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$75k - $85k
Risk Adjustment Coding Specialist II (SGV or IE, CA) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May assist...RiskFull timeWork at officeHome officeMonday to Friday$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 placementPMA Companies
Long Beach, CA2 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...RiskFull time- ...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
$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- ...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
- ...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
- ...Logistics Protection & Security Risk Manager Logistics Business Operations- Logistics Protection & Security Risk Manager Santa Ana, CA 92707 OR Plano, TX 75075 (onsite) 3 months CTH Web Cam Interview $55-$65/Hr on W2 Work Location: 3 MacArthur Place, Santa Ana,...Risk
Syntricate Technologies
Santa Ana, CA19 hours ago - ...Management Vulnerability management Application Security - DAST and SAST tools Network Security & Firewall (Palo Alto) Security Risk and Compliance management EDR, Email Security, WAF Minimum three (8) years of experience in information security or...RiskFull timeWork experience placement
The Dignify Solutions, LLC
Santa Ana, CA3 days ago $110k - $125k
Senior Claim Adjuster Department: Claims Administration & Adjusting Employment Type: Permanent - Full Time Location: Santa Ana, CA Reporting... ...part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance...RiskPermanent employmentFull timeTemporary workWork experience placement- ...Responsible for performing the Bank's risk based, annual SOX Compliance Program plan and other initiatives in compliance with the Sarbanes-Oxley Act ("SOX"). Works closely with line of business stakeholders to ensure that control documentation is mai Compliance Manager...Risk
Banc of California, N.A.
Santa Ana, CA4 hours agonew - ...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 Outpatient Coder II assigns and sequences ICD-10, CPT, and HCPCS codes through...RiskMonday to Friday
University of California
Irvine, CA3 days ago $26 - $30 per hour
...develop team members to ensure a high performing restaurant team; leverage the support of the Restaurant Support Center; ensure all risk management issues are following company standards. Strong business acumen and ability to drive results through team collaboration...RiskHourly payFull timeShift workFar West Services, LLC
Garden Grove, CA2 days ago$100k - $130k
...corrective actions to maintain project schedule and budget. Risk Management: Identify, assess, and develop mitigation strategies... ...ensuring adherence to budget constraints and making necessary adjustments as needed. Quality Assurance: Implement quality control measures...RiskWoongjin, INC.
Irvine, CA4 hours agonew$146k - $194k
...critical in driving efficiency, managing schedules, mitigating risks, and ensuring that projects are delivered on time, within scope,... ...Demonstrated ability to operate in high?pressure situations and adjust to changing priorities. Strong technical, analytical and quantitative...RiskFull timeWork experience placementWork at officeRelocation packageAnduril Industries
Costa Mesa, CA4 days ago$137.5k - $195k
...s largest providers of traditional and nontraditional solutions for companies that need financing and investors who seek strong risk-adjusted returns. Since 1971, our people have shaped our organization through a high-performance inclusive culture, in which we celebrate...RiskFull timeWorldwideFlexible hoursPIMCO
Newport Beach, CA2 days 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...RiskFor contractors
VENTURA FOODS LLC
Irvine, CA19 hours ago $95k - $140.6k
...Implementrisk management strategies to identify, assess, and mitigate risks associated with configuration management. Minimum... ...balancing several projects at any given time, and the flexibility to adjust for abrupt changes in strategic direction. Experience with...RiskPermanent employmentFull timeTemporary workFlexible hoursWeekend workAfternoon shiftVast
Long Beach, CA19 hours ago$80.06k - $98.89k
...project performance using established metrics and KPIs; identify risks and implement mitigation strategies proactively. Support... ...by this job include close vision, color vision, and ability to adjust focus. Salary The US base salary range for this full?time...RiskFull timeLocal areaRemote workEmbla Medical
Irvine, CA4 hours agonew$89.9k - $160.6k
...physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management... ...~ Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding ~ Experience in interpreting...RiskMinimum wageFull timeContract workWork experience placementLocal areaRemote workUnitedHealth Group
Cypress, CA3 days ago$325k
...accordance with relevant regulations and laws. The TSS Santa Ana Head will steer key business activities and ensures full alignment to DB's risk management framework and all relevant global regulatory and compliance requirements. Furthermore, the position holder also maintains...RiskFull timeTemporary workWork at officeWork from homeDeutsche Bank
Santa Ana, CA2 days ago$176k - $240k
...diplomacy and relationships to advance the information security risk management program within the Systems consensus-driven culture.... ...Demonstrated competency in executing large projects. Ability to adjust to and gracefully deal with changing work requirements and priorities...RiskWork experience placementLocal area- Job Description Job Summary The AVP, Quality & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and activities with Enterprise, acting as the Risk Adjustment and Quality...RiskContract workLocal areaImmediate start
$130k - $160k
...Information Security Governance, Risk and Compliance (GRC) Lead Join to apply for the Information Security Governance, Risk and Compliance (GRC) Lead role at O'Melveny & Myers LLP Its more than what you do: its how you do it. Thats why OMelveny is counsel...RiskWork at officeImmediate startRemote workO'Melveny & Myers
Newport Beach, CA19 hours ago$132.37k - $205k
...have full ownership, accountability, and responsibility of the corporate audit universe which includes all functions within Enterprise Risk Management and Credit Risk Management. The Corporate Senior Audit Manager supports the Chief Audit Executive in the completion of...RiskFull timeWork experience placementFlexible hoursFarmers & Merchants Bank
Seal Beach, CA13 hours agonew$59.29k - $90k
...Location US-CA-Costa Mesa Job Category Legal, Compliance, and Risk Management Position Type Regular Full Time Req ID 42592 Overview Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State...RiskFull timeWork at officeImmediate startMonday to FridayState Farm Mutual Automobile Insurance Company
Costa Mesa, CA2 days ago- ...in a managed care delivery system. Knowledge of clinical outcomes and quality improvement processes. Experience of population risk management or complex chronic disease care management. History of being a natural teacher to fellow Physicians. Other skills and...RiskWork at officeLocal area
ChenMed
Stanton, CA3 days ago - ...progress and making recommendations to the Physical Therapist for adjustments to treatment plans. Ensure that patients are following their... ...monitoring the patients physical condition and managing any potential risks or hazards. Assist with the setup and safe use of equipment,...RiskFull timeFlexible hours
Green Meadows Home Health Care
Fountain Valley, CA19 hours ago
