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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
$75k - $85k
Overview We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager - Risk Adjustment... ...through informal discussion and overread assignments; support coder training and orientation as requested by manager May assist or...RiskWork at officeMonday to Friday$75k - $85k
Risk Adjustment Coding Specialist II (Central Maryland) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist or...RiskFull timeWork at officeMonday to Friday$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- ...Staffing & Recruiting Firm by 2x Sign in to set job alerts for “Coder” roles. Regional Professional Services Coder I PT20 HIM Coder... ...III - The Angeles Clinic and Research Institute Manager, Risk Adjustment, Medical Coding Clinical Documentation Improvement Specialist...RiskFull timeContract workRemote workFlexible hours
$91.19k - $155.27k
Claims Manager, Insurance & Risk Management Build your career while building NYC schools! The New York City School Construction Authority... ..., Insurance & Risk Management, COO, broker and third-party adjusters (TPA), and carriers on use of panel counsel. Data Analytics &...RiskFor contractorsWork at office- ...dimensions using measuring instruments. Installs, aligns, secures, and adjusts cutting tools and work pieces. Monitors the feed and speed of... ...may exclude individuals who pose a direct threat or significant risk to the health or safety to themselves or others. The...RiskContract workApprenticeship
ALIGN PRECISION
Walnut, CA24 days ago - ...(e.g. staffing agencies, blue-collar labor providers) for legal risks and ensure contract compliance. * Design and maintain compliant... ...and state-level legislation on worker misclassification) and adjust policies accordingly. General Legal Support * Draft, review...RiskContract workFor contractorsFlexible hours
SwiftX Inc.
Ontario, CA3 days ago - ...manages the daily operations of the City’s Human Resources and Risk Management programs and services; oversees the day to day activities... ...monitoring and approving expenditures and making budget adjustments as necessary. Oversees special human resource programs including...RiskContract workWork at officeLocal areaImmediate start
- ...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
$103.5k - $133.9k
...Provide technical support for cost control (specifically with the risk and opportunity log). Assist with specific sections of the... ...vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The employee...RiskContract workFor contractorsApprenticeshipInternshipWork at officeWeekend workThe Boldt Company
Whittier, CA3 days 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
$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, CA4 days ago$70k - $80k
Workers Compensation Claims Adjuster | Dedicated Account | Hybrid - Orange, CA By joining Sedgwick, you'll be part of something truly meaningful... ..., Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the...RiskContract workWork at officeLocal areaFlexible hours- ...simulations to ensure that the program works as intended and/or making adjustments to optimize efficiency & precision. - Diagnosing and... ...operations comply with safety standards and regulations, minimizing risks associated with CNC machine operations. - Perform other...Risk
Fadco Metal Products, Inc.
Temple City, CA15 days ago - ...Friday. Job Summary This position works very closely with the Risk Manager & the VP of HR. This position supports Risk Management... .... Be a liaison between injured employees and insurance adjusters, to ensure employees are taken care of. -High level of confidentiality...RiskMonday to Friday
Barker Management Inc
Anaheim, CA14 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...RiskTemporary workWork experience placement
- ...and peripheral vision as well as depth perception and ability to adjust focus. The employee is frequently required to use hands or... ...may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements...RiskContract workWork at office
INSECTA PEST SOLUTIONS
West Covina, CA27 days ago $172.36k - $258.55k
...and innovation alongside the Alignment Health community. Job Responsibilities Cross‑functional collaboration: Work closely with Risk Adjustment Operations, Finance, DTS, Compliance, and other departments to ensure accurate data for financial risk modeling. Data...Risk$101.23k - $172.36k
Overview: BUSINESS CONTROLS LEAD WHAT IS THE OPPORTUNITY? 1LOD operational risk support responsible for ongoing day to day risk activities. The primary responsibility for this role is identifying, assessing, monitoring, and reporting all key risks. Assists operations...RiskFull timeWork at officeRemote work- ...ensuring patient comfort and safety during the procedure. \n ~ Adjust imaging equipment settings to obtain clear, accurate, and high-... ...alleviating concerns and ensuring they understand the process, risks, and benefits. \n ~ Verify patient identity and medical history...RiskZero hours contractWork at officeImmediate startShift work
Magnet Medical
Orange, CA2 days ago $172.36k - $258.55k
...responsible for managing and overseeing the development of RADV risk exposure models, extrapolation impact analysis, and audit... ...functional collaboration : Working closely with other departments (Risk Adjustment Operations, Finance, DTS, Compliance, etc.) to ensure accurate...Risk- ...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
Pasadena, CA25 days ago - ...solutions for threat detection, response, and monitoring. Ensure compliance with corporate and regulatory standards through proactive risk management and patch governance. Manage the full lifecycle of infrastructure and cloud projects, ensuring delivery on time,...RiskContract workInterim role
Platinum Resource Group
City of Industry, CA4 days ago - ..., contracts, design plans, and schedules to identify potential risks or opportunities. Develop preliminary budgets and schedules... ...ensure appropriate notifications and equitable cost or schedule adjustments. Review and approve invoices, track project expenses, and maintain...RiskContract workWork at office
RimePro Inc
La Puente, CA21 days ago - ...support and optimizing warehouse logistics efficiency (24-hour and 48-hour processing rates), resolving exceptions, and mitigating risks. · Negotiate carrier contracts, rates, and service level agreements (SLAs) to drive efficiency and cost savings. · Manage local...RiskHourly paySeasonal workLocal areaOverseas
PP Warehouse Inc
Walnut, CA6 days ago $75k - $105k
...pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.+ Prepares... ...for this or other roles.****Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskContract workTemporary workPart timeWork at officeLocal areaImmediate startFlexible hours2 days per week3 days per week- ...delinquent accounts, working closely with stakeholders to balance risk management and customer retention. ~ Monitor and resolve... ...operations team for payment recovery, and proceed with credit adjustments on all uncollected invoices over 60 days past due by month-end...Risk
Quinn Company CAT
City of Industry, CA7 days ago $162.42k
The City of South Pasadena is seeking a seasoned and innovative Risk Manager to lead the City’s comprehensive risk management,... ...impacting risk management, ensuring timely policy and program adjustments. Oversee the City's workplace safety program, coordinating training...RiskFor contractorsWork at officeLocal areaImmediate start- ...partners, we can deliver a consistent and reliable platform leading to more efficient, faster closings. Responsibilities Enterprise-Wide Risk Assessment (60%) Establish a risk framework for company’s mortgage portfolios, including setting appropriate risk constraints, risk...Risk
