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Corporation

    Irvine, CA
    4 days ago
  • $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... 
    Risk
    Hourly pay
    Contract work
    For contractors
    Work at office

    Western National Group

    Irvine, CA
    5 days ago
  •  ...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... 
    Risk
    Immediate start

    Redbock - an NES Fircroft company

    Irvine, CA
    3 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... 
    Risk
    Full time
    Casual work
    Work at office
    Afternoon shift
    Weekday work

    Tillys

    Irvine, CA
    1 day ago
  •  ...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... 
    Risk
    For contractors

    Ventura Foods

    Irvine, CA
    7 days ago
  • $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... 
    Risk
    Full time
    For contractors
    Local area

    Partner Engineering and Science, Inc.

    Irvine, CA
    1 day ago
  • $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... 
    Risk
    Full time
    For contractors
    Work at office
    Local area

    Pacific Industrial Electric

    Brea, CA
    5 days ago