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  • $193k - $242k

     ...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution...  ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep... 
    Risk

    Datavant

    Los Angeles, CA
    25 days ago
  • 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
    5 days ago
  • $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... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health

    Alhambra, CA
    3 days ago
  • $75k - $85k

     ...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -...  ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May... 
    Risk
    Work at office
    Monday to Friday

    Astrana Health, Inc.

    Alhambra, CA
    8 days 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
    7 days ago
  • $70k - $85k

    Risk Adjustment Coding Specialist II (San Gabriel Valley, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $70,000 - $85,000 / year Description We are currently seeking a highly... 
    Risk
    Full time

    Astrana Health, Inc.

    Monterey Park, CA
    3 days ago
  •  ...to assist with identifying gaps in submissions, ensuring correct data quality issues and areas of coding improvements for CMS Risk Adjustment and Quality Incentive programs. The SCA is responsible to continuously educate physician and staff on correct and acceptable HCC... 
    Risk
    Work at office

    PIH Health

    Whittier, CA
    6 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
  • $78.5k - $163.6k

    Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy... 
    Risk

    UCLA Health

    Los Angeles, CA
    2 days ago
  •  ...may indicate a need for intervention. \n ~ Identify potential risks and complications, such as arrhythmias, respiratory distress,...  ...telemetry, arterial lines, and other continuous monitoring devices, adjusting care as necessary. \n ~ Provide post-surgical care for... 
    Risk
    Zero hours contract
    Shift work
    Night shift

    Magnet Medical

    West Hollywood, CA
    25 days ago
  •  ...Collaborates with the Dental director, Quality Manager, and Director of Risk Management and Compliance to ensure high standards of patient...  ...vision, peripheral vision, depth perception and the ability to adjust. Job Type: Full-time Benefits: ~403(b) ~ Dental... 
    Risk
    Full time
    Work at office
    Immediate start
    Relocation
    Monday to Friday
    Flexible hours

    Harbor Community Clinic

    Los Angeles, CA
    14 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
  •  ...currently seeking an Assistant Manager of Credit/Pricing for our Risk and Analysis department. This position will report to the...  ...reporting on the credit quality and performance, and recommends adjustments to credit policy as warranted by the analytics. The Assistant Manager... 
    Risk
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Relocation package

    American Honda Finance Corp.

    Torrance, CA
    19 days ago
  •  ..., equipment, and budget, to support project initiatives. Monitor resource utilization and make adjustments as needed to optimize project efficiency and effectiveness. Risk Management: Identify potential risks and issues that may impact project delivery and develop mitigation... 
    Risk
    Full time

    InterDent Service Corporation

    El Segundo, CA
    23 days ago
  •  ...IV starts, telemonitoring, and invasive hemodynamic assessments, including use of Swan Ganz catheters. Administer and manage high-risk therapies such as Milrinone, Dopamine, and Dobutamine. Monitor patients with pulmonary hypertension and moderate to high risk for... 
    Risk
    Hourly pay
    Weekly pay
    Shift work

    iDEAL Hire

    West Hollywood, CA
    23 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
  • $95k - $125k

     ...individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk, breaking down barriers to care. We welcome all backgrounds, gender identities, and expressions. We recognize our staff as the heart... 
    Risk
    Full time
    Internship
    Flexible hours

    Mens Health Foundation

    West Hollywood, CA
    22 days ago
  •  ...Monitor progress by reviewing data, preparing reports, and adjusting approaches to achieve measurable outcomes. Ensure compliance...  ...consistency with program policies, confidentiality (HIPAA), and risk management standards. Manage scheduling, staff assignments,... 
    Risk
    Work at office
    Home office

    Activities, Recreation, and Care

    Los Angeles, CA
    a month ago
  •  ...our Retail and Wholesale sales trends to identify opportunity and risk to our sales objective, and partner with the buying, wholesale...  ...troubleshoot and be solution oriented -Flexibility/Adaptability. Adjusts quickly to changing priorities and conditions. Copes effectively... 
    Risk
    Temporary work

    Princess Polly

    West Hollywood, CA
    4 days ago
  • $130k - $160k

    Information Security Governance, Risk and Compliance (GRC) Lead O’Melveny has an immediate opening for a remote Information Security Governance, Risk and Compliance (GRC) Lead in our West Coast office. The Information Security Governance, Risk and Compliance (GRC) Lead... 
    Risk
    Work at office
    Immediate start
    Remote work

    O'Melveny & Myers LLP

    Beverly Hills, CA
    5 days ago
  •  ...Financial Oversight: Manage budgets, sales forecasts, and operational costs to meet or exceed targets; develop and enforce SOPs to mitigate risks (payment fraud, cash handling, inventory loss); track and analyze KPIs (e.g., daily sales, conversion rates) to optimize performance... 
    Risk
    Daily paid
    Full time
    Local area
    Flexible hours
    Weekend work

    2 Peaks Bikes

    Beverly Hills, CA
    8 days ago
  • $70k - $80k

     ...facility managers, property management companies, insurance agents, adjusters and consultants Qualifications: ~3+ years experience in...  ...technology and procedures ~ Knowledge of industry safety and risk management best practices to minimize workplace injuries and... 
    Risk
    Weekly pay
    Interim role
    Work at office
    Immediate start
    Worldwide

    SERVPRO of Beverly Hills/Westwood

    Los Angeles, CA
    11 days ago
  •  ...meetings, mitigation of denials, have a strong understanding of the preauthorization process, the revenue cycle, reducing financial risk, be able to liaise with providers/staff, and work with payers while having regulatory awareness. About the Role The UM Denials... 
    Risk
    Immediate start

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    27 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... 
    Risk
    Work experience placement

    Kaiser Permanente

    Pasadena, CA
    3 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
  • $135k - $170k

     ...sources of capital, enabling us to design the optimal insurance and risk management program. We work closely with various clients -...  ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to... 
    Risk
    Full time
    Temporary work
    Part time
    Work at office
    Local area

    Aon

    Los Angeles, CA
    1 day ago
  •  ...love digging your teeth into hard problems and solving them in nuanced ways Comfortability with fast-paced development and high-risk, high-reward features You love working with talented team members and they love working with you You’re comfortable with augmenting... 
    Risk

    Pickford AI

    Beverly Hills, CA
    24 days ago
  •  ...Wound Vac Therapy & Wound Vision use Pressure Ulcer & Venous Ulcer Management Colostomy/Ileostomy Care Braden Scale & Ulcer Risk Assessments Patient & Family Education #11 Submission Requirement:\n\nRecently Updated Resume\nBLS(AHA), CA RN license,... 
    Risk
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Local area
    Shift work

    LanceSoft

    West Hollywood, CA
    8 days ago
  •  ...coding, billing and abstracting o Certification as a Professional Coder (CPC) from AAPC o Knowledge of medical terminology and...  ...Procedural Terminology. Identifies and reports any potential compliance risks and reimbursement opportunities to the Revenue Cycle Director.... 
    Risk
    Contract work
    Temporary work
    Monday to Friday
    Shift work
    Weekend work

    A.P.R., Inc. (AlphaProTemps)

    Inglewood, CA
    7 days ago