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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$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$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 placement- ...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
$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- ...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, CA4 days ago $165k - $225k
...Workplaces in Financial Services & Insurance Sr. Executive General Adjuster (Remote in California) As an adjuster at Sedgwick, you'll have... ...for this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal areaRemote workFlexible hoursSedgwick
Long Beach, CA1 day ago$103.17k - $158.87k
...implement 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...Risk$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, CA3 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, CA3 days ago$150k - $180k
...commercial results, owning cost negotiations, vendor performance, and risk management across a diversified supply base. The Director is... ...according to plans, monitor progress, and make the necessary adjustments to achieve objectives. ~ Ability to anticipate and articulate...RiskContract workSeasonal workTrue Religion Brand Jeans
Gardena, CA1 day ago$30 - $37 per hour
...priority. Contribute. General Manager to manage a profitable store by tracking sales and overseeing the day to day operations and risk management. Help the store with tasks, ideas and support store growth operationally. Be Creative. Visual merchandising and...RiskHourly payTemporary workLocal areaThe Coffee Bean and Tea Leaf
Seal Beach, CA26 days 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...RiskWork at officeDirect Counsel
Irvine, CA3 days ago$80k - $95k
...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...RiskWork experience placementWork at officeLocal areaShift workBoot Barn
Irvine, CA4 days ago$45k - $60k
...claims process, providing guidance and facilitating communication between clients and claims adjusters. - Monitor and follow up on claims to ensure timely resolution. Risk Management: - Identify potential risks and provide risk management advice to clients. -...RiskWork experience placementWork at officeMonday to FridayHumina Resource
Cypress, CA1 day ago$82.93k - $110.53k
...HR and cross-functional groups. Individually, or as part of a team, you will be responsible for project planning, change management, risk management, and issue resolution. HOW YOU'LL CONTRIBUTE Project Planning Project Leadership Project Delivery...RiskWork at officeLocal areaRemote workFirst American
Santa Ana, CA3 days ago$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, CA4 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, CA3 days ago$115k - $125k
...brokerage firm delivering expertly crafted Commercial Insurance and Risk Management, Private Insurance and Risk Management, Employee... ...market conditions and carrier underwriting appetites with ability to adjust strategy to protect future interests. Experience in reviewing...RiskContract workThe Baldwin Group
Tustin, CA4 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
- ...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...RiskWork experience placementFlexible hours
Farmers and Merchants Bank of Long Beach
Seal Beach, CA4 days ago $90k - $110k
...to the Company. The Manager oversees the Company's internal audit activities and presents frequently to the Company's Governance and Risk Oversight Committee ("GROC") and the Board of Directors. This position is responsible for understanding the objectives and risks...RiskFull timeWork at officeRelocationHomeXpress Mortgage Corp
Santa Ana, CA1 day ago- ...Incident 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 information...RiskFull timeWork experience placement
- ...progress and making recommendations to the Physical Therapist for adjustments to treatment plans. Ensure that patients are following their... ...the patient’s physical condition and managing any potential risks or hazards. Assist with the setup and safe use of equipment,...RiskFull timeWork from homeFlexible hours
Green Meadows Home Health Care
Santa Ana, CA2 days ago
