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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...RiskDatavant
Los Angeles, CA25 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...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
...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...RiskWork 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$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...RiskFull time- ...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...RiskWork at office
- ...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...RiskWork at office
$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- ...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...RiskZero hours contractShift workNight shift
Magnet Medical
West Hollywood, CA25 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...RiskFull timeWork at officeImmediate startRelocationMonday to FridayFlexible hours
Harbor Community Clinic
Los Angeles, CA14 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...RiskHourly payFull timeCasual workWork at officeRemote workRelocation packageMonday to FridayFlexible hours- ...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
- ...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...RiskTemporary workWork experience placementWork at officeRemote workRelocation package
American Honda Finance Corp.
Torrance, CA19 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...RiskFull time
InterDent Service Corporation
El Segundo, CA23 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...RiskHourly payWeekly payShift work
iDEAL Hire
West Hollywood, CA23 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...RiskFull timeContract workWork at officeLocal areaMonday to FridayAfternoon shift
Nautilus General Contractors
Los Angeles, CA28 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...RiskFull timeInternshipFlexible hoursMens Health Foundation
West Hollywood, CA22 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,...RiskWork at officeHome office
Activities, Recreation, and Care
Los Angeles, CAa 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...RiskTemporary work
Princess Polly
West Hollywood, CA4 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...RiskWork at officeImmediate startRemote work- ...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...RiskDaily paidFull timeLocal areaFlexible hoursWeekend work
2 Peaks Bikes
Beverly Hills, CA8 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...RiskWeekly payInterim roleWork at officeImmediate startWorldwideSERVPRO of Beverly Hills/Westwood
Los Angeles, CA11 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...RiskImmediate start
Imperial Health Plan of California, Inc.
Pasadena, CA27 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
- ...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...RiskFor contractorsWork at officeLocal area
Powerful Solar
Los Angeles, CA3 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...RiskFull timeTemporary workPart timeWork at officeLocal areaAon
Los Angeles, CA1 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, CA24 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,...RiskWeekly payLong term contractPermanent employmentTemporary workWork at officeLocal areaShift work
LanceSoft
West Hollywood, CA8 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....RiskContract workTemporary workMonday to FridayShift workWeekend work
